- (1) The department implements 42 CFR 435.608, which requires applicants for and members of medical assistance to apply for and take reasonable steps to receive other possible benefits.
- (2) The department may not require an applicant for or member of medical assistance to apply for an income benefit if the applicant's or member's income is not counted when determining eligibility for medical assistance for either that individual or any other household member.
(3)(a) An individual who may be eligible for Medicare Part B benefits must apply for Medicare Part B and, if eligible, become enrolled in Medicare Part B to be eligible for Medicaid.
- (b) The state pays the applicable monthly premium and cost-sharing expenses for Medicare Part B for an individual who is eligible for both Medicaid and Medicare Part B.
- (4) An individual whose eligibility is determined using non-Modified Adjusted Gross Income (MAGI) methodologies and who may be eligible for a Veterans Administration (VA) apportionment payment of benefits, as defined by the VA, must apply for those benefits.
KEY: state residency, citizenship, third-party liability, Medicaid
Date of Last Change: January 22, 2024
Notice of Continuation: January 6, 2023
Authorizing, and Implemented or Interpreted Law: 26B-3-108; 26B-1-213