STATE OF ALASKA
Department of Health and Social Services
Division of Public Assistance
TRANSMITTAL NUMBER: MC #53
MANUAL: Aged, Disabled and Long Term Care Medicaid Eligibility Manual
DATE: April 1, 2020
We have updated the 2020 Federal Poverty Level guidelines for income eligibility effective April 1, 2020. We have also updated other sections that use Federal Poverty Level guidelines for income eligibility.
This manual change also consists of several technical changes or clarifications as a result of suggestions from the field. Highlights of these revisions are described below. If you have any questions please contact the Policy and Program Development Team at e-mail dpapolicy@alaska.gov.
OVERVIEW OF CHANGES
506(A) Medicare Eligibility
Clarified that an individual must be receiving SSDI in order to qualify for Medicare benefits
516 Retroactive Medicaid
Revised section for clarity and to align with MAGI Medicaid
520(A) Application and Review Process
Clarified that an application and interview are required when an individual is moving from a MAGI Medicaid category to an Old Age/Disability related Medicaid category
520(B) Proof of United States Citizenship and Qualified Alien Status
Replaced Bureau of Vital Statistics (BVS) with Health Analytics & Vital Records (HAVR)
528(A) Initial Case Processing
Clarified that a trust should not be sent to policy for review until the interview has been completed and the application is ready to be approved (other than the trust approval)
528(G) Trust Changes
Clarified that amended trusts and the associated court paperwork must be sent to policy for approval
530(C) Use of the Refused Cash Medicaid Subtype
Removed Expanded Refused Cash income limits and added a link to it on the ADLTC Addendum 1
533(A) TEFRA Eligibility
Clarified that when a TEFRA child is turning 18, they must be referred to apply for SSI
Added that Child Support received on behalf of a TEFRA child is countable income to the child
533(B) TEFRA Conversions
Clarified that if a child's SSI benefit stops, the caseworker must evaluate the child's eligibility for MAGI Medicaid, TEFRA, and a CEP.
533(E) TEFRA Reviews
Clarified that at the time of review, the caseworker must check the child's age. If the child is turning 18 years old, they must be referred to apply for SSI.
534(K) Example of an Eligibility Determination
Updated examples with 2020 Federal Poverty Level Changes and replaced APA Need Standard with Refused Cash standard
534(M) Example of an Eligibility Determination With a Medicaid Qualifying Trust
Updated examples with 2020 Federal Poverty Level Changes and replaced APA Need Standard with Refused Cash standard
554(E) Penalty Start Date
Clarified when a TOA penalty begins
554(L) Transfer Penalty and Partial Months
Updated dates in the examples
Updated DHCS contact email to dhcs.systems@alaska.gov
561 EIS HCB Waiver Codes
Removed charts throughout this section as this process information is not maintained by the policy unit
Move eligibility and waiver codes to Addendum 2
570(E) 6 Home Maintenance Allowance
Updated the amount used for home maintenance allowance as equal to the Expanded Refused Cash Medicaid income limit instead of the APA need/payment standard
570(H) Nursing Home Examples
Updated examples with 2020 Community Spouse Monthly Maintenance Need Standards
570(J) Home and Community-Based Waiver Case Examples
Updated examples with 2020 Community Spouse Monthly Maintenance Need Standards
576(F) EIS Information
Deleted section and added information to Addendum 2
580 Medicare Savings Programs
Updated QMB & SLMB resource limits
Updated with 2020 Federal Poverty Level Changes
Added 2020 Expanded Refused Cash Income Limits
Updated QMB, SLMB, and SLMB+ Resource Limits
Added subtypes for Undocumented Illegal Aliens due to CMS reporting requirements
Added a list of eligibility and waiver codes
Added the Help Desk will contact Policy to determine if the request is valid and can be approved
Revised information for Medicaid Part D, including a new link to the SDS website