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Department of Health Care Services State of CaliforniaHealth and Human Services Agency QUALIFIED MEDICARE BENEFICIARY (CMB), SPECIFIED INCOME MEDICARE BENEFICIARY (SLAB), AND QUALIFYING INDIVIDUAL

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How to fill out beneficiaries dually eligible for

01

Gather all necessary information about the beneficiaries, including their names, dates of birth, Social Security numbers, and any other relevant personal information.

02

Determine the eligibility of the beneficiaries for the dual eligibility program, which typically requires meeting certain age and income requirements.

03

Fill out the necessary forms provided by the relevant government agency or healthcare provider, making sure to provide accurate and complete information for each beneficiary.

04

Submit the completed forms to the appropriate agency or provider, following their specific instructions for processing and approval.

Who needs beneficiaries dually eligible for?

01

Individuals who are eligible for both Medicare and Medicaid benefits may need to be considered for dual eligibility to ensure they receive comprehensive and coordinated healthcare services.

02

Beneficiaries with complex healthcare needs or multiple chronic conditions may also benefit from dual eligibility to help facilitate access to necessary care and support services.

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What is beneficiaries dually eligible for?

Beneficiaries dually eligible are eligible for both Medicare and Medicaid benefits.

Who is required to file beneficiaries dually eligible for?

Healthcare providers and organizations are required to file beneficiaries dually eligible for.

How to fill out beneficiaries dually eligible for?

Beneficiaries dually eligible can be filled out by submitting the necessary information to the appropriate healthcare agencies or organizations.

What is the purpose of beneficiaries dually eligible for?

The purpose of beneficiaries dually eligible is to ensure that individuals receive the appropriate healthcare coverage and benefits from both Medicare and Medicaid.

What information must be reported on beneficiaries dually eligible for?

Information such as demographics, medical history, and current healthcare needs must be reported on beneficiaries dually eligible for.

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