Section 200. Effective date of eligibility

Subpart 4. Effective Date and Transfer of Resources

a. Groups Other Than Qualified Medicare Beneficiaries.

(1) For the prospective period. Coverage is available for the full month if aged, blind, disabled or AFDC-related individuals are eligible at any time during the month.

(2) For the retroactive period. Coverage is available for three months before the date of application if aged, blind, disabled or AFDC-related individuals would have been eligible had they applied.

b. For qualified Medicare beneficiaries defined in § 1905(p)(1) of the Act, coverage is available beginning with the first day of the month after the month in which the individual is first determined to be a qualified Medicare beneficiary under § 1905(p)(1). The eligibility determination is valid for 12 months.

Historical Notes

Derived from VR460-02-2.6100 C, eff. June 16, 1993.

Statutory Authority

Social Security Act Title XIX; 42 CFR 430 to end; all other applicable statutory and regulatory sections.