Next Steps: Strategies and Tools
to Help Your QMB-Eligible Clients

Conference Call
Wednesday, Aug. 19, 2009
3:00 p.m. EDT

HAP continues to hear from the SHIP community about the issue of health care providers billing Qualified Medicare Beneficiaries (QMBs) for Medicare cost-sharing. QMBs are not liable under Medicare law to pay providers for these charges. We flagged the issue as one of concern for low-income beneficiaries earlier this summer, and the feedback you've since provided suggests that the problem is more pervasive than it appears.

HAP, along with our partner, the Center for Medicare Advocacy, reviewed the issue in detail on this call. We discussed strategies and tools that SHIPs can use to help their QMB and QMB Plus clients. Please refer to our August eNewsletter for more information about this issue. And to learn how to report a QMB issue, please visit our Troubleshooting Medicare Resource Center.

Thank you for joining us!

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Resources

• Statutory Language Protecting QMBs
• Excerpt of Chapter 3 of CMS's State Medicaid Manual: Payment to Providers (see red text)
• Center for Medicare Advocacy Weekly Alert: Medicare Cost-Sharing for Dual Eligibles: Who Pays What for Whom?
• CMS Memo: Medicare Cost Sharing for Medicaid Beneficiaries
• CMS Memo: Medicaid Obligations for Medicare Cost Sharing in Medicare Part C Plans
• CMS Memo: Policy Memo on Medicaid Obligations to Pay Medicare Cost-sharing Expenses for QMBs in Medicare HMOs
• CMS Letter to State Medicaid Directors
• CMS Report: State Payment Limitations on Medicare Cost Sharing: Impacts on Dually Eligible Beneficiaries and Their Providers
• Getting Started: What SHIPs Need to Know — Qualified Medicare Beneficiaries (QMB) and Medicare Cost Sharing

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