STATE OF ALASKA
Department of Health and Social Services
Division of Public Assistance
TRANSMITTAL NUMBER: MC #60
MANUAL: Family Medicaid Eligibility Manual
DATE: June 2, 2014
We are making several changes to incorporate new policy and clarify existing policy. This includes:
As of May 12th, only the individual who fails to develop income as described in MS 5018 are disqualified from receiving Medicaid.
As of May 20th, who is moved into Transitional Medicaid must follow MAGI Medicaid household composition and income counting rules. Basic Transitional Medicaid policy located in MS 5220-2(A) has not changed.
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 dpapolicy@alaska.gov
OVERVIEW OF CHANGES
MS 5005-7 C LATE RENEWALS
Removed last sentence requiring ET’s to verify income if not reasonable compatible with electronic information. Case should be closed if renewal not received and not enough electronic information to renew Medicaid.
MS 5016- B WHO IS NOT REQUIRED TO COOPERATE
Added that Step-parents are not required to cooperate with CSSD unless they are the only caretaker in the home.
MS 5018-G PENALTY FOR FAILURE TO APPLY
Changed the policy that the entire household was ineligible for Medicaid if an individual failed to pursue Development of Income.
Removed last sentence.
MS 5065-L ESTATE RECOVERY AND TRANSFER OF ASSETS
Added a description of Estate Recovery from ADLTC MS 507.
Added a link to ADLTC 505.
MS 5150 RESOURCES
Changes note to reflect that most resources do not count for MAGI Medicaid, but substantial home equity does.
MS 5161 EXEMPT INCOME
Added an introductory paragraph to chapter.
Added a link to MS 5715 link to MAGI income rules.
MS 5161-12A TREATMENT OF A CHILD'S INCOME
Added a note with a link to MS 5710 for when to count income for tax dependents under MAGI rules.
MS 5161-12B CHILD SUPPORT PAYMENTS
Added a note that Child Support payments are not countable for MAGI Medicaid.
MS 5161-19 LUMP SUMS
Added a note to explain that for MAGI Medicaid Lump Sums are counted as income in the month received.
MS 5220 TRANSITIONAL MEDICAID
Added policy explaining who is moved into the Transitional Medicaid case is based on MAGI household and income counting rules.
Added an example.
MS 5700 MAGI MEDICAID CATEGORIES
Added a note to say that Transitional Medicaid still exists.
MS 5704 FORMER FOSTER CARE CHILDREN
Added a note that if FFCC eligibility is questionable or not listed in EIS the caseworker may contact OCS.
MS 5710 MAGI MEDICAID HOUSEHOLD COMPOSITION
Added a note stating how and when to count the income of Tax Dependents.
MS 5710-3 DETERMINING COUNTABLE INCOME FOR EACH MEMBER USING MAGI RULES
Added a note to explain when to count the income of a tax dependent.
MS 5710-4 Examples of Income Counting for Magi-Based Household Compositions
Added a note to explain when to count the income of a tax dependent.
MS 5715 INCOME FOR MAGI BASED MEDICAID
Reworded introductory paragraph for clarity.
MS 5715-2 EXCLUDED INCOME
Restructured section to better explain MAGI Income rules.
Changed section title.
Grouped Needs Based programs such as APA, TANF.
MS 5715-3 SPECIAL MAGI INCOME RULES
Changed Title.
Restructured section to better explain MAGI income rules.
MS 5715-4 MAGI INCOME DEDUCTIONS
Renumbered and reorganized subsection to include subsections for: pre-tax payroll deductions, allowable income deductions, and 5% disregard.
MS 5720-2 VERIFICATION REQUIREMENTS
Added tax filing and dependency status as an eligibility factor where client statement is acceptable.
MS 5720-3 REASONABLE COMPATIBILITY
Corrected 5th example to clarify case worker must pursue further verification of income if there is no electronic verification.