US · guidance

CMS Pub. 100-16, ch. 4, § 200.4

Scope of Financial Assistance Programs

activein force · 2026-08-25 – presentas-observed

MAOs that provide education and/or enrollment assistance to enrollees must provide this

across the full scope of Medicaid and Medicare Savings Programs:

• Qualified Medicare Beneficiaries (QMBs) without other Medicaid (QMB Only)

• QMBs with full Medicaid (QMB Plus)

• Specified Low-Income Medicare Beneficiaries (SLMBs) without other Medicaid

(SLMB Only)

• SLMBs with full Medicaid (SLMB Plus)

• Qualified Disabled and Working Individuals (QDWIs)

• Qualifying Individuals (QIs)

• Medicaid-Only Dual Eligibles (Non QMB, SLMB, QDWI, QI)

History

(Rev. 121, Issued: 04-22-16, Effective: 04-22-16, Implementation: 04-22-16)

Provenance

Source: cms.gov
Retrieved: 2026-08-25
Edition: iom-2026-08-25
Content hash: b4f8879e1bd729346c6a8808611724c7535d96a6517c3eb4f0e352e1b29bd491

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