MC #68 (04/25)

STATE OF ALASKA

Department of Health

Division of Public Assistance

TRANSMITTAL NUMBER: MC #68

MANUAL: Aged, Disabled and Long Term Care Medicaid Eligibility Manual

DATE: April 1, 2025

We have updated the 2025 Federal Poverty Level guidelines for income eligibility effective April 1, 2025. We have also updated other sections that use Federal Poverty Level guidelines for income eligibility.

This manual change also consists of several 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 & Program Development Team at hss.dpa.policy@alaska.gov .

OVERVIEW OF CHANGES

505 Third Party Liability (TPL) and Recovery

Changed Child Support Services Division (CSSD) to Child Support Enforcement Division (CSED).

506(B) Medicare Enrollment

Removed instructions to refer an individual who is found to be ineligible for Medicare Savings Plan to the Social Security Office to apply for Medicare as DHCS Division of Health Care Services confirmed that this is an unnecessary step.

506(J) Social Security Offices

Removed the Ketchikan office as it is closed and updated fax and phone numbers for Anchorage, Juneau, and Fairbanks offices.

511 Child Support Cooperation

Changed Child Support Services Division (CSSD) to Child Support Enforcement Division (CSED).

513 Alaska Residency

Added note clarifying when caseworkers should consider Alaska residency questionable.

516 Retroactive Medicaid

Clarified that retroactive Medicaid uses actual income.

520(D) Reserved

Due to a federal rule change, removed the requirement to apply for other benefits as a condition of Medicaid eligibility.

522(B)5 Actions Taken on the Application

Clarified that Medicaid application withdrawal requests can be done with a recorded signature the VCC Virtual Call Center .

530(D) SSI Supplemental Security Income Disabled Adult Children

Clarified how to verify SSI Supplemental Security Income Disabled Adult Children eligibility.

534(K) Example of an Eligibility Determination

Updated examples with 2025 Federal Poverty Level Changes.

534(M) Example of an Eligibility Determination with a Medicaid Qualifying trust

Updated examples with 2025 Federal Poverty Level Changes.

580 Medicare Savings Programs

Clarified that SSI Supplemental Security Income recipients who are eligible for Medicare are automatically eligible for QMB Qualified Medicare Beneficiaries and must be enrolled the first of the month after Medicaid eligibility is determined.

Clarified that SLMB Specified Low Income Medicare Beneficiaries can be authorized for up to 3 months prior to the QMB Qualified Medicare Beneficiaries start date.

Addendum 1

Updated with 2025 Federal Poverty Level Changes

Updated Pickle chart

Addendum 5

Removed as an EIS Eligibility Information System notice listing exists in the Admin Manual.