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STATE OF ALASKA
Department of Health and Social Services
Division of Public Assistance
TRANSMITTAL NUMBER: MC #58
MANUAL: Aged, Disabled and Long Term Care Medicaid Eligibility Manual
DATE: December 1, 2021
This year Social Security announced a Cost of Living Allowance ( COLA Cost of Living Allowance ) increase effective January 2022. We have updated Addendum 1 and the examples throughout the manual with the following items to reflect the 5.9% increase for 2022:
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
512 SOCIAL SECURITY ENUMERATION
Renamed section to align with MAGI Modified Adjusted Gross Income Medicaid Manual
Added link to new Addendum 9 for the notice template when they must request a SSN Social Security Number from the SSA Social Security Administration
520 A APPLICATION AND REVIEW PROCESS
Revised section for clarity
Clarified that telephonically recorded application signatures are accepted through the Virtual Call Center (VCC)
Revised note to clarify that for paper applications, the signature must either be telephonically recorded by a caseworker through the VCC Virtual Call Center or a "wet signature"
522 A SPECIAL NON-IMMIGRANT GROUPS
Clarified that although a COFA Compact of Free Association migrant is exempt from the five-year waiting period, if their status changes to a qualified alien as outlined in APA MS 421-2, the five-year waiting period will apply unless they meet an exemption listed in APA MS 421-4(D).
554 D LOOK BACK PERIOD
Updated example due to COLA Cost of Living Allowance change
570 C INDIVIDUALS NOT SUBJECT TO COST-OF-CARE
Clarified that individuals receiving Medicaid in the Refused Cash category are not responsible for cost-of-care
570 E INDIVIDUALS NOT SUBJECT TO COST-OF-CARE
Updated ATAP Alaska Temporary Assistance Program ANI Adult Not Included standard due to COLA Cost of Living Allowance change
570 H NURSING HOME EXAMPLES
Updated example due to COLA Cost of Living Allowance change
570 J HOME AND COMMUNITY BASED WAIVER CASE EXAMPLES
Updated example due to COLA Cost of Living Allowance change
580 MEDICARE SAVINGS PROGRAMS
Updated QMB Qualified Medicare Beneficiaries and SLMB Specified Low Income Medicare Beneficiaries resource limits
ADDENDUM 1
Updated standards due to COLA Cost of Living Allowance change
Updated Medicare Part A, Part B, and Part D premiums for 2022
Updated 2022 Spousal Impoverishment Standards
ADDENDUM 2
Changed terminology to "ineligible non-immigrants" for Medicaid Subtypes IL and II due to COFA Compact of Free Association migrants
ADDENDUM 9
Added a new addendum for the social security enumeration request letter template