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Program Policy Manual

Summary of Changes:

Jan-Mar 2020
Oct-Dec 2019
Jul-Sep 2019
Apr-Jun 2019
Jan-Mar 2019
April-June 2018
October 2018
April-June 2018
April 2018
Jan-May 2017
January 2017
December 2016
June 2016
May 2016
December 2015
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

Table of Contents

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

Appendix A - Income Level Charts and Other Information

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

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