Want regular email updates? Sign up by visiting this link. Medicare Competitive Bidding Program for Durable Medical Equipment and Coordination of Benefits for Beneficiaries Eligible for Medicare and Medicaid (Dual Eligibles).Payment of Medicare Cost Sharing for QMBs.Medicaid Third Party Liability & Coordination of Benefits.Medicare-Medicaid Enrollee Categories (PDF).Seniors & Medicare and Medicaid Enrollees.3 Tips for People in the QMB Program ( English & Spanish).Information for Medicare Beneficiaries & their Advocates Preventing Improper Billing of Medicare-Medicaid Enrollees in Managed Care: Strategies for States and Dual Eligible Special Needs Plans.Qualified Medicare Beneficiary Program Enrollee Status Resources () (PDF) (HPMS Memo).CY 2019 Part C & Part D Readiness Checklist Appendix A for Medicare Advantage Organizations, Prescription Drug Plans, Medicare-Medicaid Plans, and Cost Plans (PDF) () (HPMS Memo).CY 2019 Part C & Part D Readiness Checklist for Medicare Advantage Organizations, Prescription Drug Plans, Medicare-Medicaid Plans, and Cost Plans (PDF) () (HPMS Memo).Qualified Medicare Beneficiary Program Information in Remittance Advice and Explanation of Benefits () (PDF) (Health Plan Management System ( HPMS) Memo).October, 2019: CMS will further modify the Medicare Summary Notice (MSN) for QMBs to reflect zero cost-sharing liability only for paid claims, not for claims that are denied ( MM11230 (PDF)).July, 2018: CMS reintroduced QMB information in the RA without disrupting claims processed by secondary payers ( MM10433 (PDF)).CMS Systems Changes - Timeline for QMB Remittance Advice (RAs) & the MSNs.QMB Program FAQ on Billing Requirements (PDF).QMB Program Billing Requirements Call ().
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