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COMBINED MEDICAID 0-4 Acronyms and Glossary

Supersedes: CMA 0-4 (02/25/2025) A A & A—Veterans Administration Aid and Attendance ABD—Aged/Blind/Disabled ACA—Affordable Care Act ACE—Active Corps of Executives ACV—Action Cooperative Volunteer Program ADH – Administrative Disqualification Hearing ARM—Administrative Rules of Montana ACCESS—As it relates to joint checking/savings accounts: • Restricted—Limited access to money in an account. • Unrestricted—Unlimited access to money in an account by one or all of the account holders. ACTUARIALLY SOUND—For purposes of Medicaid resource eligibility, a situation where the amount expected to be paid to the holder of a payment contract within his or her lifetime (which could be a contract-for-deed, or an annuity, for example) meets or exceeds the original value of the contract. Actuarial soundness is determined by multiplying the periodic payment amount by the holder’s life expectancy and then comparing this to the value of the contract (for a contract-for-deed, the value of the contract is the original value of the contract; for an annuity, this is the purchase price of the annuity). If the total of expected payments to be received during the contract holder’s lifetime is less than the original value of the contract, then the contract is not actuarially sound. ADEQUATE NOTICE—Written notification to be received by the individual no later than the date of intended action or the date benefits would have been received. Notices must be mailed no later than two working days after CHIMES cutoff to meet adequate timeframes. ADMINISTRATIVE MONTH—The calendar month preceding the benefit month(s) for which eligibility determination is reviewed. ADULT—ABD: An individual age 18 or older. ACA/Family: An individual (age 19 or older) other than a dependent child (unless such a child is the minor custodial parent of another dependent child whose needs are being met). An emancipated child is considered an adult.