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, 2010.
Updates made to this chapter clarify when an application is not required for an MA to GAMC program change.
Chapter 17 - Household Composition.
Revisions to a section in this chapter clarify the process for adding a household member.
Incorporates Bulletin 09-21-01, "DHS Phases In 60-Month Lookback Period for Non-Trust Transfers." Multiple updates made to sections in this chapter regarding asset transfers.
Several minor clarifications made to multiple income sections.
Chapter 21 - Income Calculation.
Clarifications made to two sections in this chapter.
Chapter 23 - MA Payment of Long-Term Care (LTC) Services.
The updates to this chapter clarify the Home Maintenance Allowance.
Chapter 24 - Medical Spenddowns.
A minor clarification in this chapter incorporates updated glossary terms.
Several terms have been added or updated.
l Section 07.05.15 - Application Not Required.
Revisions to this section clarify that a new application for GAMC is not required when a client receiving MA and GA concurrently turns age 21.
l Section 07.15.20 - Minnesota Community Application Agent (MNCAA) Program.
Adds contact information for the MNCAA program.
Chapter 17 - Household Composition
l Section 17.20 - Adding a Household Member.
Updates to this section clarify that if adding a household member results in a new basis of eligibility, the new basis will be effective the first of the month the member moves into the household.
l Section 19.25.35.10 - Client-Funded Trusts.
Information added regarding evaluating this type of trust to determine if an uncompensated transfer has occurred.
l Section 19.25.50 - Student Financial Aid.
Adds information on how to treat assets in a Coverdell Education Savings Account (ESA).
l Section 19.40 - Transfers.
Updates explain that in addition to evaluating transfers in the lookback period, transfers made while receiving MA payment of LTC services also need to be evaluated.
l Section 19.40.05 - Purchases as Transfers.
This section is renumbered from 19.40.20 and reorganized.
l Section 19.40.10 - Date of Transfer.
Updates to this section clarify the date for transfers from trusts and refer to the annuity section for annuity transactions.
l Section 19.40.15 - Lookback Period.
Incorporated Bulletin 09-21-01, "DHS Phases In 60-Month Lookback Period for Non-Trust Transfers."
l Section 19.40.20 - Transfer Exceptions.
This section is renumbered from 19.40.05.
l Section 19.40.20.05 - Transfers Made for Purposes other than to Qualify for MA.
This section is renumbered from 19.40.05.05 and reorganized. Additionally, an example is clarified regarding a demonstrated history of contributing to an organization.
l Section 19.40.25 - Determining Uncompensated Value.
Updates to this subsection remove information stated elsewhere in the Transfers section.
l Section 19.40.30 - Determining Transfer Penalty.
Updates to this section clarify how to determine the transfer penalty.
l Section 19.40.35 - Applying Transfer Penalty.
Updates to this section clarify when and how to impose a transfer penalty for a person applying for or on an Elderly Waiver (EW) and how to track a transfer penalty when a person will not be on basic MA.
l Section 19.40.40 - Waiver of Transfer Penalty.
This section is renumbered from 19.40.45. Additions clarify when an imminent threat exists along with added examples.
Archived Sections:
l Section 19.40.40 - Multiple Transfers.
l Section 19.45.45 - Archived Transfer Information.
l Section 20.25.45 - Child Income.
Updates clarify when to exclude earned income of children.
l Section 20.25.55 - Student Financial Aid.
Adds information on how to treat income from a Coverdell ESA.
l Section 20.25.75 - Gift Income.
Clarifies how to treat gift income obtained through fundraisers.
l Section 20.30 - Income Changes.
This section updated to remove mention of manual-monthly spenddown and clarify when verification of income changes is required.
Chapter 21 - Income Calculation
l Section 21.50.50 - Earned Income Disregard - MA Method A.
A clarification to this section explains that the Earned Income Disregard must be applied even if the client would be income-eligible without the disregard.
l Section 21.50.65 - Child Support Deduction.
This section updated to remove mention of manual-monthly spenddown.
Chapter 23 - MA Payment of Long-Term Care (LTC) Services
l Section 23.15.10 - Deductions from LTC Countable Gross Income.
Updates to this section clarify the amount of the Home Maintenance Allowance and when it can be used.
Chapter 24 - Medical Spenddowns
l Section 24.15.25.05 - Remedial Care Expense Deduction.
This section updated to include the distinction between Residential Living Arrangements and Housing with Services Establishments.
l Otherwise Eligible (New).
l Housing with Services Establishment (New).
l Residential Living Arrangement (Revised).