Obsolete 0119 - What's New

December 2018

Sections	What's New
205-2 Qualified Aliens	Clarified qualified aliens entering before August 22, 1996 are still considered a qualified alien, even if they have not lived in the U.S. continuously.
Q&A PCN Open Enrollment Periods	PCN open enrollment for adults with no children ended as of December 14, 2018.
Table XVII TAM Agencies	Riverton Family Life Center was added to be able to complete the 43A.

November 2018

345 Parents and Caretaker Relatives Category 354 Foster Care Medicaid 354-1 Medicaid Eligibility for Title IV-E Foster Care 354-2 Medicaid Eligibility for Non-Title IV-E Foster Care	Parents who are living in an approved IMD/SUD facility and are living with a child receiving Foster Care payments are eligible for PCR. Foster Care children residing with a parent in an IMD/SUD facility can now receive Foster Care payments and thus are eligible for Foster Care Mediciad.
409-11.4 Fair Hearing Order for More Than the Minimum Spousal Needs Standard Resource SNA Budget Sheet Resource Hearing Officer's SNA Budget Sheet Instructions Resource Community Spouse's SNA Budget Sheet Instructions	Added three resources when determining a change in the SNA during the fair hearing process.
Q&A PCN Open Enrollment Periods	PCN open enrollment for all adults starts November 1, 2018.
Table XVII TAM Agencies	Horizon House was added to be able to complete question 2 on the 43A.

October 2018

503 Household Size and Asset Limits 503-3 How to Apply the Asset Limit (deleted) Table II - ABD Figures, Income Limits and Other Important Figures Table VII - Income Limits for Medical and Cost-Sharing Programs	QMB, SLMB and QI income limits were removed from 503 and added to Table II. 503-3 has been deleted and this information is in 503. QDWI asset limits were added to Table II. QDWI income limits were added to Table VII
521-19 Conversion of Assets (renamed) 531-3 Sales Contract Lump Sums (renamed)	Clarified what is countable when converting an asset. Extensions have been changed and to be granted by DOH.
Table II-A LTC Institutional & Waiver Income Limits and Other Important Figures	Utility allowance was updated for the HCB shelter deduction.
Table XVII - TAM Agencies	DCFS was added to be able to complete the 42A and 43A.
Table XVIII - IMD's With a Licensed SUD Treatment Program	The Haven was added as an approved IMD/SUD facility.

September 2018

107-3 Assign Rights to Medical Benefits and Medical Support 225-1 TPL Requirements of Applicants 225-4 Good Cause for Non-Cooperation with TPL 903-10 TPL Requirements	Removed the signature requirement for TPL. TPL information can be given verbally.
Table VIII Verification and Interface Match	Added what is acceptable documentation to verify tribal member status for descendents.

August 2018

Table II Aged, Blind and Disabled Figures	1619b threshold was updated.
Table VII Income Limits for Medical Assistance & Medicare Cost Sharing Programs	Threshold for 'Dependents Expected to File' was updated.
103 Employee Requirements 801-1 Case Record Requirements	Updated requirements for actions that require case narration.
731-3 Client Statement Verification	Added situations of when self-attestation of verification will be excepted.
900 Q&A PCN Open Enrollment Periods	Open enrollment for all adults in the month of August

July 2018

Table II-A Long Term Care Institutional And Waiver Income Limits and Other Important Figures

Minimum Spousal Needs Standard changed to $2,058
Spousal Needs Allowance Shelter Standard changed to $618

Table XVII TAM Agencies

Bear River Health Department is being added to complete all questions on 43A.
Cache County Jail is being added to complete question 1 on the 43A.

105 Rights of Applicants and Recipients

107 Responsibilities of Applicants and Recipients

107-6 (Deleted as it was a duplicate)

226, 226-1, 226-2, 226-3 (Obsolete and information moved to 601)

415-8 Applying Rules for Medical Bills

600 Program Benefits and Services

601 Health Plan Selection and Education

602 Medicaid Member Card (New section)

603 Medicaid Benefits

603-1, 603-2, 603-4, 603-5 (Obsolete and information moved to 600, 601 and 602)

631, 631-1, 631-2, 641-1, 641-2 (Obsolete and information moved to 600)

651-3 Mileage Reimbursement for Travel

910 Program Benefits & Education

910-1 Cost Sharing Requirements

Resource - 223-1 Medicare

Resource - 603-1 Medicaid Benefits (Obsolete)

Table III Covered Medications (Obsolete)

Table VIII Verification and Interface Match

Reorganization of information regarding benefits and services.

June 2018

346 Targeted Adult Medicaid	Clarifying that one is eligible for TAM coverage even though they are eligible for (but not receiving) a Medically Needy program. (program hierarchy) Adding this to 346 as it was already stated in policy in 715.
Resource - Household Summary for Family Related Medicaid Programs	This is an updated resource/chart which used to exist in policy prior to ACA legislation. It compares household composition with who will be receiving benefits on the specific program.
205 Citizenship and Alien Status Requirements Table IV Proof of Us Citizenship and Identification	Adding the reasonable opportunity period for documentation of immigration status. Updating the verifications of citizenship and what documents can be accepted.
Table XVIII IMD's With a Licensed SUD Treatment Program	Adding Foothill Residential Treatment Center to Table XVIII as they are an approved IMD/SUD under UT County Drug and Alcohol.
320-4 QI	Do not open QI if the client is receiving Medicaid.
Table XVII TAM Agencies	Adding Psychiatric and Behavioral Solutions (PBS) for Form 43A Utah County Jail for question 1 on 43 A.

May 2018

205-3 Verification of Alien Status	Form G-845 is no longer an acceptable verification of alien status. Policy has been updated to reflect the new process of verifying non-citizenship status.
Table XVII - TAM Agencies	Iron County Care and Share approved to complete the Chronically Homeless form (42A). U.S. Probation approved to complete the Justice Involved form (43A).

April 2018

227-1 Cooperation Requirements 227-2 Refusal to Cooperate with MSE 227-3 Good Cause for Refusal to Cooperate	Clarified policy on when to require a pregnant woman to cooperate with MSE.
223-2 Application for Part B Medicare 409-1 Health Insurance Premiums 731-7 Verification of SSA Benefits Resource 223-1 - Medicare	Removed procedural language concerning Medicare Numbers, as SSA will no longer use the SSN as the Medicare Number.
349 Pregnant Woman Catergory 721-4 Time Limited Program 815 Changes 827 Eligibility for Other Programs	Clarified that a pregnant woman on any Medicaid program should not lose coverage through the postpartum period. Clarified the postpartum period should be looked at when a woman applies for coverage after giving birth.

March 2018

412-2 When do we not Deem Income from a Spouse for ABD and Cost-Sharing Programs	Clarified cash contributions the waiver spouse makes to the community spouse are countable as income.
Table II - Aged, Blind and Disabled Figures Table II-A - LTC Institutional and Waiver Income Limits and Other Important Figures Table V - Sponsor Deeming Table VII - Income Limits for Medical Assistance & Cost-Sharing Programs Table VII-A - Medicaid Work Incentive Table VII-B - 5% FPL Deduction Amount	Updated tables with the new FPL figures.
Table XVIII - IMD's with a Licensed SUD Treatment Program (New)	A new table has been created listing the IMD's that a client can reside in and still be eligible for medical coverage.
900 Q&A - PCN Open Enrollment Date	PCN open enrollment for adults with no children ended as of February 28, 2018. Open enrollment for adults with children is still ongoing.

February 2018

Table VIII - Verification and Interface Match	Clarifying that the Indian Health Services (IHS) face sheet as verification of American Indian identity.
Table XIV - Hospitals Authorized to Approve HPE	Added Central Valley Medical Center to table.
900 Q&A - PCN Open Enrollment Date	PCN open enrollment for all adults is February 1 - February 28, 2018

January 2018

450-3 Whose Income Counts for the MAGI Household Table VII - Income Limits for Medical Assistance and Medicare Cost-Sharing Programs	Filing threshold income limits were added to Table VII. A link to that table was also added to 450-3.
500 Asset Requirements (re-titled) 503 Applying the Asset Limit (was 503-3)(re-titled) 503-1 Whose Assets to Count (was 585) 503-2 When Assets Must be Below the Asset Limit 503-4 Declaration of Assets (deleted) 731 Verification 731-1 Electronic Verification (re-titled) 731-2 Who Must Provide Verification (deleted) 731-3 Client Statement Verification (re-titled) 731-5 Collateral Contact Verification (re-titled) 731-6 U.S. Treasury Regulations and Verification (deleted) Table VIII Verification and Interface Match	Changing how items that must be verified at initial application for ABD are handled. Currently, 503-4 states that all assets at ABD initial application must be verified with hard copy for ABD. Other sections state that client statement is an acceptable form of verification and hard copy is not necessary. Consolidated the verification items into one area of policy instead of having them scattered around. Content did not change, just moving them to put it all on one area.
721-1 Conducting an Eligibility Review	Clarified when to take action on a positive change. This lines up with policy in 815.
1008 Certification Periods 1009-1 Reportable Changes	UPP health insurance coverage verification timeframe has been changed to be completed semiannually and will be completed by ORS.
Table II - Aged, Blind and Disabled Figures Table II-A - LTC and Waiver Income Limits Table VII - Income Limits for Medical Assistance and Medicare Cost-Sharing Programs Table XI - Pickle Reduction Figures	Tables were updated with the yearly COLA figures for 2018.