(a) This chapter describes the assistance available
and eligibility requirements for the Medicare Savings Program. Authorized
under 42 U.S.C. §1396a(a)(10)(E), the Medicare Savings Program
uses Medicaid funds to help eligible persons pay for all or some of
their out-of-pocket Medicare expenses, such as premiums, deductibles,
or coinsurance.
(b) The Texas Health and Human Services Commission
(HHSC) manages the Medicare Savings Program, which consists of the
following:
(1) the Qualified Medicare Beneficiary (QMB) Program;
(2) the Specified Low-Income Medicare Beneficiary (SLMB)
Program;
(3) the Qualifying Individual (QI) Program; and
(4) the Qualified Disabled and Working Individual (QDWI)
Program.
(c) Nothing in these rules shall be construed to violate
the maintenance of eligibility requirements of section 5001 of the
American Recovery and Reinvestment Act of 2009 (Public Law 111-5)
and make eligibility standards, methodologies, or procedures under
the Texas State Plan for Medical Assistance (or any waiver under section
1115 of the Social Security Act (42 U.S.C. §1315)) more restrictive
than the eligibility standards, methodologies, or procedures, respectively,
under such plan (or waiver) that were in effect on July 1, 2008.
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