STATE OF ALASKA

Department of Health and Social Services

Division of Public Assistance

TRANSMITTAL NUMBER:  MC Manual Change #22

MANUAL:  Aged, Disabled and Long Term Care Medicaid Eligibility Manual

DATE:  September 1, 2011

We are making several changes to incorporate new policy, clarify existing policy, and align policies within our program policy manuals.  These changes include:

1. • Adding policy that allows caseworkers the option to use CourtView to verify that a trust is registered with the Alaska court system.  
   • Adding procedures emphasizing that the DPA Division of Public Assistance caseworker is responsible for either approving or denying a TEFRA Tax Equity and Fiscal Responsibility Act, P.L. 97-248 application within 90 days.
   • Clarifying that there is no time limit to correct a cost-of-care error and that retroactive adjustments to a recipient’s cost-of-care liability are treated the same for institutionalized persons and or HCB Home and Community-Based waiver recipients.

Other changes are either technical in nature or clarifications that are the result of policy questions or suggestions from the field.

Highlights of these 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 528-A  Initial Case Processing

1. • Adds policy that allows caseworkers the option to use CourtView to verify that a trust is registered with the Alaska court system.  Provides instructions to staff on how to access and use CourtView information.

MS 533-C(4)  Referral and Interagency Communications

1. • Adds procedures that emphasize that the DPA Division of Public Assistance caseworker is responsible for sending the M320 pend notice and either approving or denying a TEFRA Tax Equity and Fiscal Responsibility Act, P.L. 97-248 application within 90 days.

MS 570-G  Retroactive Cost-of Care Adjustments

1. • Clarifies that there is no time limit to correct a cost-of-care error.

   • Clarifies that retroactive adjustments to a recipient’s cost-of-care liability are treated the same for institutionalized persons and or HCB Home and Community-Based waiver recipients.