State-Covered Services for Medicaid Beneficiaries

A provider publication issued on August 1, 2017 detailed services that could NOT be covered should a consumer have a certain type of Medicaid coverage. Alliance is opening State services back up for one of the populations. The original memo stated that consumers with MAFDN, Medicaid Family Planning, and MQBBN/MQBEN/MQBQN, Qualified Medicare Beneficiary, in which Medicaid only pays for the Part B premium only, would NOT be covered by State services. Effective immediately, State services will be covered for individuals with MAFDN Medicaid coverage. This is in effect from October 17, 2017 forward. Retro-authorizations will not be granted. MQBBN/MQBEN/MQBQN, Qualified Medicare Beneficiary, in which Medicaid only pays for the Part B premium only, is still NOT eligible for State funds.



Page last modified: October 20, 2017