Family Medicaid Program Policy Manual

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  Section/
Subsection 		Title/Content Date Issued
or Revised
  0-1 CONTENTS INDEX 11/14/24
  0-3 INTRODUCTION 07/01/16
  0-4 ACRONYMS AND GLOSSARY 11/14/24
       

000

Tables of Standards
  001 General Resource Limit 01/01/24
  002 Medically Needy - Income 01/01/24
  003 Monthly Income Standards - ACA Parent/Caretaker Relative 04/01/24
  004 ACA Pregnancy - Income 04/01/24
  005 Healthy Montana Kids Program - Income (HMK & HMK   Healthy Montana Kids Program - Income (HMK & HMK Plus )) 04/01/24
  006 Breast & Cervical Cancer Treatment - Income 04/01/24
  007 ACA Adult and ACA Adult Medicaid - Income 04/01/24
  018 Plan First-Income 04/01/24
       

100

Application Processing
  101-1 Confidentiality 07/01/16
  102-1 Civil Rights 11/15/24
  102-2 General Complaint Procedure 07/01/16
  103-1 Application, Eligibility Determination & Furnishing Assistance 05/18/22
  103-2 Interview 07/01/16
  103-3 Client Rights and Responsibilities 07/01/16
  103-4 Verification and Documentation 04/01/23
  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 Groups Covered Overview 07/01/16
200-1 ACA Filing Unit 07/01/23
  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 02/01/24
  201-6 Former Foster Care Children Under Age 26 04/01/23
  201-7 ACA Adult 04/01/23
  201-8 ACA Adult Medicaid 05/02/24
  201-9 Breast and Cervical Cancer 05/02/24
  201-10 Family Medically Needy 07/01/16
  201-11 Qualified Pregnant Woman 07/01/16
  201-12 Pregnancy Extended 07/01/16
  201-13 Family Transitional Medicaid 02/01/19
  201-14 Plan First 12/01/20
  202-1 Adding and Removing Household Members 10/20/22
       

300

NON-FINANCIAL REQUIREMENTS

  
  300 Non-Financial Overview 07/01/16
  301-1 Citizenship and Identity 10/01/22
  301-2 Alien Status 07/01/16
  301-3 Emergency Alien Medical Coverage 07/01/16
  302-1 State Residency 04/01/23
  302-2 Temporary Absence from the Home 01/11/24
  303-1 Social Security Number 06/04/24
  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 07/01/23
  304-5 Out of Pocket Maximum 01/01/18
  305-1 Age 07/01/16
  306-1 Managed Care Program 07/01/16
  307-1 COBRA 75 10/01/17
  308-1 Application for Other Benefits 07/01/16
  308-2 Common Law Marriage 07/01/16
  309-1 HMK - Other Insurance 11/01/22
       

400

Resources

  
  400  Resource Overview 06/28/22
  401-1 Ownership/Accessibility/Equity Value 06/28/22
  402-1 Countable & Excluded Resources 01/01/24
  402-2 Native American Resources 07/01/16
  402-3 Trust Funds 03/01/17
  403-1 Vehicles 07/01/16
  404-1 Asset Transfers 07/01/24
  404-2 Penalty Periods for Asset Transfers 07/01/24
  404-3 Asset Transfers Involving Life Estates 07/01/16
  404-4 Asset Transfers to Trusts 07/01/16
       

500

Income

  
  500 Income Overview 01/01/20
  501-1 Unearned Income 07/01/23
  501-2 Native American Income 06/01/16
  502-1 Earned Income 01/01/24
  503-1 Self-Employment 04/01/23
       

600

Eligibility and Benefit Determination

  
  601-1 Prospective Budgeting 07/01/16
  602-1 Income Disregards and Deductions 01/01/24
  603-1 Deeming 01/01/23
       

700

Medically Needy

  
  700 Medically Needy Overview  03/01/17
  701-1 Cash Option 07/01/17
  701-2 Cash Option/Cost Share Refunds 07/01/16
  702-1 Medical Expense Option 001/01/20
       

800

Residential Medical Institutions

  
  801-1 Penal Institutions 01/01/23
  802-1 Preadmission Screening 04/01/23
  803-1 Institution & Waiver Resource Assessments 05/02/24
  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 Child Support Overview 07/01/16
  901-1 Cooperation 07/01/16
       

1000

Foster Care and Adoption Medicaid

  
  1000 Foster Care Medicaid Overview 07/01/16
  1001 Subsidized Adoption Medicaid Overview 07/01/16
       

1300

HIPAA

  
  1300 HIPAA 07/01/16
       

1500

Case Management

  
  1501-1 Reporting Changes 07/01/16
  1502-1 Renewals

07/01/24
  1503-1 Timely and Adequate Notice 01/01/23
  1504-1 Over and Under Issuance 07/01/16
  1505-1 Fair Hearings, Administrative Reviews & Appeals 07/01/16
  1506-1 Case Notes 07/01/16
  1507-1 Program Compliance and Quality Control Review 07/01/16
  1508-1 Good Cause 07/01/16
  1509-1 Case File Retention 01/12/23