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Program Policy Manual
Summary of Changes:
Jul-Sep 2021
Apr-Jun 2021
Jan-Mar 2021
Oct-Dec 2020
Jul-Sep 2020
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
| 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 - 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 |
