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, will provide an overview of the QMB program and eligibility criteria. The webinar will also cover challenges to eligibility and under-utilization, and review the recent CMS administrative changes intended to curb improper billing. Part One of the two-part webinar will:
- Provide an overview of the QMB program, including eligibility and utilization
- Look at challenges to enrollment, including state enrollment procedures and data transfer issues
- Discuss recent improvements in enrollment procedures for individuals who need QMB because they do not have premium-free Medicare Part A.
Part Two of the two-part webinar will provide:
- An overview of the improper billing rules under the QMB program
- A review of the recent CMS administrative changes
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. Presenters:
Georgia Burke, Justice in Aging
Denny Chan, Justice in Aging Part One will take place on Monday, September 24, 2018 and Part Two will take place on Tuesday, September 25, 2018. Both webinars will begin at 11:00 a.m. PT/2:00 p.m. ET. |
