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STATE OF ALASKA
Department of Health and Social Services
Division of Public Assistance
TRANSMITTAL NUMBER: MC #61
MANUAL: Aged, Disabled and Long Term Care Medicaid Eligibility Manual
DATE: December 1, 2022
This year Social Security announced a Cost of Living Allowance ( COLA Cost of Living Allowance ) increase effective January 2023. We have updated Addendum 1 and the examples throughout the manual with the following items to reflect the 8.7% increase for 2023:
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
We have made several changes to clarify existing policy as a result of policy questions or suggestions from the field. An overview of the changes are listed below.
If you have any questions, please contact the Policy & Program Development Team at hss.dpa.policy@alaska.gov .
OVERVIEW OF CHANGES
ENTIRE MANUAL
Changed all references from DHSS Department of Health and Social Services to DOH Department of Health
520 B When an Application is Required
Added new subsection to clarify when an application is required
Renumbered section
520 C When an Application is Not Required
Added new subsection to clarify when an application is not required
Renumbered section
520 D Proof of Qualified Alien Status
Removed link to NCOSC website that no longer provides the information needed in this section. Updated to USCIS website.
521 Coordination with the FFM Federally Facilitated Marketplace
Added new section regarding coordination with the FFM Federally Facilitated Marketplace
Clarified when an individual is found ineligible for Medicaid (denial or closure), their information must be electronically transferred to the FFM Federally Facilitated Marketplace . So they can determine their eligibility for a Qualified Health Plan (QHP). Individuals who are found ineligible for Medicaid due e to procedural reasons and those who do not attest to U.S. citizenship or lawfully present non-citizen status should not be referred to the FFM Federally Facilitated Marketplace .
533 D Case Processing
Removed note indicating retroactive Medicaid is not available for TEFRA Tax Equity and Fiscal Responsibility Act, P.L. 97-248
554 D Look Back Period
Updated example due to COLA Cost of Living Allowance change
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
Revised section to clarify that the caseworker will determine eligibility without a deduction if the expense is not verified within 30 days of the initial application filing date. If verification is provided at a later date, the change is effective the first day of the month of the agency's receipt of the report of change
Added link to APA MS 480-3(C)
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 D Low Income Subsidy (LIS) Program
Updated subsidy information
ADDENDUM 1
Updated standards due to COLA Cost of Living Allowance change
Updated Medicare Part A, Part B, and Part D premiums for 2023
Updated 2023 Spousal Impoverishment Standards