(approval-document)Connecticut Medicaid SPA CT-12-023: Approval Document (approved May 9, 2013, effective July 1, 2012)#
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DEPARTMENT OF HEALTH & HUMAN SERVICES Centers for Medicare & Medicaid Services
JFK Federal Building, Government Center
Room 2275
Boston, Massachusetts 02203
CMS
CENTERS FOR MEDICARE & MEDICAID SERVICES
Division of Medicaid and Children's Health Operations / Boston Regional Office
May 9, 2013
Roderick L. Bremby, Commissioner Department of Social Services
25 Sigourney Street
Hartford, CT 06106-5033
Dear Commissioner Bremby:
We are pleased to enclose a copy of approved State plan amendment (SPA) No. 12-023 with an effective date of July 1, 2012, as requested by your Agency.
This proposed SPA transmitted an amendment to Connecticut’s approved Title XIX State plan to no longer count Aid and Attendance benefits as available income in determining eligibility for Medicaid.
If there are questions, please contact Robert Cruz. He can be reached at (617) 565-1257.
Sincerely, /s/
Richard R. McGreal Associate Regional Administrator
Enclosure
ce: Claudette J. Beaulieu, Deputy Commissioner Mare Shok Vanessa Soares Bowden
(attachment)Connecticut Medicaid SPA CT-12-023: Attachment (approved May 9, 2013, effective July 1, 2012)#
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Revision: HCFA-PM-91-4 (BPD) Supplement 4TO ATTACHMENT 2.6-—A Page 1] OMB No.: —-0938- STATE PLAN UNDER TITLE XIX OF THE SOCIAL SECURITY ACT
State: CONNECTICUT
METHODS FOR TREATMENT OF INCOME THAT DIFFER FROM THOSE OF THE SS] PROGRAM
(Section 1902 (f) more restrictive methods and criteria and State supplement criteria in SSI criteria State without section 1634 agreements and in section 1902 (f) States. Use to reflect more liberal methods only if you limit to State supplement recipients. DO NOT USE this supplement to reflect more liberal policies that you elect under the authority of section 1902 (r) (2) of the Act. Use Supplement 8a for section 1902 (r) (2) methods.)
1. Home Equity Conversion Plans are countable income if there are no repayment agreements.
2. Allowances for Unusual Medical Expenses from the Veteran’s Administration are countable income.
TN No. 12-023 Supersedes Approval Date TN No. 96-005
5/9/13 Effective Date. 7/1/2012
(form-cms-179)Connecticut Medicaid SPA CT-12-023: Form CMS-179 (approved May 9, 2013, effective July 1, 2012)#
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/s/