Program Policy Manual

Program Policy Manual

Listing of Recent Updates:

April 2015
December 2014
June 2014
January 2014
March 2013
February 2013
January 2013
September 2012
August 2012
July 2012
June 2012
May 2012
April 2012
March 2012
February 2012
July 2011
May 2011
November 2010

March 2010
January 2010
October 2009
June 2009
April 2009
January 2009
October 2008
July 2008
April 2008
January 2008
October 2007
July 2007
April 2007
January 2007
October 2006
July 2006
May 2006
March 2006



Intro Introduction
200 General Program Information
400 Administrative Policy
600 Application Processing
800 Ongoing Case Processing
1400 Technical Requirements (FS/TCA)
1400 Technical Requirements (MFAM/MSSI)
1400 Technical Requirements (CIC/RAP)
1600 Assets (FS/TCA)
1600 Assets (MFAM/MSSI)
1600 Assets (CIC/RAP)
1800 Income (FS/TCA)
1800 Income (MFAM/MSSI)
1800 Income (CIC/RAP)
2000 Coverage Groups
2200 Standard Filing Unit
2400 Budgeting Income
2600 Calculation of Benefits
3000 Data Exchange
3200 Benefit Issuance
3400 Notices and Forms
3600 Benefit Recovery/ACCESS Integrity
4600 Glossary


Appendix A-1 Food Assistance Income Eligibility Standards and Deductions
Appendix A-5 Temporary Cash Assistance Income Standards
Appendix A-6 Prorating Chart for TCA and RAP
Appendix A-7 Family-Related Medicaid Income Limit Chart
Appendix A-8 Transfer Penalty Determination Process
Appendix A-9 Eligibility Standards for SSI-Related Medicaid Programs
Appendix A-10 Federal Benefit Rates
Appendix A-11 Title II Cost of Living Increases
Appendix A-12 Optional State Supplementation Eligibility Standards
Appendix A-13 Active Medicaid Program Codes
Appendix A-14 Life Expectancy Table
Appendix A-16 Certification of Prior Residence
Appendix A-17 Life Estate and Remainder Interest Table
Appendix A-22 Qualified Medicaid Trust Guidelines and Forms
Appendix A-22.1 Guidelines for Reviewing Income Trusts
Appendix A-22.3 Guidelines for Reviewing Trusts for the Disabled
Appendix A-22.4 Trusts for the Disabled Review Form
Appendix A-22.5 Income Trust Review Form
Appendix A-22.6 Pooled Trusts for the Disabled Review Form
Appendix A-33 Chart for Determination of 40 Qualifying Quarters
Appendix A-34 Guideline for Evaluating Annuities
Appendix A-35 Average Monthly Private Pay Nursing Home Rate