Medical Assistance for Employed Persons with Disabilities

2.3.5.4.1 Medicare Part B for MA-EPD Enrollees

Medicare Eligibility

People enrolled in Medical Assistance for Employed Persons with Disabilities (MA-EPD) must enroll in Medicare if eligible.

If not enrolled in Medicare at the time they apply for MA-EPD, Medicare eligible people must apply for Medicare during the next available Medicare general enrollment period (January-March of each year), to continue MA-EPD eligibility.

Payment for Medicare Part B Premiums

MA-EPD enrollees may have their Medicare Part B premiums paid for or reimbursed with an effective the date of MA-EPD eligibility for enrollees who meet one of the following:

Meets the requirements for Qualified Medicare Beneficiary (QMB) or Service Limited Medicare Beneficiary (SLMB) programs. See EPM section 4.2 Medicare Savings Programs for more information.
If not eligible for QMB or SLMB, has income at or below 200% FPG using the MA-EPD income methodology.

For the eligible MA-EPD enrollees not eligible for QMB or SLMB with income at or below 200% FPG, Medicare Part B premium reimbursements must be processed and reimbursed by the county or tribal servicing agency at application, renewal, or when an enrollee reports a change that makes them eligible for reimbursement. DHS reimburses Medicare Part B premium reimbursement payments made to an eligible MA-EPD enrollee by the county or tribal servicing agency.

Legal Citations

Minnesota Statutes, section 256B.057