Obsolete What's New 2023

 

November 2023

300 Medicaid Programs, 354 Foster Care Medicaid, 355 Subsidized Adoption, 827 Eligibility for Other Programs    
  • Clarifying policy for when a member leaves Foster Care. 

October 2023 

COVID-19 Unwinding Q&A   
  • Updating policy to not allow Medicaid members to move to CHIP early at review. 
Table II-A Long Term Care Institutional and Waiver Income Limits and Other Important Figures
  • Yearly update on Long Term Care shelter standards. 
346 Targeted Adult Medicaid (TAM), 731-8 Verification for Targeted Adult Medicaid (TAM)
  • Clarifying policy to allow for collateral contacts for TAM forms at review.

September 2023

Table XVII Targeted Adult Medicaid (TAM) Agencies
  • Adding TAM agency to complete all questions on form 42 A and 43A.
COVID-19 Unwinding Q&A   
  • Updating policy for CMS unwinding flexibility for authorized representative signatures on applications and reviews. 
394-4 RMA Income and Asset Eligibility 
  • Clarifying that RMA is 12 months. 

July 2023

Table II Aged, Blind and Disabled Income Limits and Other Important Figures 
  • Updating 1619b income limit, Spousal Impoverishment Information and Transfer of Assets Information figures.

 

June 2023

815 Changes
  • Updating policy for when a member fails to provide verification for changes that cause an increase in benefits.

 

May 2023

356 Presumptive Eligibility (PE) 357 DHHS COVID-19 Uninsured Testing Coverage
  • Ending eligibility for COVID-19 Uninsured Testing Group.
703-1 What is an Application?  
  • Updating policy on ending of the Public Health Emergency.
811-4 Returned Mail
  • Clarifying the steps to locate the member when there is returned mail.

 

April 2023

390-2 Health Coverage and Medicaid Cancer Program Eligibility
  •  Members on Medicaid Cancer Program do not have co-pays.
413-6 What is Not Income 440-3 Income for MAGI-Based Programs
  • Clarifying how to count the sale of bodily fluids.
Table XVII Targeted Adult Medicaid (TAM) Agencies
  • Adding TAM agency to complete all questions on form 43A.

 

March 2023

Table II Aged, Blind and Disabled Income Limits and Other Important Figures Table II-A Long Term Care Institutional and Waiver Income Limits and Other Important Figures Table V Sponsor Deeming Table VII Income Limits for Medical & Medicare Cost-Sharing Programs Table VII-A Medicaid Work Incentive Income And Premium Tests Table VII-B 5% Federal Poverty Level Deduction Amount
  •   Updating Federal Poverty Limits for 2023.
Obsoleted 320-7 Reviews for Medicare Cost-Sharing Programs   703-4 What to do with an Application 721 Eligibility Review 721-1 Ex Parte Reviews (Reviews Not Requiring Member Participation) 721-2 Reviews Requiring Member Participation 1008-1 Eligibility Review 1008-2 UPP Reviews Requiring Member Participation
  • Clarifying when to complete an Ex Parte Review.
461-2 Methods of Meeting a Spenddown 462-2 Payment of a MWI Premium 721 Eligibility Review 825-3 Preparations for Referral for Investigation or Calculation COVID-19 Unwinding Questions and Answers COVID-19 Unwinding Question and Answers Resource
  • Adding new guidance on the end to continuous Medicaid enrollment.

 

February 2023

320 Medicare Cost-Sharing Programs 320-1 Eligibility for Medicare Cost-Sharing 320-2 QMB 320-3 SLMB 320-4 QI 408-4 QMB, SLMB, QI (Medicare Part A, B and B-ID) 223-1 Resource - Medicare
  • Adding new Medicare Part B-ID program to Medicare Cost Sharing Programs eligibility.  
354-3 Former Foster Care Individuals
  • Clarifying when to put a member on Former Foster Care.
521-4 Vehicles Table VIII Verification and Interface Match
  • Updating how to determine vehicle value.
210 Age Determination 303 Medicaid for People who are Aged, Blind or Disabled 347 Child Category
  • Clarifying age determination for a member.
205-2 Qualified Non-Citizens
  • Adding policy on Ukrainian Nationals.
419-2 Income Received From a Business 419-3 Self-Employment Income
  • Clarifying how to count self-employment losses.
Table XVII Targeted Adult Medicaid (TAM) Agencies
  • Adding TAM agency to complete all questions on form 43A.

 

January 2023

Table II Aged, Blind and Disabled Income Limits and Other Important Figures Table II-A Long Term Care Institutional and Waiver Income Limits and Other Important Figures Table VII Income Limits for Medical & Medicare Cost-Sharing Programs Table XI Pickle Reduction Figures
  • Updating 2023 COLA figures.
125-4 What Happens During a Fair Hearing
  • Clarifying what documentation is required for an expedited fair hearing.
417-14 Payments to American Indians/Alaska Natives
  • Clarifying how to look at IIM accounts for the Ute Indian Tribe.
207-1 Determining Residency
  • Adding an adoption example.
Table XVII Targeted Adult Medicaid (TAM) Agencies
  • Adding TAM agencies to complete all questions on form 43A.

 

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