Section 16.03.05.811 - SPECIFIED LOW INCOME MEDICARE BENEFICIARY (SLMB)A person meeting all requirements below is eligible for SLMB. Medicaid pays the Medicare Part B premiums for a SLMB. The income and resource exclusions and disregards used for AABD are used for SLMB.
01.Other Medicaid. The SLMB may be eligible for other Medicaid.02.Medicare Part A. The SLMB must be entitled to hospital insurance under Part A of Medicare at the time of their application.03.Nonfinancial Requirements. The SLMB must meet the Medicaid eligibility requirements of residence, citizenship, support cooperation, and SSN.04.Income. The annual Social Security cost of living increase is disregarded from income, until the month after the month the annual FPG revision is published. The single person limit is based on a family of one (1). The couple limit is based on a family of two (2). The monthly income limit is up to one hundred twenty percent (120%) of the FPG.05.Resource Limit. The resource limit is equal to the amount defined under 42 USC 1396d(p)(1)(C). The resource exclusions used for AABD are used for SLMB.06.Effective Dates. SLMB coverage begins on the first day of the application month, which may be backdated up to three (3) calendar months before the application month.Idaho Admin. Code r. 16.03.05.811