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0-1 |
CONTENTS INDEX |
10/05/24 |
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0-3 |
INTRODUCTION |
07/01/16 |
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0-4 |
ACRONYMS AND GLOSSARY |
04/01/23 |
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000
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Tables of Standards
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001 |
General Resource Limit |
01/01/24 |
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002 |
Medically Needy - Income |
01/01/24 |
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003 |
Monthly Income Standards - ACA Parent/Caretaker Relative |
04/01/24 |
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004 |
ACA Pregnancy - Income |
04/01/24 |
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005 |
Healthy Montana Kids Program - Income (HMK & HMK Healthy Montana Kids Program - Income (HMK & HMK Plus )) |
04/01/24 |
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006 |
Breast & Cervical Cancer Treatment - Income |
04/01/24 |
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007 |
ACA Adult and ACA Adult Medicaid - Income |
04/01/24 |
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018 |
Plan First-Income |
04/01/24 |
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100
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Application Processing
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101-1 |
Confidentiality |
07/01/16 |
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102-1 |
Civil Rights |
07/01/16 |
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102-2 |
General Complaint Procedure |
07/01/16 |
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103-1 |
Application, Eligibility Determination & Furnishing Assistance |
05/18/22 |
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103-2 |
Interview |
07/01/16 |
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103-3 |
Client Rights and Responsibilities |
07/01/16 |
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103-4 |
Verification and Documentation |
04/01/23 |
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103-5 |
Processing |
07/01/16 |
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103-6 |
Voter Registration |
07/01/16 |
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104-1 |
Retroactive Medicaid |
05/01/17 |
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105-1 |
Presumptive Eligibility |
07/01/16 |
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200
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Coverage Groups
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200 |
Groups Covered Overview |
07/01/16 |
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200-1 |
ACA Filing Unit |
07/01/23 |
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201-1 |
ACA Parent/Caretaker Relative (Family Medicaid) |
07/01/16 |
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201-2 |
ACA Pregnancy |
07/01/16 |
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201-3 |
Child Newborn |
07/01/16 |
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201-4 |
Healthy Montana Kids Plus (ACA HMK Plus) |
07/01/16 |
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201-5 |
ACA HMK |
02/01/24 |
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201-6 |
Former Foster Care Children Under Age 26 |
04/01/23 |
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201-7 |
ACA Adult |
04/01/23 |
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201-8 |
ACA Adult Medicaid |
05/02/24 |
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201-9 |
Breast and Cervical Cancer |
05/02/24 |
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201-10 |
Family Medically Needy |
07/01/16 |
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201-11 |
Qualified Pregnant Woman |
07/01/16 |
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201-12 |
Pregnancy Extended |
07/01/16 |
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201-13 |
Family Transitional Medicaid |
02/01/19 |
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201-14 |
Plan First |
12/01/20 |
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202-1 |
Adding and Removing Household Members |
10/20/22 |
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300
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NON-FINANCIAL REQUIREMENTS
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300 |
Non-Financial Overview |
07/01/16 |
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301-1 |
Citizenship and Identity |
10/01/22 |
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301-2 |
Alien Status |
07/01/16 |
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301-3 |
Emergency Alien Medical Coverage |
07/01/16 |
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302-1 |
State Residency |
04/01/23 |
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302-2 |
Temporary Absence from the Home |
01/11/24 |
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303-1 |
Social Security Number |
06/04/24 |
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304-1 |
Health Insurance Coverage - Overview |
07/01/16 |
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304-2 |
Health Insurance Coverage - HIPPS |
07/01/16 |
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304-3 |
Trauma Questionnaires |
07/01/16 |
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304-4 |
Lien and Estate Recovery |
07/01/23 |
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304-5 |
Out of Pocket Maximum |
01/01/18 |
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305-1 |
Age |
07/01/16 |
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306-1 |
Managed Care Program |
07/01/16 |
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307-1 |
COBRA 75 |
10/01/17 |
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308-1 |
Application for Other Benefits |
07/01/16 |
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308-2 |
Common Law Marriage |
07/01/16 |
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309-1 |
HMK - Other Insurance |
11/01/22 |
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400
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Resources
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400 |
Resource Overview |
06/28/22 |
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401-1 |
Ownership/Accessibility/Equity Value |
06/28/22 |
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402-1 |
Countable & Excluded Resources |
01/01/24 |
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402-2 |
Native American Resources |
07/01/16 |
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402-3 |
Trust Funds |
03/01/17 |
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403-1 |
Vehicles |
07/01/16 |
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404-1 |
Asset Transfers |
01/01/23 |
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404-2 |
Penalty Periods for Asset Transfers |
07/01/24 |
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404-3 |
Asset Transfers Involving Life Estates |
07/01/16 |
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404-4 |
Asset Transfers to Trusts |
07/01/16 |
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500
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Income
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500 |
Income Overview |
01/01/20 |
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501-1 |
Unearned Income |
07/01/23 |
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501-2 |
Native American Income |
06/01/16 |
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502-1 |
Earned Income |
01/01/24 |
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503-1 |
Self-Employment |
04/01/23 |
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600
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Eligibility and Benefit Determination
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601-1 |
Prospective Budgeting |
07/01/16 |
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602-1 |
Income Disregards and Deductions |
01/01/24 |
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603-1 |
Deeming |
01/01/23 |
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700
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Medically Needy
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700 |
Medically Needy Overview |
03/01/17 |
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701-1 |
Cash Option |
07/01/17 |
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701-2 |
Cash Option/Cost Share Refunds |
07/01/16 |
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702-1 |
Medical Expense Option |
001/01/20 |
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800
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Residential Medical Institutions
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801-1 |
Penal Institutions |
01/01/23 |
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802-1 |
Preadmission Screening |
04/01/23 |
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803-1 |
Institution & Waiver Resource Assessments |
05/02/24 |
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804-1 |
Public and Mental Disease Institutions |
07/01/16 |
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805-1 |
Residential Chemical Dependency Treatment |
07/01/16 |
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806-1 |
Intermediate Care/Psychiatric Residential Treatment |
07/01/16 |
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900
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Child Support
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900 |
Child Support Overview |
07/01/16 |
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901-1 |
Cooperation |
07/01/16 |
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1000
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Foster Care and Adoption Medicaid
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1000 |
Foster Care Medicaid Overview |
07/01/16 |
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1001 |
Subsidized Adoption Medicaid Overview |
07/01/16 |
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1300
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HIPAA
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1300 |
HIPAA |
07/01/16 |
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1500
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Case Management
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1501-1 |
Reporting Changes |
07/01/16 |
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1502-1 |
Renewals |
07/01/24
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1503-1 |
Timely and Adequate Notice |
01/01/23 |
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1504-1 |
Over and Under Issuance |
07/01/16 |
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1505-1 |
Fair Hearings, Administrative Reviews & Appeals |
07/01/16 |
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1506-1 |
Case Notes |
07/01/16 |
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1507-1 |
Program Compliance and Quality Control Review |
07/01/16 |
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1508-1 |
Good Cause |
07/01/16 |
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1509-1 |
Case File Retention |
01/12/23 |