ESS Program Policy Manual

ESS Program Policy Manual

ESS Program Policy Manual

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Table of Contents

Files
Introduction
200 General Program Information
400 Administrative Policy
600 Application Processing
800 Ongoing Case Processing
1400 Technical Requirements (CIC/RAP)
1400 Technical Requirements (FS/TCA)
1400 Technical Requirements (MFAM/MSSI)
1600 Assets (CIC/RAP)
1600 Assets (FS/TCA)
1600 Assets (MFAM/MSSI)
1800 Income (CIC/RAP)
1800 Income (FS/TCA)
1800 Income (MFAM/MSSI)
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

Files
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-9.1 Medicare Savings Programs and Low-Income Subsidy Coverage Groups Financial 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

Summary of Changes

2025
2024
2023 - 2022
April – June 2025
January - March 2024
January - March 2023
October - December 2025
April - June 2024
July - September 2022
 
July - September 2024
April - June 2022
 
 
January - March 2022
2021 - 2019
2018 - 2016
October - December 2021
July - September 2018
July - September 2021
April - June 2018
April - June 2021
January - March 2018
January - March 2021
January - May 2017
October - December 2020
January 2017
July - September 2020
December 2016
January - March 2020
June 2016
October - December 2019
May 2016
July - September 2019
 
April - June 2019
 
January - March 2019