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.
State Website Disclaimer.

 

 

  Section/
Subsection
Title/Content Date Issued
or Revised
  0-1 CONTENTS INDEX 10/05/24
  0-3 INTRODUCTION 07/01/16
  0-4 ACRONYMS AND GLOSSARY 04/01/23
       

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 07/01/16
  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 01/01/23
  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