In Medical billing or Healthcare industry The term QMB
stands for Qualified Medicare Beneficiary & MQMB stands for Medicare
Qualified Medicare Beneficiary.
The term
"QMB" or "MQMB" on the form indicates the client is a
Qualified Medicare
Beneficiary (QMB) or a Medicaid Qualified Medicare
Beneficiary (MQMB). The Medicare Catastrophic Coverage Act of 1988
requires Medicare premiums, deductibles, and coinsurance payments to be paid
for individuals who meet the following criteria:
Note: Clients
eligible for STAR+PLUS who have Medicare and Medicaid are MQMBs. Medicaid
reimburses for the coinsurance and deductibles as well as Medicaid-only
services for the MQMB client.
QMBs do not receive
Medicaid benefits other than Medicare deductible and coinsurance liabilities. MQMBs do qualify for Medicaid benefits not
covered by Medicare in addition to Medicaid payment of Medicare deductible
and/or coinsurance.
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If a patient has Medicaid and Medicare, is he considered MQMB? His Medicaid card only shows QMB.
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