This manual letter lists new and revised material for the Health Care Programs Manual. Unless otherwise noted, new and revised instructions are effective July 1, 2007.
Chapter 15 - Insurance and Third Party Liability.
Chapter 22 - Standards and Guidelines.
The following updates are due to the annual increases that are effective July 1, 2007. In addition to the specific changes noted below, minor formatting changes were made throughout these sections for greater consistency and clarity.
Chapter 15 - Insurance and Third Party Liability
n Section 15.05.20.10, Determining ESI Cash Benefits.
Updates the maximum MinnesotaCare premium amounts in the examples under ”Cash Contribution for Coverage.”
n Section 16.20.10, Computation of Fees.
Clarifies that, while current court-ordered child support payments may be subtracted for some parents, arrearages may not. Also clarifies that, in addition to stepparents, stepchildren are not included in the household size for computation of parental fees. Updates the line numbers for adjusted gross income to those from the 2006 federal tax forms. There are no changes to the parental fee formula for July 1, 2007; however, parental fee amounts will still change due to the annual changes in the federal poverty guidelines.
Chapter 22 - Standards and Guidelines
n Section 22.05, Federal Poverty Guidelines.
Updates the name of the DHS-3461 (Minnesota Health Care Programs Income and Asset Guidelines). Removes redundant links at the end of the page.
n Section 22.05.05, 75 Percent of FPG.
Adds the new federal poverty guideline (FPG) figures for July 1, 2007 through June 30, 2008.
n Section 22.05.10, 100 Percent of FPG.
Adds the new FPG figures for July 1, 2007 through June 30, 2008. Under ”Maximum Income Limit,” adds Refugee Medical Assistance, which was inadvertently omitted, and removes MinnesotaCare major program JJ, subgroup M, eligibility group 2. This group is now listed correctly under 175% FPG. Under ”Minimum Income Limit,” adds Service Limited Medicare Beneficiary (SLMB).
n Section 22.05.15, 120 Percent of FPG.
Adds the new FPG figures for July 1, 2007 through June 30, 2008. Under ”Minimum Income Limit,” adds Qualified Individuals (QI).
n Section 22.05.20, 135 Percent of FPG.
Adds the new FPG figures for July 1, 2007 through June 30, 2008.
n Section 22.05.25, 150 Percent of FPG.
Adds the new FPG figures for July 1, 2007 through June 30, 2008.
n Section 22.05.30, 175 Percent of FPG.
Adds the new FPG figures for July 1, 2007 through June 30, 2008. Under ”Maximum Income Limit,” adds MinnesotaCare major program JJ, subgroup M, eligibility group 2, which was incorrectly listed under 100% FPG. Under ”Minimum Income Limit,” adds MinnesotaCare major program JJ, subgroup A, eligibility group 2, which was incorrectly listed under 200% FPG.
n Section 22.05.35, 185 Percent of FPG.
Adds the new FPG figures for July 1, 2007 through June 30, 2008.
n Section 22.05.40, 200 Percent of FPG.
Adds the new FPG figures for July 1, 2007 through June 30, 2008. Under ”Maximum Income Limit,” adds the Minnesota Family Planning Program (MFPP). Under ”Minimum Income Limit,” removes MinnesotaCare major program JJ, subgroup A, eligibility group 2, which is now correctly listed under 175% FPG.
n Section 22.05.45, 275 Percent of FPG.
Adds the new FPG figures for July 1, 2007 through June 30, 2008. Under ”Maximum Income Limit,” removes MinnesotaCare major program JJ, subgroup A, eligibility group 2, which is now correctly listed under 175% FPG.
n Section 22.05.50, 280 Percent of FPG.
Adds the new FPG figures for July 1, 2007 through June 30, 2008.
n Section 22.20, MinnesotaCare Premium Amounts.
Updates the maximum MinnesotaCare premium amounts. Effective July 1, 2007, the maximum premium amounts are $350 for a household of one; $700 for a household of two; and $1050 for a household of three or more.
n Section 22.35, SAPSNF.
Updates the figures for the statewide average payment for skilled nursing facility care (SAPFSNF). Effective July 1, 2007, the SAPSNF for MA is $4644, and the SAPSNF for GAMC is $3618.
n Section 22.45, Long-Term Care Allowances.
Updates the following figures that are effective July 1, 2007:
m The home maintenance allowance is $851.
m The maintenance needs allowance (SIS-EW) is $839.
m The basic shelter allowance is $514.
m The minimum monthly income allowance is $1712.
n Section 22.50, GRH Negotiated Rate.
Updates the group residential housing (GRH) negotiated rate. Effective July 1, 2007, the negotiated rate is $757.