1. (1) An individual who is either sixty-five (65) years of age or older, who is under sixty-five (65) years of age, and who has been receiving green Social Security disability checks for twenty-four (24) consecutive months, who presents a current white Medicaid Eligibility Card without a Medicare Claim Number should be questioned about coverage under Medicare.
2. (2) If the recipient does not have a Medicare card and if he/she has not applied for Medicare, he/she should be advised to contact the District Social Security Office immediately.
3. (3) Claims should not be filed with Medicaid until the Social Security Office makes a determination about eligibility for Medicare.
4. (4) Please refer to Chapter 1, General.

Author: Sheila G. Dunbar, R. Dale Boyles

Statutory Authority: State Plan; 42 C.F.R. §§401 et seq.; Title XIX, Social Security Act.

History: Rule effective October 1, 1982. Amended effective December 6, 1984. Emergency rule effective June 28, 1991. Amended effective October 12, 1991. Amended: Filed July 7, 1994; effective August 12, 1994.