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  • Who’s eligible for Medicaid? - HHS. gov
    If the information on your application shows that someone in your household might qualify for Medicaid, the Marketplace will forward your application to your state for a final eligibility decision You can also call the Marketplace Call Center at 1-800-318-2596 to apply TTY users can call 1-855-889-4325
  • Who’s eligible for Medicare? - HHS. gov
    Estimate your Part A and Part B Medicare eligibility premiums Part C premium Monthly premiums for Part C coverage vary based on which plan you join The premium amount can change each year Part D premium Monthly premiums for Part D coverage vary based on which plan you join The premium amount can change each year
  • When should I sign up for Medicare? - HHS. gov
    For most people, Medicare eligibility starts three months before turning 65 and ends three months after turning 65 If you’re already getting Social Security benefits, you’ll be automatically enrolled in Medicare Part A and Part B (you don’t need to apply)
  • Financial Eligibility Verification Requirements and Flexibilities - HHS. gov
    Return to Search Financial Eligibility Verification Requirements and Flexibilities This Center for Medicaid and CHIP Services (CMCS) Informational Bulletin (CIB) is part of a series of guidance to support states’ efforts to verify eligibility and conduct renewals in a manner that supports program integrity and continuity of coverage for eligible Medicaid and Children’s Health Insurance
  • 2025 Federal Poverty Level Standards | Guidance Portal - HHS. gov
    Return to Search 2025 Federal Poverty Level Standards As required by Section 673(2) of the Omnibus Budget Reconciliation Act (OBRA) of 1981 (42 U S C 9902(2)), the Department of Health and Human Services (HHS) updates the poverty guidelines at least annually and by law these updates are applied to eligibility criteria for programs such as Medicaid and the Children’s Health Insurance
  • Programs that Use the Poverty Guidelines as a Part of Eligibility . . .
    The HHS poverty guidelines, or percentage multiples of them (such as 125 percent, 150 percent, or 185 percent), are used as an eligibility criterion by a number of federal programs, including those listed below For examples of major means-tested programs that do not use the poverty guidelines, see the end of this response
  • CIB: 2024 Federal Poverty Level Standards - HHS. gov
    poverty-guidelines To determine eligibility for Medicaid and CHIP, states generally use a percentage multiple of the guidelines (for example, 133 percent or 185 percent of the guidelines) Included with this informational bulletin is the 2024 Dual Eligible Standards chart that displays the new standards for the Medicare Savings Program categories
  • 270 271 Health Care Eligibility Benefit Inquiry Companion Guide for . . .
    The BCRC has HEW (HIPAA Eligibility Wrapper) software available for translating the COB Medicare eligibility Query Input and Response files into and out of the 270 271 formats This software is availab le in both a mainframe and a PC compatible format to Responsible Reporting Entities (RREs) under Section 111 Mandatory Reporting If you




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