GroundRules
12VAC30-110-1150: Qualified Medicaid Beneficiaries
Where this section sits in the code
- Title 12. Health
- Agency 30. Department of Medical Assistance Services
- Chapter 110. Eligibility and Appeals
- Part VI. Deduction of Incurred Medical Expenses in Determining Countable Income (Spenddown)
- Article 4. Income
A. When an enrolled medically indigent Medicare beneficiary meets the medically needy spenddown, he continues to be eligible for Medicaid as a Qualified Medicare Beneficiary (QMB) but is also eligible for Medicaid as medically needy beginning the date the spenddown was met, and ending the last day of the six-month spenddown period.
B. No new application for QMB shall be required to continue entitlement as a QMB at the end of the budget period; however, the individual must file a new application in order for eligibility for full Medicaid benefits in subsequent budget periods.
Collected 2026-09-14T04:51:07Z. Source file · JSON