WAC 182-504-0025 Medicare savings program certification periods.

WAC 182-504-0025 Medicare savings program certification periods.

Effective December 1, 2011

Certification periods for the different kinds of Medicare Savings Programs are not all the same. The chart below explains the differences.

Medicare Savings Program Certification Period Start Date

QMB (Qualified Medicare Beneficiary)

S03

 12 months On the first day of the month following QMB eligibility determination

SLMB (Special low income Medicare beneficiary)

S05

 12 months

Up to three months prior to the certification period if on the first day of the first month of certification, the person:

  • Is or has been enrolled in Medicare Part B; and
  • Meets SLMB eligibility requirements.

QDWI (Qualified disabled working individual)

S04

 12 months

Up to three months prior to the certification period if on the first day of the first month of certification, the person:

  • Is or has been enrolled in Medicare Part A; and
  • Meets QDWI eligibility requirements.

QI-1 (Qualified individual)

S06

 Thru the end of the calendar year following QI-1 eligibility determination

Up to three months prior to the certification period if on the first day of the first month of certification, the person:

  • Is or has been enrolled in Medicare Part B; and
  • Meets QI-1 eligibility requirements.

This is a reprint of the official rule as published by the Office of the Code Reviser. If there are previous versions of this rule, they can be found using the Legislative Search page.