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STATE OF ALASKA
Department of Health and Social Services
Division of Public Assistance
TRANSMITTAL NUMBER: MC #52
MANUAL: Aged, Disabled and Long Term Care Medicaid Eligibility Manual
DATE: December 2, 2019
This year Social Security announced a Cost of Living Allowance ( COLA Cost of Living Allowance ) increase effective January 2020. We have updated Addendum 1 and the examples throughout the manual with the following items to reflect the 1.6% increase for 2020:
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, we have expanded the use of the Refused Cash ( RC Refused Cash ) Medicaid subtype effective with the benefit month of January 2020 to include individuals who have countable income above the appropriate APA Adult Public Assistance need/payment standard but below the Expanded Refused Cash monthly income limit listed in ADLTC MS 530(C) .
This manual change also 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
500(A) Applicable Eligibility Categories
Revised section to include an explanation of "Expanded Refused Cash" Medicaid eligibility
Clarified that QMB, SLMB, SLMB Plus, and QDWI are Medicare Savings Programs that do not offer Medicaid coverage and added a link to ADLTC MS 580
515 TEFRA Case Processing
Changed Qualis name to Comagine throughout the chapter due to company name change and updated to current dates
520(I) Fair Hearings
Added a link to Admin MS 117-2
530(B) APA Recipient
Revised table explanation of the SI and ST Medicaid subtypes for clarity
530(C) SSI or APA Eligible, But Not Receiving Cash Payments
Changed title due to the expanded use of the RC Refused Cash Medicaid subtype
Added the Expanded Refused Cash income limits
Revised table explanation of the RC Refused Cash Medicaid subtype due to a change in policy
533 Disabled Children at Home (TEFRA) whole chapter
Changed Qualis name to Comagine due to company name change
554(D) Look Back Period
Updated example due to COLA Cost of Living Allowance increase
562(B) APA Related Medicaid or LTC Medicaid Waiver Cases
Changed Qualis name to Comagine due to company name change
570(H) Nursing Home Examples
Updated example due to COLA Cost of Living Allowance increase
570(J) Home and Community Based Waiver Case Example
Updated example due to COLA Cost of Living Allowance increase
575(D) Coverage
Changed Qualis name to Comagine due to company name change
Addendum 1
Updated standards due to COLA Cost of Living Allowance change
Updated Medicare Part A, Part B, and Part D premiums for 2020
Updated 2020 Spousal Impoverishment Standards
Updated QMB, SLMB, QI Resource Limits
Updated Pickle Amendment Table
Addendum 2
Revised table explanation of the RC Medicaid subtype due to a change in policy
Revised Table explanation of the SI and ST Medicaid subtypes for clarity