Report of Medicaid State Office on Beneficiary's Buy-In Status

OMB 3220-0185

OMB 3220-0185

Under the Railroad Retirement Act, the Railroad Retirement Board administers the Medicare program for persons covered by the railroad retirement system. The collection obtains the information needed to determine if certain railroad beneficiaries are entitled to receive Supplemental Medical Insurance program coverage under a state buy-in agreement in states in which they reside.

The latest form for Report of Medicaid State Office on Beneficiary's Buy-In Status expires 2023-11-30 and can be found here.


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