Q-5000, Qualifying Individuals

Revision 24-3; Effective Sept. 1, 2024

The Qualifying Individuals (QIs) program pays only the Medicare premiums for people who meet all eligibility requirements.

QI has the same eligibility criteria as QMB except the person’s countable income must be at least 120% but less than 135% of the federal poverty level (FPL).

A person cannot be certified for any other Medicaid-funded program and the QI program at the same time. If eligible for both programs, the person must be given the opportunity to choose which benefit they prefer to receive. Document the person’s verbal or written choice in case comments, including the person’s choice between QI benefits and Community Attendant Services (CAS).

Related Policy

Medicare Savings Program Information, Appendix IX
Qualifying Individuals (QIs), A-8300
Medicare Savings Programs Overview, Q-1000
MSP Resource Limits, Q-1300
MSPs and Medicare Part B-ID, Q-1500
Qualified Medicare Beneficiaries, Q-2000
Medicare Savings Programs and Dual Eligibility, Q-4000