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Medical Assistance (MA) Policy Manual

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Medical Assistance (MA) Policy Manual

(Aged/Blind/Disabled Medicaid Manual)

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TABLE OF CONTENTS

Section/Subsection

Title/Content

Issued/
Revised

  0-1 Table of Contents 07/01/16
  0-2 Alpha Index 07/01/07
  0-3 Introduction 07/01/16
  0-4 Acronyms and Glossary 07/01/16
       

000

TABLES AND STANDARDS

 
  001 General Resource Limits 07/01/16
  002 Medically Needy – Income 07/01/16
  007 Categorically Needy – Income 10/01/15
  008 Medicare Savings Programs – Income 03/01/16
  009 Medicaid for Workers with Disabilities (MWD) 07/01/16
  010 Pickle Eligibility – Income 07/01/16
  011 Qualified Disabled Working Individuals (QDWI) – Income 03/01/16
  012 Nursing Home Residents – Income 07/01/16
  013 Poverty Guidelines 03/01/16
  014 Standard Payment Amounts (SPA) 10/01/15
  015 Life Expectancy Table 07/01/16
  016 Life Estate Interest Table 07/01/16
       

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 & Documentation 07/01/16
  103-5 Processing 07/01/16
  103-6 Voter Registration 07/01/16
  104-1 Retroactive Medicaid Coverage 07/01/16
  105-1 Disability Determination Overview 07/01/16
     

200

GROUPS COVERED

 
  200 General Overview 07/01/16
  200-1 Assistance/Filing Unit Members 07/01/16
  201-1 SSI Cash Recipients 07/01/16
  201-2 Presumptive Disability for SSI Cash Applicants 07/01/16
  201-3 Pickle Eligibility (Loss of SSI due to increase in SSA benefit) 07/01/16
  201-4 Social Security Increase of July 1972 07/01/16
  201-5 Disabled Adult Children 07/01/16
  201-6 Montana Medicaid for Workers with Disabilities (MWD) 07/01/16
  201-7 Qualified Disabled Working individuals (QDWI) 07/01/16
  201-8 Medicare Savings Programs 07/01/16
  201-9 Residents in Medical Institutions Prior to October 1, 1989 07/01/16
  202-1 Adding or Removing Household Members 07/01/16
       

300

NON-FINANCIAL REQUIREMENTS

 
  300 Overview 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 Application and Other Benefits 07/01/16
       

400

RESOURCES

 
  400 Overview 07/01/16
  401-1 Ownership/Accessibility/Equity Value 07/01/16
  402-1 Countable & Excluded Resources 07/01/16
  402-2 Native American Resources 07/01/16
  402-3 Trust Funds 07/01/16
  402-4 Conditional Assistance 07/01/16
  403-1 Vehicles 07/01/16
  404-1 Asset Transfers 07/01/16
  404-2 Penalty Periods for Asset Transfers 07/01/16
  404-3 Asset Transfers Involving Life Estates 07/01/16
  404-4 Asset Transfers to Trusts On or After 8/11/93 07/01/16
  404-5 Pursuing Claims on Property & Estates 07/01/16
       

500

INCOME

 
  500 Overview 07/01/16
  500-1 Income Alpha Index 07/01/03
  501-1 Unearned Income 07/01/16
  501-2 Native American Income 07/01/16
  502-1 Earned Income 07/01/16
  503-1 Self-Employment 07/01/16
       

600

ELIGIBILITY & 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 04/01/16
  701-1 Cash Option 04/01/16
  701-2 Cash Option/Cost Share Refunds 04/01/16
  702-1 Medical Expense Option 04/01/16
       

800

Residential Medical Institutions

 
  800 Overview 07/01/16
  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 Long Term Care Partnership 07/01/16
  805-1 Budgeting 07/01/16
  805-2 Post Eligibility Treatment of Income (PETI) 07/01/16
  806-1 Montana State Hospital Residents 07/01/16
       

900

WAIVER

 
  900 Overview 07/01/16
  901-1 Income Budgeting 07/01/16
  902-1 Medically Needy 07/01/16
       

1300

HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT

  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