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If your client qualifies for the SPAP, then she may be on Medicaid. If that is the case, she can qualify for the dual eligible SNP and not have to have a chronic illness.
The easiest way to qualify people for a SEP is to get LIS through SOcial Security...
1.800.772.1213... Ask to apply for a Low Income Drug Subsidy.... Sometimes they give you confirmation over the phone.... From there I try to qualify them for extra subsidies (QMB, Medicaid) Which is through the State.