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STATE OF ALASKA
Department of Health and Social Services
Division of Public Assistance
TRANSMITTAL NUMBER: MC #49
MANUAL: Aged, Disabled and Long Term Care Medicaid Eligibility Manual
DATE: December 03, 2018
This year Social Security announced a COLA (Cost of Living Allowance) increase effective January 2019. We have updated Addendum 1 and the examples throughout the manual with the following items to reflect the 2.8% increase for 2019:
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;
An increase to the Special Long Term Care Income Standard;
Changes in Medicare Part A and B premiums; and
Changes in Medicare Part D premium and coverage information, including changes to the Low-Income Subsidy program
In addition to the COLA Cost of Living Allowance 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
MS 505 B What is a Third Party Resource
Added long term care insurance to the list of third party resources and a note explaining how to notify TPL Third Party Liability if a long term care insurance policy exists.
MS 554 D Look Back Period
Updated example due to COLA Cost of Living Allowance increase
MS 562 A MAGI Modified Adjusted Gross Income Waiver Cases
Removed the statement that MAGI Modified Adjusted Gross Income waiver cases do not impose a transfer of asset penalty. MAGI Modified Adjusted Gross Income waiver cases do impose a transfer of asset penalty.
MS 570 E Allowable Deductions for Cost-Of-Care
Added a note to clarify that deductions must be verified before they are allowed to be used as a deduction.
MS 570 E(3) Family Member Allowance
Updated section to clarify how a Family Member Allowance should be calculated and corrected reference from the MAGI Modified Adjusted Gross Income Medicaid standards to the ATAP Alaska Temporary Assistance Program ANI Adult Not Included standards.
MS 570 H Nursing Home Examples
Updated example due to COLA Cost of Living Allowance increase
MS 570 J Home and Community Based Waiver Case Examples
Updated example due to COLA Cost of Living Allowance increase
Addendum 1
Updated standards due to COLA change
Updated Medicare Part A, Part B and Part D premiums for 2019
Updated 2019 Spousal Impoverishment Standards
Addendum 2
Removed MAGI Medicaid subtypes to eliminate confusion