The Centers for Medicare & Medicaid Services (CMS) requests that Medicare Administrative Contractors (MACs) identify Medicare beneficiaries with Qualified Medicare Beneficiary (QMB) status according to supplied CMS protocols. CMS will allow for this in multiple claims processing systems including the Common Working File (CWF).
Subject: Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System
Release Date: April 28, 2017
Effective Date: October 2, 2017
Implementation Date: July 3, 2017
Special Notes: Transmittal 3715, dated February 3, 2017 is being rescinded and replaced by Transmittal 3764, dated April 28, 2017,to revise business requirement 9911.5 to refer to the claim rather than the line. All other information remains the same.