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Department of Medical Assistance Services Eligibility and Enrollment Unit

February 2013*REVISEDhttp://www.dmas.virginia.gov1

Department of Medical Assistance ServicesMMIS: New Special Low-income Medicare Beneficiary (SLMB) Plus Enrollment

http://www.dmas.virginia.gov/#Department of Medical Assistance ServicesWelcome to the MMIS New SLMB Plus Enrollment training presented by the Eligibility and Enrollment Unit of the Department of Medical Assistance Services. This a revision of the January 2013 training of this topic to include additional information for clarification. 1AgendaOverviewNew MMIS SLMB Plus Full-Medicaid Aid Categories (AC)SLMB Plus Enrollments-New enrollments: MN only and 300% groupTransition of current full coverage members to new SLMB Plus ACsContacts

http://www.dmas.virginia.gov/#Department of Medical Assistance ServicesThis training will cover a basic overview of the new SLMB Plus aid categories as well as examples of enrollments using the new aid categories in the MMIS.2SLMB Plus OverviewAt the federal level a SLMB Plus member is one who moves from SLMB to full-coverage. This term was not used previously in Virginia as designated ACs were not available.

Reduce expenditures for Part B premium costs for certain members whose premiums are eligible for federal matching funds

Track the SLMB Plus population

http://www.dmas.virginia.gov/#Department of Medical Assistance ServicesThe purpose of the new SLMB Plus aid categories is the reduce expenditures for members who are eligible for federal matching funds and to be able to better track those members who fall into this category. A member who moves from SLMB Only coverage to full-coverage is considered SLMB Plus at the federal level. The term SLMB Plus was not used previously in Virginia Medicaid as aid categories were not designated for enrollment of members who meet this criteria. 3SLMB Plus OverviewSLMB Plus AC definition is a member enrolled in Medicare Part A, with income > 100% FPL and