STATE OF ALASKA
Department of Health and Social Services
Division of Public Assistance
TRANSMITTAL NUMBER: MC #14
MANUAL: Aged, Disabled and Long Term Care Medicaid Eligibility Manual
Date: January 4, 2010
Beginning January 1, 2010, Medicaid policies will change as follows:
Low Income Subsidy applications received and processed by the Social Security Administration may act as an application for Medicare Savings Programs ( QMB , SLMB , SLMB Plus, and QDWI ), as well as any other Medicaid categories for which the individual may qualify. In addition, the resource limits for Medicare Savings Programs are raised to match the Low Income Subsidy levels. These amounts, which are listed in a new table in Addendum 1, will be adjusted annually. Any applications received as a result of this provision will be funneled through a single DPA worker in Anchorage.
A data match with Social Security through the State Verification Exchange System ( SVES ), confirming the individual’s citizenship status via their Social Security Number, will be acceptable documentation of citizenship and identity for Medicaid purposes.
In addition, Addendum 6 has been updated with new resource limits for the Low Income Subsidy program. Addendum 7 has also been updated to list new Medicare Part D Prescription Drug Plans for Alaskans and correct existing plan names and phone numbers. Other revisions include technical corrections and policy clarifications suggested by field staff.
Other highlights to policy revisions are described below. If you have any questions please contact the Policy and Program Development Team at 465-3382 or email dpapolicy@alaska.gov.
OVERVIEW OF CHANGES
MS 500 C Medical Services Received Out-of-State
Changes First Health Services Corporation to Affiliated Computer Systems ( ACS ).
MS 500 D Freedom of Choice Providers
Changes the name of the Medicaid Lock-In Program to Care Management Program.
MS 500 E Freedom of Choice Restriction – Care Management Program
Changes First Health Services Corporation to Affiliated Computer Systems ( ACS ).
Changes ACS email contact to Jason Ball.
Changes the name of the Medicaid Lock-In Program to Care Management Program.
MS 506 E Medicare Deductible/Coinsurance
Updates Medicare Part D information with 2010 amounts.
MS 520 B US Citizenship and Eligible Alien Status
Clarifies verification of U.S. citizenship and identity are not required for children who are eligible for newborn Medicaid.
Removes policy that requires documentation of US citizenship when newborn Medicaid ends and clarifies that no further documentation is required.
Adds SVES to the data matches under Documenting U.S. Citizenship and clarifies that an additional form of identity verification is not required when citizenship is verified through SVES .
Adds SVES to Data Matches and Interfaces and explains the data match process.
Revises the description of tribal documents that are acceptable as level one verification of both citizenship and identity to conform to language specified in federal law.
Adds verification of citizenship status and identity through SVES to level one verification.
MS 534 D Disability Determination Needed
Corrects cross reference from Administrative Procedures MS 105-12 to MS 115-9.
MS 550 C Special Long Term Care Eligibility Category
Clarifies that individuals who can qualify for Medicaid under the regular need standards are not subject to the Long Term Care income eligibility standard.
MS 554 G-4 Transfers to a Spouse, Child, or a Disabled Person
Clarifies that a transfer to a disabled individual who is not a spouse or child must be put into a special needs trust to avoid a transfer of asset penalty.
MS 580 Medicare Premium Assistance Categories
Explains the LIS referral process for Medicare Savings Programs.
MS 580 A Qualified Medicare Beneficiaries ( QMB )
Clarifies that resource limits for QMB cannot exceed the amounts listed in Addendum 1 under QMB , SLMB , SLMB+ , and QDWI Resource Limits.
MS 580 C Qualified Disabled and Working Individuals
Clarifies that resources for QDWI cannot exceed the amounts listed in Addendum 1 under QMB , SLMB , SLMB+ , and QDWI Resource Limits.
MS 580 D Low Income Subsidy ( LIS ) Program
Clarifies the eligibility criteria for reduced subsidies and removes repetitive language under income levels.
Updates subsidy level deductible and co-pay amounts.
Changes the number of organizations that have Medicare Part D plans in Alaska from thirteen to seventeen.
Addendum 1 Program Standards
Adds a table to provide resource limits for Medicare Savings Programs ( QMB , SLMB , SLMB+ , and QDWI ).
Addendum 6 Medicare Part D Low Income Subsidy Guide
Updates addendum with 2010 amounts.
Addendum 7 Medicare Prescription Drug Plans for Alaska
Updates company names, plan names, and phone numbers.
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