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Improvements to the Qualified Medicare Beneficiary Program (QMB) – Part One

This webinar took place on Monday, September 24, 2018.

The Qualified Medicare Savings Program (QMB) helps low-income Medicare beneficiaries pay for their health insurance by covering Part A and B premiums and cost-sharing. State Medicaid programs, which administer QMB, have a responsibility to screen for eligibility, but many individuals still face challenges enrolling into the QMB program. Another challenge is that even after beneficiaries are enrolled in the program, some Medicare providers, in violation of federal law, bill QMBs for costs covered by Medicare. In the past two years, the Centers for Medicare and Medicaid Services (CMS) has implemented a number of changes to the QMB program, which touch both beneficiaries and providers, and are designed to reduce improper billing.

This two-part webinar, The Qualified Medicare Beneficiary Program: Eligibility, Challenges, and New Developments, provides an overview of the QMB program and eligibility criteria. The webinar also covers challenges to eligibility and under-utilization, and reviews the recent CMS administrative changes intended to curb improper billing.

Part One of the two-part webinar:

  • Provides an overview of the QMB program, including eligibility and utilization
  • Looks at challenges to enrollment, including state enrollment procedures and data transfer issues
  • Discusses recent improvements in enrollment procedures for individuals who need QMB because they do not have premium-free Medicare Part A.

Who Should Participate: 

  • Aging and legal advocates, community-based providers, health plan leadership, and others wanting to learn more about the QMB program and improper billing.

Georgia Burke, Justice in Aging
Denny Chan, Justice in Aging

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