The effective date of the PW accretion for beneficiaries living in an alert State
or non-SSI recipient living in any state is based on the type of state assistance
they receive and the procedures in HI 00815.018.
NOTE: If Medicaid eligibility ends, the state must initiate the accretion. We cannot establish
a PW accretion for a closed period. If the beneficiary is in a prescribed enrollment
period, they may complete the application for Medicare, agreeing to pay the premiums.
Develop to the State for Medicaid verification. Include the following information
with your request for verification:
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Complete name, address, and date of birth of the applicant,
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Welfare case number, if available and,
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Your contact information.
Request the State to provide the following information for processing the PW accretion:
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Type of assistance the individual is receiving (AFDC, TANF, MAO, etc.),
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Medicaid eligibility date and,
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Contact person’s name and telephone number.