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Program Policy Manual

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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
Appendix A-36 Reasonable Compatibility Job Aid
Appendix A-37 Annual Pretax Income Exclusion Limit