This manual letter lists new and revised material for the Health Care Programs Manual. Unless otherwise noted, new and revised instructions are effective June 1, 2010.
Chapter 03 - Eligibility Groups and Bases of Eligibility.
Updates to this chapter clarify the MA-EPD employment definition.
Chapter 09 - Mandatory Verifications.
Incorporates bulletin #09-03-08, "Minnesota to Participate in the Public Assistance Reporting Information System (PARIS) Interstate Match Program."
Chapter 11 - Citizenship and Immigration Status.
Updates include the addition of T and U visa holders and clarifications regarding nonimmigrant people and Afghan and Iraqi Special Immigrants.
Chapter 13 - State and County Residence.
Clarifies address verification and the Public Assistance Reporting Information System (PARIS).
Chapter 15 - Third Party Liability (TPL).
Updates examples to reflect July 1 premium changes.
Annual updates made to the section on computing parental fees.
Chapter 22 - Standards and Guidelines.
Annual updates made to the section on Statewide Average Payment for Skilled Nursing Facility (SAPSNF) care.
The address for mailing initial MA-EPD premiums has changed.
Chapter 29 - Quality Assurance.
Incorporates bulletin #09-03-08, "Minnesota to Participate in the Public Assistance Reporting Information System (PARIS) Interstate Match Program."
Updates the definition for nonimmigrant.
Chapter 03 - Eligibility Groups and Bases of Eligibility
l Section 03.30.20.05 - MA-EPD Employment Definition.
Additions made to this section clarify self-employment.
l Section 09.05 - Mandatory Verifications.
Require verification of residency for cases involving a PARIS match.
l Section 11.20 - Federally Funded Health Care.
Adds Afghan and Iraqi Special Immigrants to the list of those who qualify for federally funded health care.
l Section 11.20.20 - Cuban/Haitian Entrants.
Provides additional information on federal funding for Cuban/Haitian Entrants.
l Section 11.25 - Federally or State-Funded Health Care.
Removes Afghan and Iraqi Special Immigrants from those who may or may not qualify for federal funding. Immigrants with this status do qualify for federal funding.
l Section 11.25.20 - Afghan and Iraqi Special Immigrants.
Describes federal funding for Afghan and Iraqi Special Immigrants. Afghan and Iraqi Special Immigrants are considered refugees and therefore not subject to the five-year bar from federal funding. They are eligible for federally funded Medical Assistance.
l Section 11.30.05 - Other Lawfully Present Noncitizens.
Updates the Status Descriptions and Verification Requirements to include information on nonimmigrants with T and U visas. The T nonimmigrant status protects victims of human trafficking and the U nonimmigrant status protects victims of crimes who have suffered substantial mental or physical abuse.
l Section 11.30.10 - Undocumented and Nonimmigrant People.
Updates to this section clarify the definition of nonimmigrant.
Chapter 13 - State and County Residence
l Section 13.05 - State Residence for Medical Assistance (MA) / MinnesotaCare Families.
l Section 13.10 - State Residence for GAMC and GHO.
l Section 13.15 - State Residence for MinnesotaCare Adults Without Children.
These sections clarify that receipt of a Public Assistance Reporting Information System (PARIS) Interstate Match requires verification of state residence.
l Section 15.05.20.10 - Determining ESI Cash Benefits.
Examples updated to reflect July 1 premium changes.
l Section 16.20.10 - Computation of Parental Fees.
This section updates the parental fee schedule effective July 1, 2010.
l Section 22.05.05 - 75 Percent of FPG.
l Section 22.05.10 - 100 Percent of FPG.
l Section 22.05.15 - 120 Percent of FPG.
l Section 22.05.20 - 135 Percent of FPG.
l Section 22.05.25 - 150 Percent of FPG.
l Section 22.05.30 - 175 Percent of FPG.
l Section 22.05.35 - 185 Percent of FPG.
l Section 22.05.40 - 200 Percent of FPG.
l Section 22.05.45 - 275 Percent of FPG.
l Section 22.05.50 - 280 Percent of FPG.
l Section 22.15 - Minnesota Comprehensive Health Association (MCHA) Premiums.
l Section 22.20 - MinnesotaCare Premium Amounts.
l Section 22.35 - SAPSNF.
l Section 22.45 - Long-Term Care (LTC) Allowances.
l Section 22.50 - Remedial Care Expense.
These sections update amounts for effective dates July 1, 2010 to June 20, 2011.
l Section 25.10.05 - Initial MA-EPD Premiums.
The address for forwarding MA-EPD Initial Premium payments has been updated.
l Section 29.20 - PARIS Interstate Match Program.
l Section 29.20.05 - Determining Residency Following a PARIS Match.
l Section 29.20.10 - Processing PARIS Matches.
l Section 29.20.15 - PARIS Match Examples.
New manual sections introduce the PARIS Interstate Match Program and provide information on what PARIS is, how PARIS works and how to resolve PARIS matches.
Updates the definition for "nonimmigrant."