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STATE OF ALASKA
Department of Health and Social Services
Division of Public Assistance
TRANSMITTAL NUMBER: MC #46
MANUAL: Aged, Disabled and Long Term Care Medicaid Eligibility Manual
DATE: December 1, 2017
This year Social Security announced a COLA (Cost of Living Allowance) increase effective 2018. We have updated Addendum 1 and the examples throughout the manual with the following items to reflect the 2.0% increases for 2018:
An increase to the Long Term Care community spouse resource and income allowance and household member standards;
An increase to the Excess Home Equity resources maximum; and
An increase to the Special Long Term Care Income Standard
Medicare Part A and B premiums
Medicare Part D premium and coverage information, including changes to the Low-Income Subsidy program
In addition to the COLA change, this manual change consists of several small 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
527-B SPECIAL NEEDS TRUST
Clarified that an individual can set up a Special Needs Trust (SNT) due to a law change
533 DISABLED CHILDREN AT HOME (TEFRA)
Replaced terminology "Plan of Care" with "Support Plan" to match Senior & Disabilities Services (SDS) change in terminology as of January 1, 2018
553-D RESOURCE ELIGIBILITY DETERMINATION AND ALLOTMENT OF RESOURCES
Updated example due to COLA change
554-D LOOK BACK PERIOD
Updated example with new year for ease in understanding
560 HOME AND COMMUNITY BASED WAIVER SERVICES
Replaced terminology "Plan of Care" with "Support Plan" to match Senior & Disabilities Services (SDS) change in terminology as of January 1, 2018
560-B HCB WAIVER TYPES
Added new Individualized Supports (IS) Waiver type
Explained new Community First Choice (CFC) services that have been added to the Medicaid State Plan as of January 1, 2018
560-C ELIGIBILITY FOR HCB WAIVER SERVICES
Added new Individualized Supports (IS) Waiver type
562 PROCESSING HCB WAIVER CASES
Replaced terminology "Plan of Care" with "Support Plan" to match Senior & Disabilities Services (SDS) change in terminology as of January 1, 2018
570 POST ELIGIBILITY AND COST-OF-CARE
Replaced terminology "Plan of Care" with "Support Plan" to match Senior & Disabilities Services (SDS) change in terminology as of January 1, 2018
ADDENDUM 1 PROGRAM STANDARDS
Updated due to COLA change