STATE OF ALASKA

Department of Health and Social Services

Division of Public Assistance

TRANSMITTAL NUMBER:  MC #10

MANUAL:  MAGIModified Adjusted Gross Income Medicaid program

DATE: September 3, 2019

We have made several changes to clarify existing policy as a result of policy questions or suggestions from the field. An overview of the changes are listed below.

If you have any questions, please contact the Policy and Program Development Team at dpapolicy@alaska.gov.

OVERVIEW OF CHANGES

807 Non Financial Factors of Eligibility

• • Removed the word "Identity" from the first eligibility factor due to continued confusion from the Field regarding MAGIModified Adjusted Gross Income Medicaid requirements.

808-4 D Aliens Exempt from the Five Year Waiting Period

• • Added clarification of Refugee and Asylee approval codes.
  • Added link to 808-6 G "Proof of Qualified Alien Status".

812-4 C Failure to Complete A Child Support Information Form

• • Changed form references from 1603 to GEN 53Child Support Information.

815 B Medical Institution

• • Linked MAGI MS 815 B to ADLTC MS 514 C to alleviate confusion regarding the age in which individuals qualify to receive Medicaid in a psychiatric hospital.

815 D Penal Institution

• • Added subsection for DOCDepartment of Corrections incarcerated inmates and BOPFederal Bureau of Prisons incarcerated inmates to explain the difference in the two requirements for Medicaid eligibility.

815-1 Children Living in Residential Treatment Centers Over 30 Days

• • Updated the title of this section to "Hospitalized Children", as well as clearly differentiating between medical institutions and boarding schools in this section.

816-1 D MAGI Medicaid Category Eligibility Factors

• • Updated Parent/Caretaker section to clarify Expansion Medicaid eligibility may exist if those individuals are over income for the Parent/Caretaker category.

824 MAGI Medicaid Change Reporting Requirements

• • Added "mailing and residential address" as a mandatory change requirement.      

828 Transitional Medicaid

• • Added a clarifying note explaining Parent/Caretaker Relatives' eligibility for Transitional Medicaid/Expansion Medicaid.

829 Title IV-E Foster Care and Adoption Assistance

• • Amended the note in section 829 to add all 11 of the tribes that OCSOffice of Children's Services has approved to access Title IV-E funding to pay for foster care in tribally licensed homes.

832 Post Medicaid Increased Spousal Support

• • Added a clarifying note explaining eligibility for Post Medicaid/Expansion Medicaid.

Addendum 2 MAGIModified Adjusted Gross Income Medicaid Subtypes

• • Provided a link that explains the rare instances when an individual should be coded XI and XP.

Addendum 3 Countable and Excluded Income for MAGIModified Adjusted Gross Income Medicaid

• • Added additional clarification regarding alimony income prior to and after January 1, 2019.
  • Added additional clarification regarding countable and exempt expenses for the Post 9/11 GI Bill.
  • Added Census Income.
  • Added OCSOffice of Children's Services Emergency Relief Support Program.

Addendum 4 MAGIModified Adjusted Gross Income Medicaid Income Deductions

• • Added clarification regarding alimony deductions prior to and after January 1, 2019.