Section 359.103 - Qualified Medicare Beneficiary Program(a) Authorized under RSA 1396a(a)(10)(E)(i), the Qualified Medicare Beneficiary (QMB) Program pays Medicare premiums, deductibles, and coinsurance for a person who meets the requirements of this section. A person receiving Medicaid may also receive QMB benefits if the person meets the requirements of this section.(b) To be eligible for QMB coverage, a person must: (1) be entitled to benefits under Medicare Part A;(2) meet income requirements in RSA 1396d(p), except for: (A) payments made from or interest earned on a tuition savings program under § RSA 358.388 of this title (relating to Tuition Savings Programs);(B) payments made from or interest earned on an Achieving a Better Life Experience (ABLE) account under § 358.389 of this title (relating to Achieving a Better Life Experience Program); and (C) income earned on a school-based savings program under § 358.390 of this title (relating to School-Based Savings Program).(3) meet resource requirements in RSA 1396d(p), except for: (A) funds used to establish a tuition savings program under § RSA 358.356 of this title (relating to Tuition Savings Programs);(B) funds used to establish an ABLE account and funds held in an ABLE account under § 358.357 of this title (relating to Achieving a Better Life Experience Program); and (C) funds held in a school-based savings program under § 358.358 of this title (relating to School-Based Savings Program).(c) A person is not eligible for QMB coverage if the person: (1) is in the custody of penal authorities as defined in RSA 411.4(b); or(2) is over 20 years of age and under 65 years of age and resides in an institution for mental diseases.(d) A person's QMB eligibility begins on the first day of the month after the month the person is certified for QMB benefits.(e) A person with QMB coverage is not eligible for three months prior medical coverage.1 Tex. Admin. Code § 359.103
The provisions of this §359.103 adopted to be effective September 1, 2009, 34 TexReg 5516; Amended to be effective February 3, 2013, 38 TexReg 366; Amended by Texas Register, Volume 41, Number 46, November 11, 2016, TexReg 9004, eff. 11/20/2016