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Program Policy Manual
Table of Contents
| 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) |
Appendix A - Income Level Charts and Other Information
| 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 | SSI-Related Programs - Financial Eligibility Standards |
| Appendix A-10 | Federal Benefit Rates |
| Appendix A-11 | Title II Cost of Living Increases |
| Appendix A-12 | State Funded Programs 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 |
| Appendix A-36 | Reasonable Compatibility Job Aid |
| Appendix A-37 | Annual Pretax Income Exclusion Limit |
