STATE OF ALASKA

Department of Health and Social Services

Division of Public Assistance

TRANSMITTAL NUMBER:   MC #11

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

DATE:  February 20, 2009

 The Low Income Subsidy section has been updated with 2009 standards for resources, deductibles and co-payments.  In addition, we have updated the Program Standards, Pickle Amendment  Chart, and Medicare Part D Low Income Subsidy Guide for 2009.

Technical changes include changing the name of the former medical services contractor First Health to the new contractor Affiliated Computer Systems.

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 554 I  Promissory Notes, Loans or Mortgages

1. • Clarifies the subsection by deleting the phrase Purchase of from the title and text.

MS 562 C  Processing HCBHome and Community-Based Waiver Cases for SSISupplemental Security Income Children

1. • Removes references to the DKCDenali KidCare Unit, and revises to indicate that these cases are maintained in the district offices.

MS 570 B  Individuals Subject to Cost of Care

• Moves Example 1 from subsection B to subsection C because the example isIndividualized Supports about an individual not subject to cost of care.

MS 570 C  Individuals Not Subject to Cost of Care

1. • Moves Example 1 from subsection B to subsection C because the example is about an individual not subject to cost of care.

MS 580 D 3  Subsidy Levels

1. • Updates Low Income Subsidy section with 2009 standards for resources, deductibles, co-payments, etc.

Addendum 1  Program Standards

• Updates Federal Poverty Guideline and Pickle People charts to reflect the poverty guideline changes for 2009.

Addendum 4  COCACost of Care Processing

• Changes all references to Alaska Longevity Bonus to Senior Benefits.

Addendum 6  Medicare Part D Low Income Subsidy Guide

• Update Low Income Subsidy Chart with the 2009 Medicare Part D Information