The Centers for Medicare & Medicaid Services (CMS) requests Medicare Administrative Contractors (MACs) utilize an indicator of Qualified Medicare Beneficiary (QMB) status to the Medicare Fee-For-Service claims processing systems. The QMB program assists low-income Medicare beneficiaries, who, by federal law, pay no Medicare deductibles, copays, or coinsurance. CMS instructs MACs to create a new beneficiary auxiliary file with dual status codes and a QMB indicator.
Subject: Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System
Title: Change Request 9911
Release Date: Feb. 3, 2017
Effective Date: April 21, 2016
Implementation Date: July 3, 2017
Special Notes: N/A