This manual letter lists new and revised material for the Health Care Programs Manual. Unless otherwise noted, new and revised instructions are effective January 1, 2011.
Chapter 03 - Eligibility Groups and Bases of Eligibility.
Revisions to multiple sections in this chapter.
Chapter 09 - Verification Requirements.
Updates information on MinnesotaCare fraud investigators.
Chapter 15 - Third-Party Liability.
Additions clarify high deductible health plans.
Clarifies the asset assessment determination process and updates information on the long-term care home equity limit.
Chapter 22 - Standards and Guidelines
Updates information on the long-term care home equity limit.
Chapter 23 - MA Payment of Long-Term Care (LTC) Services.
Updates information on the community spouse income calculation and the long-term care home equity limit.
Chapter 29 - Quality Assurance.
Updates information on MinnesotaCare fraud investigators.
Contains new and revised terms.
Chapter 03 - Eligibility Groups and Bases of Eligibility
l Section 03.25.10 - Medical Assistance for Auto Newborns.
Updates to this section clarify household composition.
l Section 03.30.10 - Medical Assistance for People with Blindness.
Information on MnDHO removed. MnDHO ends effective December 31, 2010.
l Section 03.30.15 - Medical Assistance for People with a Disability.
Information on MnDHO removed. MnDHO ends effective December 31, 2010.
l Section 03.35 - Medicare Savings Programs.
Information added describing how clients can have their SSA application forwarded to DHS for an MA eligibility determination.
l Section 03.45.35 - Minnesota Family Planning Program.
Added information on insurance and benefit recovery.
Chapter 09 - Verification Requirements
l Section 09.05.05 - Inconsistent Information.
Updates location information for MinnesotaCare fraud investigation unit.
l Section 15.10.05 - Cost Effective Health Care Coverage.
Modifications clarify information on high deductible health plans.
l Section 19.35.10 - MA and GAMC Excess Assets.
Adds information on enrollees requesting MA payment of LTC services.
l Section 19.40.35 - Imposing a Transfer Penalty.
Adds link to section 19.50, Liens and Estate Recovery, for additional circumstances when a cause of action may be filed.
l Section 19.45 - Asset Assessment.
Updates asset assessment section based on policy review.
l Section 19.45.05 - Community Spouse Asset Allowance.
Provides clarification to determine the community spouse asset allowance.
l Section 19.45.10 - Determining Asset Eligibility for the LTC Spouse.
This revised section details the process of determining asset eligibility for the LTC spouse.
l Section 19.45.15 - Additional Assets to Meet the Community Spouse’s Monthly Maintenance Needs (New).
This new section describes steps to determine if the community spouse qualifies for additional assets and provides examples.
l Section 19.55 - Long-Term Care Home Equity Limit.
l Section 19.55.05 - Home Equity Limit Analysis.
l Section 19.55.10 - Applying the Home Equity Limit.
l Section 19.55.15 - Home Equity Limit Exceptions.
l Section 19.55.20 - Calculating Home Equity Interest.
l Section 19.55.25 - Agricultural Homestead.
l Section 19.55.25.05 - Agricultural Homestead Analysis.
Sections 19.55 through 19.55.25.05 are updated with the new home equity limit in effect January 1, 2011.
Chapter 22 - Standards and Guidelines
l Section 22 - Standards and Guidelines.
Updated with new home equity limit information effective January 1, 2011.
l Section 22.65 - Home Equity Limit (New).
New home equity limit information effective January 1, 2011.
l Section 23 - MA Payment of Long-Term Care (LTC) Services.
Updated with new home equity limit information effective January 1, 2011.
l Section 23.15.10 - Deductions from LTC Countable Gross Income.
Information was moved from this section to 23.15.10.05 - Community Spouse Income Allocation.
l Section 23.15.10.05 - Community Spouse Income Allocation.
This page now lists all information related to the community spouse income allocation.
l Section 29.10 - Fraud.
Updates location information for MinnesotaCare fraud investigation unit.
l Basic Medical Assistance (MA) (New).
l Community Spouse (Revised).
l Community Spouse’s Monthly Maintenance Needs (New).
l Continuous LTC/EW Period (Deleted).
l Continuous Period of Institutionalization (New).
l Flexible Spending Arrangements (FSA) (New).
l Health Reimbursement Arrangement (HRA) (New).
l Health Savings Account (HSA) (New).
l High Deductible Health Plan (HDHP) (New).
l Long-term Care Facility (LTCF) (Revised).
l Long-term Care Spouse (Revised).
l Medical Savings Account (MSA) (New).
l Voluntary Employees’ Beneficiary Association (VEBA) (New).