# COMAR 10.09.24.03-4: COMAR 10.09.24.03-4. Medicare Buy-In Coverage for Medical Assistance Recipients

> Maryland · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_03_4

## Section

- **Citation:** COMAR 10.09.24.03-4
- **Heading:** COMAR 10.09.24.03-4. Medicare Buy-In Coverage for Medical Assistance Recipients
- **Jurisdiction:** Maryland
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Code of Maryland Regulations / Title 10 MARYLAND DEPARTMENT OF HEALTH / Subtitle 09 MEDICAL CARE PROGRAMS / Chapter 24 Medical Assistance Eligibility / COMAR 10.09.24.03-4

## Text

A. If a recipient, who is determined federally eligible and enrolled in Medical Assistance or the Maryland Children’s Health Program according to the requirements of this chapter or COMAR 10.09.11 , is entitled to hospital insurance benefits under Medicare Part A, or medical insurance benefits under Medicare Part B, or both, with or without payment of premiums, the Medical Assistance program shall provide the same coverage of Medicare savings program expenses as specified for a Qualified Medicare Beneficiary under Regulation .03-3E of this chapter.
B. A qualified recipient is automatically made eligible by the Department or its designee for the Medicare buy-in benefits effective the first day of the:
(1) Second month after the month in which the individual is determined eligible for Medical Assistance or the first day of the third month of Medicare entitlement, whichever date is later, if the individual is eligible in a long-term care or spend down coverage group; or
(2) Month that the individual is eligible for both Medical Assistance and Medicare, if the individual is eligible under COMAR 10.09.24 or COMAR 10.09.11 for Medical Assistance in any coverage groups other than long-term care or spend down.
C. A recipient's eligibility for Medicare buy-in benefits shall continue until the recipient is determined ineligible.

## Nearby sections

- [COMAR 10.09.24.01 COMAR 10.09.24.01. Purpose and Scope](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_01.md)
- [COMAR 10.09.24.02 COMAR 10.09.24.02. Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_02.md)
- [COMAR 10.09.24.02-1 COMAR 10.09.24.02-1. MAGI Definitions](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_02_1.md)
- [COMAR 10.09.24.03 COMAR 10.09.24.03. Coverage Groups](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_03.md)
- [COMAR 10.09.24.03-1 COMAR 10.09.24.03-1. Coverage Group for Women with Breast or Cervical Cancer — Purpose, Definitions, and Eligibility Criteria](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_03_1.md)
- [COMAR 10.09.24.03-2 COMAR 10.09.24.03-2. Coverage Group for Women with Breast or Cervical Cancer — Eligibility, Determination, and Covered Services Process](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_03_2.md)
- [COMAR 10.09.24.03-3 COMAR 10.09.24.03-3. Medicare Savings Program Coverage](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_03_3.md)
- [COMAR 10.09.24.03-4 COMAR 10.09.24.03-4. Medicare Buy-In Coverage for Medical Assistance Recipients](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_03_4.md)
- [COMAR 10.09.24.04 COMAR 10.09.24.04. Application — General Requirements](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_04.md)
- [COMAR 10.09.24.04-1 COMAR 10.09.24.04-1. Specific Application Requirements for MAGI Exempt Coverage Groups](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_04_1.md)
- [COMAR 10.09.24.05 COMAR 10.09.24.05. Nonfinancial Eligibility Requirements — Citizenship](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_05.md)
- [COMAR 10.09.24.05-1 COMAR 10.09.24.05-1. Documentation of Citizenship and Identity](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_05_1.md)
- [COMAR 10.09.24.05-2 COMAR 10.09.24.05-2. Nonfinancial Eligibility Requirements — Emergency Medical Services for Ineligible or Illegal Aliens](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_05_2.md)
- [COMAR 10.09.24.05-3 COMAR 10.09.24.05-3. Nonfinancial Eligibility Requirements — Residency](https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_05_3.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_MD_COMAR_10_09_24_03_4. Check the current official text before relying on it. Not legal advice.