360-7.8 Payments of premiums under Title XVIII of the Social Security Act (Medicare).
(a) Payment of Medicare Part A monthly premiums will be made by the MA
program for qualified Medicare beneficiaries and qualified disabled and working
individuals as defined in section 360-7.7 of this Subpart. Payment for Medicare Part A
monthly premiums for a qualified Medicare beneficiary will begin with the month following
the month he or she applies for MA payment of these amounts.
(b) Payment of Medicare Part B premiums will be by under the MA Program
if a recipient is:
(1) enrolled in a voluntary insurance program
under Medicare Part B;
(2) receiving cash grants as an eligible
recipient of public assistance;
(3) receiving chronic care in a medical
institution;
(4) receiving care in a public home; or
(5) a qualified Medicare beneficiary, as
defined in subdivision (g) of section 360-7.7 of this Subpart. The MA program will pay the
Medicare Part B monthly premiums for a qualified Medicare beneficiary beginning with the
month following the month he or she applies for MA payment of these amounts.
(6) a specified low income Medicare beneficiary
as defined in section 360-7.7(i) of this Subpart. The MA program will pay the Medicare
Part B monthly premiums for a specified low income Medicare beneficiary.
(c) Method of payment.
(1) The State will pay Medicare Part B premiums
initially for recipients of cash grants. The social services district will be charged
periodically for its proportionate share of the premiums. The charge to a social services
district cannot exceed 50 percent of the cost of such premium after crediting any
available federal reimbursement.
(2) The social services district will pay the
premiums for recipients in chronic care in a medical institution or care in a public home.
Each social services district must claim State reimbursement for the cost of the premiums
that it paid initially.