MC #69 (09/25)

STATE OF ALASKA

Department of Health

Division of Public Assistance

TRANSMITTAL NUMBER: MC #69

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

DATE: September 2, 2025

We are making several changes to incorporate new policy, clarifying existing policy, and align policies within our policy manuals. Other changes are either technical in nature or clarifications that are the result of policy questions or suggestions from the field.

Highlights of these policy revisions are described below. If you have any questions, contact the Policy & Program Development Team at hss.dpa.policy@alaska.gov .

OVERVIEW OF CHANGES

ENTIRE MANUAL

Changed DHCS Division of Health Care Services TPL Third Party Liability Email to doh.hcs.rec.info@alaska.gov

Changed System operations and Help desk to Systems support

506(B) Medicare Enrollment

Clarified that an individual who appears to be eligible must apply for and pursue Medicare coverage.

Added note clarifying that if an individual applies for Medicare and is denied Part A because they would only be eligible if they pay for part A, Medicaid continues, and they would not be eligible for QMB Qualified Medicare Beneficiaries .

520(C) Proof of United States Citizenship and Qualified Alien Status

Added note clarifying that the only states to issue Enhanced Driver's License (EDL/EID) are Washington, Michigan, Minnesota, New York, and Vermont.

520(E) Disability Determination

Added note to clarify that Social Security non-pay status does not necessarily mean that the individual is no longer disabled. An individual in non-pay status may still be eligible for Medicaid, providing they meet all other factors of eligibility.

522(E) Renewal Requirements

Added information regarding the ex parte process.

Added that federal regulations do not allow us to send a renewal form to the household unless we are unable to determine continued eligibility using the ex parte process.

Clarified that individuals who have no income counted on their case and no income is found when checking data sources can only be approved using the ex parte process if we received an application or renewal form attesting to zero income within the last 3 years. This means that the maximum number of ex parte renewals that can be approved for an individual who has no income counted on their case and no income is found when checking data sources is 3. After this time frame, a renewal form must be sent to the household for completion to attest to their income.

523(B) Reasonable Compatibility

Added note clarifying that the earned income exclusions are to be used before the comparison on both the client statement of earnings and DOL Department of Labor and Workforce Development verification.

524(L) Alaska Native and American Indian Real Property Resource Excluded

Clarified when property owned by an Alaska Native or American is sold, the proceeds are no longer exempt.

Linked to APA MS 440-3(C) .

533 Disabled Children at Home ( TEFRA Tax Equity and Fiscal Responsibility Act, P.L. 97-248 )

Changed DPA Division of Public Assistance TEFRA Tax Equity and Fiscal Responsibility Act, P.L. 97-248 Specialized Medicaid PAA Public Assistance Analyst to DPA Division of Public Assistance TEFRA Tax Equity and Fiscal Responsibility Act, P.L. 97-248 Project Assistant throughout the chapter.

533-C(4) DPA Division of Public Assistance is Responsible For

Clarified what type of coupons need to be issued and matched language to ADLTC 560 .

533-E(2) TEFRA Tax Equity and Fiscal Responsibility Act, P.L. 97-248 Reviews

Clarified that the caseworker are responsible for approving an LOC Level of Care extension request during the renewal process.

Clarified DDS Disability Determination Service denial procedure clarifying that the caseworker must send a copy of the DDS Disability Determination Service denial letter to policy email for required notice to go out.

570(F) When a Cost-of-Care Begins and Ends

Clarified Caseworkers must automatically enroll SSI Supplemental Security Income recipients who are receiving Medicare part A in the QMB Qualified Medicare Beneficiaries program the first of the month after Medicaid eligibility is determined.

580 Medicare Savings Programs

Clarified Caseworkers must automatically enroll SSI Supplemental Security Income recipients who are receiving Medicare part A in the QMB Qualified Medicare Beneficiaries program the first of the month after Medicaid eligibility is determined.