MC # 9 (7/08)

STATE OF ALASKA

Department of Health and Social Services

Division of Public Assistance

TRANSMITTAL NUMBER: MC #9

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

DATE: July 15, 2008

We have updated program standards to reflect changes for 2008 and added a new addendum to describe Working Disabled Medicaid Buy-in Procedures. We have also made numerous technical changes.

Highlights of these policy revisions are described below. If you have any questions please contact the Policy and Program Development Team at 465-3347 or email dpapolicy@alaska.gov .

OVERVIEW OF CHANGES

MS 507 Estate Recovery

Removes the name of Public Consulting Group (PCG). This organization no longer helps to administer the Estate Recovery program.

MS 520-D Disability Determinations

Changes the cross reference from Administrative Procedures MS Manual Section 105-12 to MS Manual Section 115-9.

MS 523-D Cost of Care Determination

Clarifies that Senior Benefits Payments are countable in the cost-of-care determination.

MS 533-C Referral and Interagency Communications

MS 533-D Case processing

MS 533-E TEFRA Reviews

Removes Arbitre Consulting as a contracted care coordination agency for disabled child at home ( TEFRA ) determinations. DSDS Division of Senior and Disabilities Services now does the ICAP Inventory for Client and Agency Planning Evaluation evaluations previously done by Arbitre Consulting.

Clarifies the role of the Division’s Long Term Care Coordinator in the administration of TEFRA Tax Equity and Fiscal Responsibility Act, P.L. 97-248 cases.

MS 534 Working Disabled Medicaid Buy-In.

Adds a cross reference to new Addendum 8 on Working Disabled Medicaid Buy-in Procedures.

MS 554-K Annuities

Adds a note to clarify that transfer of asset provisions do not apply to revocable and/or assignable annuities.

MS 554-L Transfer Penalty and Partial Months.

Updates the email address for Division of Senior and Disability Services in MS 554-L(7) .

MS 580-D Low-Income Subsidy ( LIS ) Program

Updates this section to reflect 2008 resource limits for low-income subsidy (extra help) categories.

Removes information about LIS Low Income Subsidy subsidy benchmark amounts for Alaska and a cross reference to new table in Addendum 1 that includes this information.

Addendum 1 Program Standards

Updates Federal Poverty Guidelines for Alaska that became effective March 1, 2008.

Adds information about maximum Low Income Subsidy amounts for Alaska.

Updates Pickle Amendment Table for 2008.

Addendum 6 Medicare Part D Low Income Subsidy Guide

Updates Low Income Subsidy resource limits for 2008.

Addendum 8 Working Disabled Medicaid Buy-In Procedures

Provides information about processing procedures for Working Disabled Medicaid Buy-In cases.

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