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Family Medicaid Program Policy Manual

Family Medicaid Program Policy Manual

Printing the manual material found at this website for long-term use is not advisable. Department Policy material is updated periodically and it is the responsibility of the users to check and make sure that the policy they are researching or applying has the correct effective date for their circumstances.
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Section/
Subsection

Title/Content

Date Issued
or Revised

  0-1 CONTENTS INDEX 07/01/16
  0-2 ALPHA SUBJECT INDEX 01/01/07
  0-3 INTRODUCTION 07/01/16
  0-4 ACRONYMS AND GLOSSARY 07/01/16
       

000

Tables of Standards

 
  001 General Resource Limit 03/01/17
  002 Medically Needy - Income 07/01/16
  003 Monthly Income Standards - ACA Parent/Caretaker Relative 04/01/17
  004 ACA Pregnancy - Income 04/01/17
  005 Healthy Montana Kids Program - Income (HMK & HMK Plus ) 04/01/17
  006 Breast & Cervical Cancer Treatment - Income 04/01/17
  007 ACA Adult and ACA Adult Medicaid - Income 04/01/17
       

100

Application Processing

  101-1 Confidentiality 07/01/16
  102-1 Civil Rights 07/01/16
  102-2 General Complaint Procedure 07/01/16
  103-1 Application, Eligibility Determination & Furnishing Assistance 07/01/16
  103-2 Interview 07/01/16
  103-3 Client Rights and Responsibilities 07/01/16
  103-4 Verification and Documentation 07/01/16
  103-5 Processing 07/01/16
  103-6 Voter Registration 07/01/16
  104-1 Retroactive Medicaid 05/01/17
  105-1 Presumptive Eligibility 07/01/16
       

200

Coverage Groups

 
  200 Overview for 200 07/01/16
  200-1 ACA Filing Unit 07/01/16
  201-1 ACA Parent/Caretaker Relative (Family Medicaid) 07/01/16
  201-2 ACA Pregnancy 07/01/16
  201-3 Child Newborn 07/01/16
  201-4 Healthy Montana Kids Plus (ACA HMK Plus) 07/01/16
  201-5 ACA HMK 07/01/16
  201-6 Former Foster Care Children Under Age 26 07/01/16
  201-7 ACA Adult 07/01/16
  201-8 ACA Adult Medicaid 07/01/16
  201-9 Breast and Cervical Cancer 07/01/16
  201-10 Family Medically Needy 07/01/16
  201-11 Qualified Pregnant Woman 07/01/16
  201-12 Pregnancy Extended 07/01/16
       

300

NON-FINANCIAL REQUIREMENTS

 
  300 Overview for 300 07/01/16
  301-1 Citizenship and Identity 07/01/16
  301-2 Alien Status 07/01/16
  301-3 Emergency Alien Medical Coverage 07/01/16
  302-1 State Residency 07/01/16
  302-2 Temporary Absence from the Home 07/01/16
  303-1 Social Security Number 07/01/16
  304-1 Health Insurance Coverage - Overview 07/01/16
  304-2 Health Insurance Coverage - HIPPS 07/01/16
  304-3 Trauma Questionnaires 07/01/16
  304-4 Lien and Estate Recovery 07/01/16
  304-5 Out of Pocket Maximum 07/01/16
  305-1 Age 07/01/16
  306-1 Managed Care Program 07/01/16
  307-1 COBRA 75 07/01/16
  308-1 Commom Law Marriage 07/01/16
  309-1 HMK - Other Insurance 07/01/16
       

400

Resources

 
  400  Overview for 400 07/01/16
  400-1 Alpha Index for 400 07/01/05
  401-1 Ownership/Accessibility/Equity Value 07/01/16
  402-1 Countable & Excluded Resources 01/01/17
  402-2 Native American Resources 07/07/16
  402-3 Trust Funds 03/01/17
  403-1 Vehicles 07/01/16
  404-1 Asset Transfers 03/01/17
  404-2 Penalty Periods for Asset Transfers 01/01/17
  404-3 Asset Transfers Involving Life Estates 07/01/16
  404-4 Asset Transfers to Trusts 07/01/16
       

500

Income

 
  500 Overview for 500 07/01/16
  500-1 Alpha Index for 500 07/01/05
  501-1 Unearned Income 07/01/16
  501-2 Native American Income 07/01/16
  502-1 Earned Income 01/01/17
  503-1 Self-Employment 07/01/16
       

600

Eligibility and Benefit Determination

 
  601-1 Prospective Budgeting 07/01/16
  602-1 Income Disregards and Deductions 07/01/16
  603-1 Deeming 07/01/16
       

700

Medically Needy

 
  700 Overview for 700 03/17/17
  701-1 Cash Option 04/16/16
  701-2 Cash Option/Cost Share Refunds 04/16/16
  702-1 Medical Expense Option 04/16/16
       

800

Residential Medical Institutions

 
  801-1 Penal Institutions 07/01/16
  802-1 Preadmission Screening 07/01/16
  803-1 Institution & Waiver Resource Assessments 07/01/16
  804-1 Public and Mental Disease Institutions 07/01/16
  805-1 Residential Chemical Dependency Treatment 07/01/16
  806-1 Intermediate Care/Psychiatric Residential Treatment 07/01/16
       

900

Child Support

 
  900 Overview for 900 07/01/16
  901-1 Cooperation 07/01/16
       

1000

Foster Care Medicaid

 
  1000 Overview for 1000 07/01/16
  1001 Application Processing 07/01/16
       

1300

HIPAA

 
  1300 HIPAA 07/01/16
       

1500

Case Management

 
  1501-1 Reporting Changes 07/01/16
  1502-1 Renewals 07/01/16
  1503-1 Timely and Adequate Notice 07/01/16
  1504-1 Over and Under Issuance 07/01/16
  1505-1 Fair Hearings, Administrative Reviews & Appeals 07/01/16
  1506-1 Requesting a Fair Hearing/Continuation of Benefits 07/01/16
  1507-1 Case Notes 07/01/16
  1508-1 Good Cause 07/01/16
  1509-1 Case File Retention 07/01/16