Guest guest Posted March 11, 2011 Report Share Posted March 11, 2011 Does his card say " qmb dual "   " qmb medical "   or " qmb only "   ? ________________________________ From: Liz <dljar58@...> IPADDUnite Sent: Fri, March 11, 2011 6:22:04 PM Subject: The Pickle Amendment  The Medicaid card is coded as a " qualified Medicaid Beneficiary > (QMB) " and the adult child can continue to have group home and other services > paid for with the Medicaid card. > OMG....When I went to the SSA office the other day, the lady I talked to said something about The QMB, but said I'd have to go to the Medicaid office to find out more. (I left there SOOO confused, cause the lady at SSA didn't know much about it. I've been flipping out for days, because my son just got off SSI & onto SSDI (in Jan) on his dad's work record. I've been trying to figure out how to spend his money, so he could be under $2,000. I was planning on going on my next late work day, but not looking forward to it. I hadn't realized that he would have been in danger of losing his Medicaid. I'm taking it that I can quit worrying about everything? That it will be okay if he has over $2,000? Liz Reply to sender | Reply to group | Reply via web post | Start a New Topic Messages in this topic (15) Recent Activity: * New Members 2 * New Files 1 Visit Your Group Switch to: Text-Only, Daily Digest • Unsubscribe • Terms of Use .. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 11, 2011 Report Share Posted March 11, 2011 > > Does his card say " qmb dual "   " qmb medical "   or " qmb only "   ? Neither: Not sure what this means...but there's a place that says TPL:C001 Liz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 12, 2011 Report Share Posted March 12, 2011 Your child still cannot have more than $2,000. All the Pickle amendment does is protect medicaid when ONLY the excess INCOME of the SSDI DAC benefits push a person over the poverty level. The person still has to have less than $2,000 in RESOURCES. It is important to stay under $2,000 unless your child is receiving medicaid under Health Benefits for Working Disabled. Terrie Varnet ________________________________ From: Liz <dljar58@...> IPADDUnite Sent: Fri, March 11, 2011 7:22:04 PM Subject: The Pickle Amendment The Medicaid card is coded as a " qualified Medicaid Beneficiary > (QMB) " and the adult child can continue to have group home and other services > paid for with the Medicaid card. > OMG....When I went to the SSA office the other day, the lady I talked to said something about The QMB, but said I'd have to go to the Medicaid office to find out more. (I left there SOOO confused, cause the lady at SSA didn't know much about it. I've been flipping out for days, because my son just got off SSI & onto SSDI (in Jan) on his dad's work record. I've been trying to figure out how to spend his money, so he could be under $2,000. I was planning on going on my next late work day, but not looking forward to it. I hadn't realized that he would have been in danger of losing his Medicaid. I'm taking it that I can quit worrying about everything? That it will be okay if he has over $2,000? Liz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 12, 2011 Report Share Posted March 12, 2011 Is there a maximum amount of income you can have and still get Medicaid if you are a DAC? My son gets SSDI and SSI and is a DAC and also works part time. When we applied for Medicaid the spend down was too high and had to pay for HBWD. Shirley From: Theresa Varnet <tvarnet@...> Subject: Re: The Pickle Amendment IPADDUnite Date: Saturday, March 12, 2011, 11:00 PM  Your child still cannot have more than $2,000. All the Pickle amendment does is protect medicaid when ONLY the excess INCOME of the SSDI DAC benefits push a person over the poverty level. The person still has to have less than $2,000 in RESOURCES. It is important to stay under $2,000 unless your child is receiving medicaid under Health Benefits for Working Disabled. Terrie Varnet ________________________________ From: Liz <dljar58@...> IPADDUnite Sent: Fri, March 11, 2011 7:22:04 PM Subject: The Pickle Amendment The Medicaid card is coded as a " qualified Medicaid Beneficiary > (QMB) " and the adult child can continue to have group home and other services > paid for with the Medicaid card. > OMG....When I went to the SSA office the other day, the lady I talked to said something about The QMB, but said I'd have to go to the Medicaid office to find out more. (I left there SOOO confused, cause the lady at SSA didn't know much about it. I've been flipping out for days, because my son just got off SSI & onto SSDI (in Jan) on his dad's work record. I've been trying to figure out how to spend his money, so he could be under $2,000. I was planning on going on my next late work day, but not looking forward to it. I hadn't realized that he would have been in danger of losing his Medicaid. I'm taking it that I can quit worrying about everything? That it will be okay if he has over $2,000? Liz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 12, 2011 Report Share Posted March 12, 2011 Terrie, Thanks. I was told he has about 30 days before we have to do anything with the overage. He did end up spending some of his money today on things he can use. Gues I'll bite the bullet anyway next week & visit the Medicaid office, so I can get things in writing. Liz Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 13, 2011 Report Share Posted March 13, 2011 TPL means Third Party Liability. This just means that he has a commercial insurance in addition to Medicaid. So Medicaid will not pay until this commercial insurance pays. QMB specifically means that he has Medicare & Medicaid. There are several codes for this: QMB Only,  QMB Medical    and QMB dual.     Each code has a different meaning. ________________________________ From: Liz <dljar58@...> IPADDUnite Sent: Fri, March 11, 2011 9:03:00 PM Subject: Re: The Pickle Amendment  > > Does his card say " qmb dual "   " qmb medical "   or " qmb only "   ? Neither: Not sure what this means...but there's a place that says TPL:C001 Liz Quote Link to comment Share on other sites More sharing options...
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