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STATE OF ALASKA
Department of Health and Social Services
Division of Public Assistance
TRANSMITTAL NUMBER: MC #55
MANUAL: Aged, Disabled and Long Term Care Medicaid Eligibility Manual
DATE: December 1, 2020
This year Social Security announced a Cost of Living Allowance ( COLA Cost of Living Allowance ) increase effective January 2021. We have updated Addendum 1 and the examples throughout the manual with the following items to reflect the 1.3% increase for 2021:
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
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
517 Fair Hearings
Added a new chapter to match federal regulations that allow a verbal fair hearing request for Medicaid.
518 Alien Sponsor Income
Added a new chapter to clarify Alien Sponsor Income deeming.
520(F) Verification and Documentation
Added a link to APA MS 410-4 for further clarification on verification.
520(I) Reserved
Revised section as reserved due to fair hearing policy is no longer the same as APA. See ADLTC 517 .
523(B) Reserved
Revised to reserved due to information moved Alien Sponsor Income to new chapter ADLTC 518 .
524(A) Reserved
Revised to reserved due to information moved Alien Sponsor Income to new chapter ADLTC 518 .
532(C) Alien Sponsor Deeming
Removed outdated section and moved Alien Sponsor Income to new chapter ADLTC 518 .
Renumbered section.
554(D) Look Back Period
Updated example due to COLA Cost of Living Allowance increase.
570(A) Definitions
Added note clarifying that Native Dividend income over $2,000 is countable, even if deposited to a trust.
570(C) Individuals Not Subject to Cost of Care
Clarified that SSI and APA recipients are not responsible for cost of care.
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.
580 Medicare Savings Programs
Added a note that incarcerated individuals are not eligible for Medicare Savings Programs.
Updated the QMB Qualified Medicare Beneficiaries and SLMB Specified Low Income Medicare Beneficiaries resource limits.
Updated LIS resource limits and coverage information.
Addendum 1
Updated standards due to COLA Cost of Living Allowance change
Updated Medicare Part A, Part B, and Part D premiums for 2021
Updated 2021 Spousal Impoverishment Standards
Updated QMB Qualified Medicare Beneficiaries and SLMB Specified Low Income Medicare Beneficiaries resource limits