Question

03/15
a beneficiary becomes newly eligible for full medicaid after previously having qmb - only in june.
which sep may be leveraged? (select all that apply)
ma oep
integrated care sep (monthly sep for full - benefit duals)
dual/lis sep (monthly pdp - only sep)
no sep available

Explanation:

Special Enrollment Periods (SEPs) for Medicaid transitions: When a beneficiary moves from QMB-only to full Medicaid (full-benefit dual eligibility), the Integrated Care SEP is the monthly SEP designed for this specific transition, allowing changes to their coverage. MA OEP is an annual open enrollment period, not for this eligibility change. Dual/LIS SEP is for PDP-only changes, not full dual eligibility shifts.

Answer:

Integrated Care SEP (monthly SEP for full-benefit duals)