STATE OF ALASKA
Department of Health and Social Services
Division of Public Assistance
TRANSMITTAL NUMBER: MC #43
MANUAL: Family Medicaid
DATE: October 1, 2009
Beginning October 1, 2009, Medicaid policies will change as follows:
The required length for Family and Under 21 Medicaid review periods will change from 6 months to 12 months.
Households that lose Family Medicaid eligibility due to increased earnings will receive a full 12 months of Transitional Medicaid without being required to submit any interim reports.
Penalties for DKC children who drop private insurance within 12 months of application are eliminated.
Medicaid coverage for newborn children may continue for one year even when the child no longer lives with the mother.
In addition, the policies on interview requirements are changed to remove the requirement to conduct a face-to-face interview, the reasons a face-to-face interview can be waived, and the requirement to document why the face-to-face interview was waived. This change was announced by broadcast on August 4 and is retroactive to June 1, 2009. Other minor technical changes and corrections are also included.
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 5005-4 A When is an Interview Required?
Removes the requirement to conduct a face-to-face interview.
MS 5005-4 D How to Conduct an Interview
Removes reasons a face-to-face interview can be waived.
Clarifies interviews can be face-to-face, by phone or by correspondence.
Clarifies caseworker must conduct a face-to-face interview if requested by the client.
Removes the requirement to document why a face-to-face interview was waived.
MS 5005-4 E Scheduling Interviews
Changes the title from Conducting Interviews.
MS 5005-7 Case Reviews
Clarifies that both Medicaid and DKC are reviewed annually
MS 5005-7 A Review Requirements
Changes the review period for Family Medicaid and Under 21 Medicaid to twelve months.
Adds a cross reference to MS 5005-2A regarding what constitutes an acceptable application.
MS 5007-1 Denali KidCare and Family Medicaid Cases
Removes any references to different review periods for Family Medicaid and Denali KidCare cases.
Removes Example 2 as it is no longer applicable.
MS 5007-2 Continuous Eligibility and Transitional Medicaid
Clarifies that if a child is separated from the Transitional Medicaid household, their continuous eligibility period is still honored and therefore must be tracked.
Adds new example about a child leaving the Transitional Medicaid household.
Removes the old example which no longer applies to new policy.
MS 5011-2 A Acceptable Documentation
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.
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MS 5185-2 E Verification of Changes
Substitutes the term household for family for continuity and accuracy.
Clarifies that children in the household will remain eligible through their continuous eligibility period or until they turn 18 whichever comes first.
Clarifies that the worker should remove the ineligible members' participation and refers them to EIS Procedures 2009-2.
MS 5220-1 Definitions
Removes language about including the income of returning parents under the definition of Household gross monthly earnings, as it no longer applies to Transitional Medicaid.
Removes the definition of Good Cause as it no longer applies to Transitional Medicaid.
MS 5220-2 A Causative Effect
Adds cross references to MS 5220-2E and 5220-2F regarding policy on receipt of, or eligibility for Family Medicaid in 3 of the past 6 months..
Removes unnecessary language about deprivation in Examples 3 and 4.
MS 5220-2 B Determining the First Month of Transitional Medicaid
Clarifies how to calculate the first month of Transitional Medicaid using the 10-10-10 change reporting principal.
Adds an example of a client reporting timely but the agency taking action untimely.
MS 5220-2 D Adding Household Members to the Transitional Medicaid Case
Revises Example 7 to clarify that mom and her children are eligible for Transitional Medicaid when the causative effect is stepparent earnings, and that a stepparent without a common child does not have his needs included in the Family Medicaid determination even though his income is counted toward his spouse.
MS 5220-3 Eligibility Period
Re-titles and reorganizes the section.
Clarifies that only the caretaker relative may be ineligible for non-cooperation with CSSD or the department.
Adds new requirements for household reporting.
Clarifies agency notice requirements.
Clarifies that a household must reapply for Medicaid once the Transitional Medicaid period ends.
MS 5220-4 Reinstatement of Family or Transitional Medicaid
Renumbers and re-titles this section.
Revises Example 8 to clarify new policy about eligibility periods and reinforce policy about the need to have three months of FM out of the past six in order to qualify for a new 12 month Transitional Medicaid period.
Clarifies that a report of change or a review (or application) for another program can result in a conversion from Transitional Medicaid to Family Medicaid or visa versa.
Adds an example of a change report from which a worker makes a determination to convert the case back to Family Medicaid.
Removes language about filing required reports, and clarifies that a household must have been found eligible for Transitional Medicaid in order for those benefits to be reinstated.
Renumbers this section.
Removes initial 6 months from description of T1 subtype.
Removes T2 subtype.
Removes the NOTE regarding separate case numbers as it is no longer necessary.
MS 5220-7 Transitional Medicaid Period Ends
Removes this section as we no longer explore eligibility for other Medicaid categories at the end of a Transitional Medicaid period. The household must reapply for Medicaid.
MS 5330 Newborn Child Eligibility
Removes the requirement that the newborn remain in the mother’s household.
MS 5340 A General Eligibility
Removes language that prohibited Denali KidCare eligibility for ending health insurance coverage within 12 months of application.
MS 5350 Good Cause for Termination of Insurance
Removes section as it no longer applies to new policy.
Addendum 3 Family Medicaid Subtypes
Removes (1st 6 months) from description of T1 subtype.
Removes T2 subtype as it no longer applies under new policy.
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