MS 00-02 New and Revised Policy
MS 00-06 Acceptance of SSA-2853 for Verification of SSN Enumeration
MS 00-07 Look back period for Health Insurance Coverage / ARKids
MS 00-09 Revised Policy - SMB, QI-1 & QI-2
MS 01-02 New Policy - Medicaid Eligibility for the Working Disabled
MS 01-03 Medicare Savings Programs
MS 01-06 Revised Policy - Working Disabled
MS 01-10 New and Revised Policy
MS 01-12 New Policy - Breast and Cervical Cancer Medicaid
MS 02-02 New Policy - Income - Family Medicaid Basic Eligibility Requirements
MS 02-05 Revised Policy: ARKids First
MS 02-06 New Policy - Definition of a Resource
MS 02-09 Tuberculosis (TB) Medicaid
MS 02-11 Assisted Living Facilities Waiver
MS 02-12 2003 Appendix S, SSI Chart
MS 03-02 ElderChoices & AAPD Waiver Policy
MS 03-03 2003 Federal Poverty Levels
MS 03-04 ElderChoices & AAPD Waiver Policy Correction
MS 03-06 Citizenship and Alien Status
MS 03-07 Citizenship and Alien Status-Instructions for Deeming from Alien Spouse
MS 04-01 2004 Appendix S, SSI Chart
MS 04-02 2004 Federal Poverty Level
MS 04-04 Revised Policy: Transfer of Resources
MS 04-07 Medicaid Coverage of Pregnant Women
MS 04-08 Adding Spousal Resources Provisions to ElderChoices
MS 05-02 Appendix R, Transfer of Assets Divisor
MS 05-03 2005 Federal Poverty Levels
MS 05-04 Continuing Eligibility for Medicaid Certified Women Who are Pregnant
MS
05-06 Revised Policy: MS 3336.9 Removing Income Trust Cap
MS 06-01 2006 Appendix S – SSI Chart
MS 06-03 Appendix R – Transfer of Assets Divisor
MS 06-04 2006 Federal Poverty Levels
MS 06-05 Verification of
Citizenship
MS 06-06 ARKids B 5% Co-pay Cap
MS 07-01 2007 Appendix S (SSI and
Quarters of Coverage Charts)
MS 07-02 Allowable Trustee Fees
MS 07-04 2007 Federal Poverty Levels
MS 07-05 Appendix R, Transfer of Assets
Divisor
MS 07-06 SSA/SSI Retroactive Payment
Exclusion
MS 07-07 Pregnant Women Income Verification
MS 07-08 Creditable Coverage for the Family
Planning Waiver
MS 07-09 Changes to the Alternatives for
Adult with Physical Disabilities Waiver (AAPD)
MS 07-10 Family Planning Policy -
Correction
MS 07-12 Earning Disregard – Nursing
Facility Residents
MS 07-13 Alternatives for Adult with
Physical Disabilities Waiver (AAPD)-Correction
MS 08-01 2008 Appendix S (SSI and Quarters
of Coverage Charts)
MS 08-02 Life Expectancy Tables
MS 08-03 Creditable Coverage for the Family
Planning Waiver
MS 08-05 2008 Federal Poverty Levels
MS 08-06 Appendix R, Transfer of Assets Divisor
MS 08-07 SSI Lump Sum Payment Exclusion
MS 08-08 Social Security Enumeration
Requirement
MS 08-10 Long Term Care Insurance
Partnership Program
MS 08-12 Student Earned Income Exclusion
MS 08-13 PACE – Program of All Inclusive
Care for the Elderly
MS 08-14 Pregnant Women Eligibility –
Residence Requirement
MS 08-15 Money Follows the Person Waiver
Services
MS 08 16 Non-Qualified Alien Children in
ARKids Budget
MS 09-01 2009 Appendix S (SSI and Quarters
of Coverage Charts)
MS 09-02 Family Planning Waiver
MS 09-03 Disability Decision – (SSA vs.
MRT)
MS 09-05 ElderChoices – Adult Family Home
Service
MS 09-06 Twelve Month Filling Deadline on
Medicaid Claims
MS 09-09 Working Disabled Eligible to
Receive AAPD Services
MS 09-10 Citizenship Requirement-Correction
MS 09-11 Appendix R, Transfer of Assets
Divisor
MS 09-12 Revised Policy – Medicare Saving
Reevaluations
MS 09-13 2009 Federal Poverty Levels
MS 09-14 Arkids – Removal of the Option
Various Revisions
MS 09-15 AAPD Waiver – Choice of Coverage
No Longer an Option Recipients 65 and Older
MS10-02 Medicare Savings – Resource Limits
MS 82-3 Beneficiary and Earnings Data Exchange (BENDEX)
MS 89-10 SSN Enumeration Procedures When A Request For An SSN For A Child Was Made At A Hospital
MS 92-6 Supplementary Insurance for Medicare Recipients
MS 92-7 Program Initiatives – Food Stamp Lawsuit
MS 92-11 The Computer Matching Act of 1988 – 30 Day Notice Requirement
MS 98-1 1988 Cost of Living Increase
MS 98-11 Medicaid Explanations
MS 98-12 TEA Medicaid and Extended (Transitional) Medicaid
MS 99-1 1999 Cost of Living Increase
MS 99-4 Ensuring Medicaid for TEA Households
MS 99-7 New Federal Poverty Levels
MS 99-11 Certificate of Creditable Coverage
MS 99-13 Transitional Medicaid - Declaration of Earnings
MS 00-1 2000 Cost of Living Increase
MS 00-5 New Federal Poverty Level Chart
MS 00-8 ARKids First and SOBRA Procedural Changes
MS 01-01 2001 Cost of Living Increase
MS 01-04 2001 Federal Poverty Levels
MS 01-05 No Resource Test for ARKids A
MS 01-07 Change in Application Procedure for AAPD Waiver
MS 01-11 Coverage for Pregnant Women with Income up to 200% FPL
MS 01-13 2002 Cost of Living Increase
MS 01-14 Medicaid Renewals at Food Stamp QR and Midpoint Review
MS 02-01 Child Support Referrals for Voluntary Cooperation
MS 02-03 2002 Federal Poverty Level
MS 03-01 Implementation of SCHIP Provisions to ARKids B
MS 03-05 Family Planning Waiver Extension
MS 04-06 Reducing Interview Requirements for Initial Medicaid Applications
MS 04-11 Accepting Faxed Applications
MS 05-01 2005 Appendix S, SSI Chart
MS 05-05 ARKids First Telephone Renewals
MS 06-02 Referrals for
IndependentChoices
MS 06-09 Deficit Reduction Act of
2005 – Long Term Care Changes
MS 07-03 Citizenship Verification
Requirement Exemption-SSA Disability Recipients
MS 07-11 Medical Review Team (MRT)
Denials and Closures Explanation of Adverse Action
MS 07-14 Termination of ARKids First
Telephone Renewal Requirement
MS 08-09 Closing ARKids A and B Cases
MS 09-04 Adult Family Home – Service
within ElderChoices
MS 09-08 Working Disabled Eligible to
Receive AAPD Services
MS 09-16 AAPD Waiver Waiting List
1030 Purpose of Medical Services
1040 Benefits Available Under Medicaid
1110 Client Representation Services Program
1120 Child Health Services Program (EPSDT)
1120.1 Purpose of Child Health Services Program
1120.3 Individuals Eligible for Child Health Services
1120.4 Eligible Providers of Child Health Services
1120.4.1 Provider Participation Requirements
1121 Formal Screening Services
1121.1 Medical Screening Services
1121.2 Dental Screening Services
1121.3 Visual Screening Services
1121.4 Hearing Screening Services
1121.5 Initial CHS Examinations
1121.6 Requirements for Interperiodic Screenings
1123 ACES Certification Requirements for Child Health Services
1123.1 ACES EPSDT Indicator Update Screen (WEPS)
1124.4.2 Canceled Appointments
1126 Provider - Initiated Child Health Services
1127.2 Child Health Services Monthly Reports
1150 Children's Medical Services Program
1151 Cost Sharing Coinsurance/Copayment
1155 Expedited Services for Child Abuse Cases
1170 Hospital/Physician Referral Program
1170.1 Hospital/Physician Responsibility
1170.2 County Office Responsibility
1180 Hospital/Physician Referral for Newborns
1190 Primary Care Physician Managed Care Program
1191 Recipient Responsibilities
1192 County Office Responsibilities
1192.1 System Requirements for PCP Selection
1193 Changes in Primary Care Physicians
1193.1 PCP Changes for SSI Recipients
1193.2 Changes in Recipient Status
1193.3 System Requirements for PCP Changes
1194 Procedures for CMS Recipients
1194.2 County Office Responsibilities
1200.1 Services for Which Transportation is Paid
1200.2 Primary Care Physicians
1200.3 Freedom of Choice (Non-PCP Recipients)
1200.4 Methods of Transportation and Payment
1200.6 Meals, Lodging and Incidental Expenses
1200.9 Emergency Transportation
1200.10 Visits for Prolonged Treatment
1200.11 Out-of-State Transportation
1200.12 Transportation of Former Recipients for Utilization Review
1205 County Office Administration
1205.3 Verification and Prior Authorization
1205.5 Misuse of Transportation
1205.10 Preferential Treatment
1310 Child Support Enforcement Services
1320 Coordination with Other Programs
1330 Disclosure of Information/Confidentiality
1331 Authorized Representatives
1332 Medical Records and DCO-109s
1333 Medical Providers/Service Organizations
1340 Disposition of Medicaid Case Records
1348 Inmates of Public Institutions
1350 Mandatory Assignment of Rights to Medical Support/Third Party Liabilities
1350.1 County Office Responsibility
1350.2 Recipient Responsibility
1350.3 Provider Responsibility
1350.4 Procedure for Failure to Cooperate
1360 Medicaid for the Homeless
1370 Medicaid Identification Card
1371 Reissuing of Medicaid ID Cards
1390 Social Security Enumeration
1400 Twelve Month Filing Deadline on Medicaid Claims
2005 Date Specific Eligibility
2010 Supplemental Security Income (SSI) Eligibles
2010.1 National Correction Procedure
2011 Definition of Eligible Spouse
2012 Definition of Eligible Child
2013 Definition of Marital Status
2014 Definition of Living Arrangements
2020 Converted Cases Not Blind or Disabled Under SSI Criteria
2025 Essential Person (Ineligible Spouse) in December 1973
2030 Eligible Due to Disregard of Social Security COLA Increases
2032 County Office Responsibilities
2033 Eligibility Criteria for Closed SSI Cases
2033.1 Examples of Potential Eligibles
2034.1 Certification and Other System Procedures
2035 Identification of Stragglers
2036 Medicaid for Children Who Lost SSI Due to Childhood Disability Redeterminations
2036.2 Identification of Eligibles
2036.3 Continuation Procedures
2036.4 Reevaluation of Eligibility
2040 Medicaid Eligible Due to 20% Social Security Increase in September 1972
2041 Determination of Current Eligibility
2042 Reevaluation of Eligibility
2044 August, 1972 Eligibility Criteria
2044.1 August, 1972 AFDC Criteria
2044.2 August, 1972 AABD Criteria
2044.3 Public Institution Eligibles in December 1973
2045 Medicaid For Disabled Widows and Widowers
2045.2 Processing Reapplications and Reevaluations
2046 Disabled Widows and Widowers
2046.2 Application Procedures and Eligibility Determination
2049 Medicaid for Disabled Widows, Widowers, and Disabled Surviving Divorced Spouses (OBRA 90)
2049.5 Eligibility Determinations
2049.6 Individuals Who Have Remarried
2049.7 Certification Procedures
2049.9 Individuals Who Become Eligible for or Entitled to Part A Medicare
2050 Medicaid for Disabled Adult Children
2050.1 Resource and Income Guidelines
2050.3 Reevaluations and COLA Adjustments
2055 Medicaid for Drug Addicts and Alcoholics (DA&A)
2061 Transitional Medicaid (TM) Category 25
2061.2 Eligibility Requirements
2061.3 TEA Medicaid Case Closure - Due to Earnings
2061.4 Received TEA Medicaid in 3 of the last 6 Months
2061.8 Determining Initial Eligibility When There Was An Untimely Report of Earnings
2061.9 Additional 6 Months TM Extension Period (Second Six Months)
2062 Received Transitional Medicaid In Each of the Initial 6 Months
2062.1 Reporting Requirements in the Additional 6 months Extension Period (Second Six Months)
2062.3 The 185% Earned Income Test and Computation of Average Monthly Gross Earnings
2062.4 Changes in the Transitional Medicaid Period
2062.5 System Closures, System Reports, and County Responsibilities
2062.6 Summary of Sequence of Notices/Reports in Transitional Medicaid
2063 Extended Medicaid Eligibility When TEA Medicaid Case Closed Due to Child Support Income
2070 Inpatient Psychiatric Care Eligibles at Arkansas State Hospital and George W. Jackson Center
2071 Eligibility Criteria Applicable to Referred Patients
2072 County Office Responsibilities - Inpatient Psychiatric Care Referrals
2075 DDS Alternative Community Services
2075.1 Eligibility Requirements
2075.2 Disability Determinations
2075.3 Eligibility Determinations
2075.4 No Contribution to the Cost of Care
2075.5 Approving the Application
2075.6 DDS Waiver Applicants Currently Residing in ICF/MR Facilities
2077 DDS Alternative Disposition Plan (ADP) Nursing Home Reform Waiver
2077.2 Eligibility Requirements
2085 Transitional Employment Assistance (TEA) Related Medicaid
2086.1 TEA Requirements Not Applicable to TEA Related Medicaid
2086.3 Time Limit on Disposition of Applications
2087 Authorization of Eligibility
2088.1 Loss of Eligiblity Due to Income
2100 Medicaid Eligibility Prior to Month of Application - Retroactive Eligibility
2105 Retroactive Eligibility - AFDC
2106 Retroactive Eligibility - Pregnant Women
2107 Retroactive Eligibility - U-18
2108 Retroactive Eligibility - LTC
2110 Retroactive Eligibility - SSI Eligibles
2111 Deeming of Income: SSI Retroactive Medicaid Determinations
2111.1 Deeming of Income from Ineligible Spouse
2111.2 Deeming of Income from Ineligible Parent(s) to Child
2111.5 Items (Income) Not Included in Deeming
2112 Deeming of Resources - SSI Retroactive Medicaid Determinations
2112.1 Resources of Ineligible Spouse
2112.2 Resources of Ineligible Parent(s)
2120 Retroactive Eligibility of Recipients Not Currently Eligible for SSI
2210 State Residency Determinations
2215 Prohibited State Residency Determinations
3110
Facilities Which Provide Services
3120
Services Provided Under Medicaid
3130 Licensing and Classification of Facilities
3140
Personal Allowance for Facility Residents
3150
Special Charges to Recipients in Facilities
3210
Initial Application for Facility Payment
3220
Reapplication for Facility Payment
3230
Distinction Between Application and Inquiry
3240
Steps in Application Process
3242
Referrals from Arkansas State Hospital and George W. Jackson
Center
3243
Referrals from Arkansas Human Development Centers
3244
Case Record and Control Card
3245
Entry of Application to WIMA
3247
Denial of Application at Intake
3248
Recording of Applications on Control Sheet
3251
Time Limit on Disposition of Application
3252
Delayed Action on Application
3300
Eligibility Determination
3310
Establishing Categorical Eligibility
3320 Verification of Institutional Status
3322 Verification of Blindness or Disability
3322.1 SSA vs. MRT Disability Decisions
3322.3 Applications Which Will Require An MRT Decision
3322.4 Verification of Social Security Disability or SSI Status
3323 Procedure for Verification by Medical Review Team
3323.3 Medical Review Team (MRT) Decision
3323.4 Reapplication Due to Mental or Physical Incapacity
3323.5 Reexamination of Disability by the Medical Review Team (MRT)
3323.6 Reexamination Required by the Medical Review Team (MRT)
3323.7 Substantial Gainful Activity
3324 Verification of Citizenship or Alien Determinations
3324.1 Declaration of Citizenship or Satisfactory Immigration Status
3330.1 Countable Resource Limitations
3331.3 Determining Value of Ownership Interest
3331.4 Determining Equity Value
3331.5 Real Property Exclusions
3332.2 Determining Value of Personal Property
3332.3 Personal Property Exclusions
3333 Treatment of Resource Changes
3334 Transfer Of Assets - History And References
3334.1 Transfer of Resources - General
3334.2 Documentation of Resource Transfers
3334.3 Determination of Uncompensated Value and Period of Consideration
3334.4 Determining Value of Compensation Received
3334.5 Notifying Individual of Established Uncompensated Value
3334.6 Rebuttal of Presumption That Resources Were Transferred to Establish Eligibility
3334.7 Factors Which Indicate Transfer Exclusively for Some Other Purpose
3334.8 Reacquisition of/or Additional Compensation Received on Resource Transfer at Less Than FMV
3334.9.1 Determination of Uncompensated Value and Period of Consideration
3335 Transfer Of Resources Effective 7/1/88 Through 8/10/93
3335.1 Determination of Uncompensated Value and Period of Ineligibility
3335.2 Exceptions to (the period of) Ineligibility Due to Transfer of a Resource for Less than FMV
3336 Transfer Of Assets Made 8/11/93 Or Later
3336.3 Income Transfers and Failure to Apply For Benefits
3336.4 When an Ineligible Spouse Gives Away Income
3336.6 Income Received and Transferred in Same Month
3336.7 Ownership Held in Common With Others
3336.8 Transfers to Trusts and Annuities
3336.10 Determination of Uncompensated Value and Period of Ineligibility for Resource Transfers
3336.12 Penalty to Impose When Transfer Occurs 8/11/93 Through 9/30/93
3336.13 Apportionment of Penalty for Spouses
3336.14 Penalty Continues Without Interruption Until Expiration
3336.15 Exceptions to the Period of Ineligibility
3336.17 Life Expectancy Tables
3337 Treatment of Income and Resources for Certain Institutionalized Spouses
3337.5 CSMR and CSRA Computation
3337.6 Determining Resources of the IS After CSRA Computation
3337.7 Spousal Protected Amount (CSMR)
3337.8 Retroactive Eligibility
3337.9 Appeal Rights - Changing the CSRA
3337.10 Rules for Transfer by the IS
3337.11 Time Period for Transfer of CSRA to Community Spouse
3337.12 Rules for Transfer by the CS
3337.13 Consideration of Resources After Eligibility is Determined
3338 Income Eligibility Determination for the IS
3338.1 Consideration of Income
3338.2 Rebutting Consideration of Income
3338.3 Determination of Nursing Home Net Income
3338.4 Option To Estimate Net Income
3338.5 Verification or Refusal of Contributions
3338.10 Retroactive Adjustments
3338.11 NonRecurring Lump Sums
3343 Determination and Verification of Earnings from Employment
3343.1 Earnings of ICF/MR Facility Residents
3344 Determination and Verification of Earnings from Farm, Business or Self-Employment
3344.1 Determining Amount of Net Earnings from Self-Employment
3344.3 When to Develop Unstated Income
3344.4 Development of Living Expenses
3344.5 Determination of Unstated Income
3345 Sources of Unearned Income
3346 Determination and Verification of Unearned Income
3346.1 Social Security Benefits
3346.1.1 Voluntary Reduction of Benefits
3346.2 Railroad Retirement Benefits
3346.3 Military Allowances or Allotments
3347 In-Kind Support and Maintenance and Other In-Kind Income
3347.1 Valuation of In-kind Income and In-kind Support and Maintenance
3347.2 Third Party Payments Excluded as In-Kind Support and Maintenance
3348 Supplemental Security Income Exclusions
3348.1 Assets Disregarded as Income
3349 Preliminary Budget for Determination of Income Eligibility
3350.5 County Office Procedures
3351 Prompt Notice of Skilled Care Classifications
3352 Appeal of Utilization Control Committee Action
3400 Determination of Net Income
3401 Treatment of Extended SSI Benefits for Institutionalized Recipients
3410 Authorization of Services
3420 Effective Eligibility Dates for LTC and ICF/MR Services
3500 Disposition of Application
3500.1 Certification of Patients Approved for Medicare
3610 Reevaluation of Eligibility
3611 Foster Care (Cat. 91 or 92) and U-18 Cases
3615 Completion of Reevaluation
3621 Changes in Classification
3622 Continued Stay in a Facility Not Medically Necessary
3623 Appeal of Utilization Control Action
3625 Continued Stay in a Facility Not Medically Necessary (PASARR)
3631 Advance Notice for Terminations of Assistance
3632 Advance Notice for Reduction of Assistance
3633 When Advance Notice is Not Required
3634 Acquisition of Additional Income and Resources
3634.1 Case Adjustments for Lump Sum Payments in Prior Months
3635 Completion of Changes, DCO-57 Data Entry Form
3636 Absences from Long Term Care Facilities
3637 County Office Responsibilities Following Report of Absence on Form DCO-702
3637.3 Procedure for Reactivating a Suspension Case
3637.6 Procedures for Suspension of Cases-State Hospital and George W. Jackson Center
3637.8 Transfer - Resident of Human Development Center
3640 Operations Plan - Relocation of Recipients
4005 Early Identification of Children in Need of Health Care Services
4010 Legal Basis for Children's Medical Services
4015 Responsibility for Children's Medical Services
4020 Funding for Children's Medical Services
4025 Referrals for Children's Medical Services
4030 Application for Children's Medical Services
4035 Information Required to Process the CMS Application
4045 County Office Disposition
4050 Return of EMS-800 to County Office
4100 Eligibility Requirements for CMS
4200 Services Available Through CMS
4205 Transportation for CMS/Medicaid Eligibles
4215 Emergency Hospital Admissions
4220 Non-Emergency Hospital Admissions
4230 Appliances, Prostheses and Equipment
4235 X-Ray and Laboratory Services
4250 Service Coordination Services
6500 Medicaid Coverage of Foster Children
6520 Identification of Eligibles
6530 Initial Determination of Eligibility
6530.1 Service Specialist Responsibilities
6530.2 Service Representative Responsibilities
6540.1 Service Representative Responsibilities
6560 Transfers To Another County
6580 Continuing Eligibility of Foster Care Children Placed for Adoption
6590 Non-Title IV-E Adoptive Children With Special Needs
6590.1 Medicaid Category for Non-Title IV-E Special Needs Adoptive Children
6590.2 Eligibility Requirements
6590.5 Disposition of Non IV-E Special Need Referrals
6600 Medicaid for IV-E Children Who Enter Arkansas from other States
6610 Identification of Eligibles
6620 ICAMA/ICPC Responsibilities
6630 Service/Adoption Specialist Responsibilities
6640 Service Representative Responsibilities
6642 Registration of the Application
6670 Procedures for IV-E Children Who Leave Arkansas
6671 Service/Adoption Specialist Responsibilities
6672 ICAMA/ICPC Responsibilities
6673 Service Representative Responsibilities
6703 Citizenship of Children Born Outside of the U.S.
6705 Declaration of Citizenship
6710 Medicaid Coverage for Aliens
6720 Alien Status Verification Requirements
6721 Using SAVE (Systematic Alien Verification for Entitlement)
6722 Secondary Documentation of Alien Status
6730 Non-Financial Eligibility Requirements
6735 Aliens Subject to Five-Year Bar
6736 Aliens Exempt from Five-Year Bar
6740 Establishing Qualifying Quarters
6741 Verifying Qualifying Quarters
6760 Sponsor Affidavits of Support and Deeming
6770 Alien Documentation Chart
6780 Emergency Medicaid Services for Aliens
6783 Non-Citizens Not Eligible for Emergency Services
7010 Extent of Medical Services for Medically Needy
7020 Identification of Eligible Recipients
7030 Medically Needy Group Designations
7031 Exceptional Medically Needy
7032 Spend Down Medically Needy
7040 Screening Applicants for Medically Needy Program
7041 Supplemental Security Income (SSI) Related Eligibility
7043 Under 18 Category Related Eligibility
7050 Special Cases - Medically Needy
7060 Definition of Medically Needy Program Terms
7061 Medically Needy Income Level (MNIL)
7062 Medicare Part B "Buy-In" Premium
7066 Spend Down Entitlement Period
7067 Unmet Liability (Date of SD)
7068 Exceptional Medically Needy Duration of Eligibility
7070 Medically Needy Category Designations at Certification
7100 Initial Requests for Medically Needy Services
7101.1 On-Site Applications at ACH
7101.2 On-Site Applications at UAMS
7120 Reapplication for Medically Needy Services
7130 Distinction between Application and Inquiry
7140 Initial Contact with Applicant in Person
7150 Steps in Application Process
7153 Securing Information to Determine Eligibility
7154 Completion of Application Forms
7155 Entry of Application(s) on WIMA
7158 Securing Information from Collateral Source
7159 Time Limits to Dispose of Application
7200 Disposition of Application
7221 Transfer to Another County
7221.1 Responsibility of Transferring County
7221.2 Responsibility of Receiving County
7230 Delayed Action on Application
7300 Medically Needy Eligibility Determination
7310 Categorical Relatedness - Medically Needy
7320 Medically Needy - AFDC Categorical Relatedness (AFDC-MN and UP-MN)
7321 Factors Specific to Unemployed Parent Medically Needy
7321.1 Deprivation Due to Unemployment of the Principal Wage Earner
7321.3 Retroactive Eligibility
7325 Medically Needy Pregnant Women Categories
7330 Medically Needy - SSI (AABD) Categorical Relatedness
7340 Medically Needy - Under 18 Categorical Relatedness
7340.1 Medically Needy - Foster Care
7400 SSI Related Treatment of Income (AABD-MN)
7430 Income of Other Persons (Deeming)
7431 Deeming of Income from Ineligible Spouse (AABD-MN)
7432 Deeming of Income from Ineligible Parent(s) to Blind or Disabled Child
7440 Items (Income) Not Included in Deeming
7500 Medically Needy Resource Limitations and Resource Determination
7510 Resources of Other Persons (Deeming)
7600 Income Determination for Medically Needy Program
7610 Medically Needy Income Levels (7-1-88)
7611 Determination of Household Size Used for MN Income Consideration
7620 Income Eligibility Determination for Exceptional Medically Needy
7622 Establish Duration of Eligibility - Exceptional Medically Needy Cases
7630 Income Determination for Spend Down
7631 Eligibility Based on Incurred Medical Expenses (Spend Down)
7632 Incurred Medical Expenses Not Coverable Under Medically Needy Program
7633 Incurred Medical Expenses Included in Chronological Spend Down
7634 Treatment of Third Party Resources
7634.1 Medicare - Medicare consists of two types of coverage:
7634.2 Private Health Insurance
7634.3 Nonspecific Assignable Payments
7700 County Office Certification Responsibility
7710 Central Office Certification Responsibility
7800 Medically Needy Case Controls
7810 Time Schedule for Reevaluation of Eligibility for Exceptional Medically Needy Cases
7830 Medically Needy Case Actions - Exceptional and Spend Down
7840 Change Notification to Medically Needy Recipient by County Office
7850 Medically Needy Case Closures
7900 Medically Needy Case Record
8001 Overpayments Due to Ineligibility
8006 Overpayment Due to Understated Liability (LTC Cases)
8010 Overpayment Evaluation - Excess Income
8015 Overpayment Evaluation - Excess Resources
8020 Overpayment Evaluation - Ineligible Individuals (Non - LTC)
8025 Procedures for Reporting Overpayments
8026 Record Information in Case Narrative
8027 Control Register and File
8028 Referral to Central Office Overpayments Unit
8030 Responsibility of Overpayments Unit
8032 Responsibility of Central Office Accounting Section
8035 Willful Withholding of Information
8040 Keeping Overpayments Unit Informed
8050 State (Income) Tax Refund Interception (STRI)
8060 Accounts Eligible for Interception
8080 Designation of a Representative
8090 Beginning the STRI Hearing Process
8100 Subpoena of Witnesses by Taxpayer
8110 Notification of the Hearing
8120 Postponement of the Hearing
8160 The Administrative Hearing Decision
8170 Contents of the Administrative Hearing Decision
9005 Reporting Suspected Fraud
9007 Case Accepted for Investigation
9008 Disposition of Investigations
9302 Administrative Hearing File
9303 Continuation of Assistance or Services During Appeal Process
9307 Assistance in Preparation of Appeal
9308 Abandonment of the Appeal
9310 County Office Hearing Responsibilities
9313 Right to Different Medical Assessment
11300 Resources for Family Medicaid Categories
11301 Definition of a Resource
11310 Resources to be Disregarded
11320 Resources Considered with Special Exemptions or Exclusions
11325 Resources Considered in Full
11330 Requesting a Legal Opinion on Resource Ownership or Availability
11350 Determining Market Value and Net Equity
11356 Cash and Money on Deposit
11357 Jointly Held Bank Accounts with Non-SSI Recipients
11358 Jointly Held Bank Accounts with SSI Recipients
11361 Joint Refunds (Client and Spouse)
11364 Other Types of Personal Property
11405 Income to be Disregarded
11410 Income Disregards of a Minor Child
11420 Verification of Earned Income
11425 Computation of Earnings Received as an Employee
11430 Computation of Earnings from
Self-Employment
12100 Medicaid
Coverage for Pregnant Women
12510 Identification of Eligibles
12515 Application Process – New Applicants
12520 Application Process – Pregnant Women Categories
12525 Eligibility Requirements
12530 Child Support Enforcement Services
12535 Time Limit on Disposition of Applications
12540 Prior to Authorization of Eligibility
12545 Authorization of Eligibility
12560 Quality Assurance Reviews
12580 Reinstatement of Eligibility
16040 ARKids Eligibility Criteria
16045 Income Eligibility Determination
16047 Effect of Living Arrangement on Eligibility Determination
16050 Continuation of Coverage for Inpatients
16055 Retroactive Eligibility for ARKids
16062 Distinction Between Application and Inquiry
16070 Completion of the Application
16072 Institutionalized Children
16073 Completion of Forms During Eligibility Determination
16080 Registering Applications
16085 Time Limit for Disposition of Application
16090 Delayed Action on an Application
16100 Disposition of the Application
16135 Facility Transfers of Court Ordered Juveniles
16140 Change Notification to Participant (Advance Notice)
16205 Eligibility Requirements
16210 Referral by Hospital/Physician for Newborn Coverage
16215 Eligibility or Assumed Eligibility of the Mother
16220 Certification Procedures
16225 Retroactive Requests for Coverage
16230 Reevaluations and Conversions to ARKids A or B
20000 Long
Term Care Insurance Partnership Program
20070 Effect of Asset Disregard in Estate Recovery
21710 County Office Responsibilities
21720 Application for a Hardship Waiver
23000
Medicare Savings Programs
23000 Medicare Savings Programs
23010
Medicare Savings Programs - Comparison Chart
23100 History of ARSeniors, QMB, SMB, QI-1
23105 Scope of Services
23110 Eligibility Requirements
23115 Self Declaration
23120 Simultaneous Coverage in Other
Categories
23125 Medicare Part A Entitlement
23130 Application Process
23135 Time Limit on Processing
Applications
23140 Determining Eligibility
23145 Disposition
23150 Medicaid Category Changes
23155 Temporary Disregard of SSA Cost of
Living Adjustment (COLA)
23160 Reevaluation
23165 Change/Closure
23500 Qualified Disabled and Working
Individuals
23505 Extent of Services
23510 Application Process
23515 Eligibility Requirements
23520 Income Determinations
23525 Initial Enrollment Period (IEP) and
General Enrollment Period for Medicare
Part A
23530 Disposition of Application
23535 Reevaluations/Changes/Closures
26100 Aging and Adult Services Waivers
26105 History of ElderChoices and AAPD Waiver
26115 Eligibility Requirements
26130 Applications from Nursing Facility Residents
26135 Assessment Process for Nursing Facility Residents
26140 Residents of Residential Care Facilities
26145 Eligibility Determination
26150 No Contribution to the Cost of Care
26155 Approvals for New Applicants
26156 Approvals for New Applicants (AAPD Only)
26157 Provisional Plan of Care (ElderChoices Only)
26158 Comprehensive Plan of Care (Elderchoices Only)
26159 Optional Participation (Elderchoices Only)
26160 Approvals for Medicaid Recipients Who Leave LTC
26170 Procedures for AAPD Waiver Individuals Turning 65
26185 Temporary Absences from the Home
26200
Assisted Living Facilities Waiver
26205 Eligibility Requirements
26212 Registering the ALF Application
26215 Applications from Nursing
Facilities or ElderChoices or AAPD Waiver Recipients
26225 Eligibility Determination
26230 Contribution to the Cost of Care
26235 Approvals for New Applicants (Non-LTC)
26240 Approvals for Medicaid Recipients
Who Leave LTC, ElderChoices or AAPD Waiver
26255 Temporary Absences from the
Assisted Living Facility
26300 Money Follows the Person
26305 Procedures for Medicaid Recipients Who Leave Facility Care
26500
PACE – Program of All Inclusive Care for the Elderly
26510 Individuals Eligible for PACE
26520 Basic Eligibility Requirements
26550 Contribution to the Cost of Care
26570 Initial Application Process
26600 Provider Post-Enrollment Assessments
26800 Approvals for Waiver Recipients to PACE and
PACE Participants to Waiver
27000 TEFRA Waiver/Home Care for Children
27005 Eligibility Requirements
27010 Determining Monthly Premiums
27028 Re-application When Case Closed Due to Non-Payment of Premiums
27030 Eligibility Determinations
27035 Alternating TEFRA and SSI Eligibility
27040 SSA Disability Determinations
27045 MRT Disability Determination
27055 Determining Appropriateness of Care and Cost Effectiveness
27060 Disposition of Application
27065 Monitoring Cost Effectiveness
28000 Medicaid Coverage for the Working Disabled
28015 Working Disabled Eligibility Criteria
28025 Disability Determination
28050 Approval of Applications
28060 Effective Date of Eligibility
31000 Breast and Cervical Cancer Medicaid
31005 Eligibility Requirements
31025 Citizenship or Alien Status
31110 Eligibility Requirements
31115 Citizenship or Alien Status