Current through November, 2024
Section 17-1744-3 - Referral of recipients for medicare coverage(a) All recipients who are eligible but not enrolled for medicare coverage shall be referred to the Social Security Administration for enrollment through the SMI buy-in process. Among those who are eligible for medicare are those who meet the requirement of five years of residency in the United State, and who: (1) Are sixty-five years of age or older;(2) Have received at least twenty four months of RSDI disability benefits; or(3) Are end-stage renal disease (ESRD) patients.(b) All recipients who are enrolled in medicare part A (HIB), but not in part B (SMI), shall be referred to the Social Security Administration for part B enrollment through the SMI buy-in process. The exception to the preceding are the qualified disabled working individuals (QDWI) who are only eligible for coverage of part A premiums under the medical assistance program.(c) Recipients who are enrolled in medicare part B, but not in part A, shall be informed of the qualified medicare beneficiary (QMB) program and a part A buy-in referral shall be made, if applicable.(d) The recipient's consent for SMI buy-in shall not be required. However, the recipient shall be informed that the department is enrolling the recipient for coverage.[Eff 08/01/94] (Auth: HRS § 346-14) (Imp: 42. C.F.R. §431.625)