TN 28 (07-95)
HI 00801.257 State Buy-In Considerations
Many ESRD patients are eligible for State buy-in because they are eligible for Medicaid as well as for Medicare.
ESRD cases are processed for State buy-in as any other Medicare case.
If a State will pay the SMI premiums under buy-in beginning with the first month of R-HI entitlement, there is no need to discuss alternate choices of a SMI entitlement date as in HI 00801.251 B.
If an alternate date to begin R-SMI has been elected, and that date is later than the first month that buy-in is effective, the individual's choice will not be honored.
If the buy-in is for a closed period that ends 6 or more months prior to the month of processing, or if there are months of coverage that could be in effect prior to the effective month of buy-in, the individual will have the options in HI 00805.195 G.
State buy-in procedures, HI 00815.001ff.