This manual letter lists new and revised material for the Health Care Programs Manual. Unless otherwise noted, new and revised instructions are effective February 1, 2011.
This manual letter incorporates bulletins #10-14-01, “HIV/AIDS Programs (Program HH) Update” and #10-21-09, “Legislative Changes to MA Eligibility for Certain Noncitizen Children and Pregnant Women."
This manual letter incorporates the sections of bulletin #10-21-06, "2010 Legislative Changes to GAMC,” that announced the end of the GAMC Hospital Only (GHO) and Transitional MinnesotaCare programs. References to these two programs are removed from all sections within the manual. Please note that other sections of bulletin #10-21-06 that describe GAMC eligibility and program changes have not been incorporated. For the most current policy information regarding the GAMC program, continue to reference bulletin #10-21-06, as well as bulletins #10-21-07, “Legislative Changes to GAMC Effective June 1, 2010,” #10-21-16, “DHS Provides Updates on GAMC Reform Including Impacts on MinnesotaCare,” and #10-21-19, “Changes to GAMC Eligibility.”
Chapter 03 - Eligibility Groups and Bases of Eligibility
Incorporates bulletin #10-21-09. Also clarifies the start dates for SLMB.
Chapter 04 - Social Security Administration Benefits
Clarifies the annual election period for Medicare and introduces the Part C disenrollment period.
Chapter 11 - Citizenship and Immigration Status
Incorporates bulletin #10-21-09.
Chapter 15 - Third Party Liability
Clarifies that health care coverage available to adults age 21 and over through a parent’s employer is not considered Employer-Subsidized Insurance (ESI).
Chapter 18 - Deeming Income and Assets.
Incorporates bulletin #10-21-09.
Chapter 22 - Standards and Guidelines
Updates the IRS mileage rate to 51 cents per mile for 2011.
Chapter 29 - Quality Assurance
Updates clarify revenue recapture process.
Incorporates bulletin #10-14-01.
Adds new term “Lawfully Present Noncitizen.”
Chapter 03 - Eligibility Groups and Bases of Eligibility
l Section 03.25.05 - MA for Pregnant Women.
Incorporates bulletin #10-21-09.
l Section 03.25.15 - MA for Children Under 21.
Incorporates bulletin #10-21-09.
l Section 03.35.10 - Services Limited Medicare Beneficiary (SLMB).
Clarifies the eligibility start date for SLMB.
l Section 03.45.05 - Emergency MA (EMA).
Clarifies the period of time EMA covers for labor and delivery.
The following pages were archived due to the elimination of the GAMC Hospital Only (GHO) and Transitional MinnesotaCare programs:
l Section 03.50.05.05 - GAMC Qualifiers.
l Section 03.50.10 - GHO.
l Section 03.55 - Transitional MinnesotaCare.
l Section 03.55.05 - Renewals for Transitional MinnesotaCare.
Chapter 04 - Social Security Administration Benefits
l Section 04.40 - Medicare.
Updates the annual election period and introduces the new Part C disenrollment period.
Chapter 11 - Citizenship and Immigration Status
l Section 11 - Citizenship and Immigration Status.
Incorporates bulletin #10-21-09.
l Section 11.10 - Verification of Immigration Status.
Incorporates bulletin #10-21-09.
l Section 11.10.05 - SAVE.
Incorporates bulletin #10-21-09.
l Section 11.20 - Federally Funded Health Care.
Incorporates bulletin #10-21-09.
l Section 11.20.30 - Trafficking Victims.
Incorporates bulletin #10-21-09.
l Section 11.30.05 - Other Lawfully Present Noncitizens.
Incorporates bulletin #10-21-09.
l Section 11.30.10 - Undocumented and Nonimmigrant People.
Incorporates bulletin #10-21-09.
l Section 11.30.10.05 - Micronesians, Marshall Islanders and Palauans.
Incorporates bulletin #10-21-09.
Chapter 15 - Third Party Liability (TPL)
l Section 15.05 - MinnesotaCare Other Health Care Coverage Barriers.
Clarifies that workers should not request information from adults age 21 and over about health care coverage they may have available through their parents.
l Section 15.05.20 - Employer-Subsidized Insurance (ESI).
Clarifies that health care coverage available to an adult age 21 and over through a parent’s employer plan is not considered ESI and workers should not verify potential access to this coverage.
l Section 15.10 - Other Health Care Coverage - MA and GAMC.
Adds example to clarify that adults age 21 and over with insurance available through a parent's employer are not required to provide information about the insurance since they cannot enroll in it on their behalf.
l Section 15.10.05 - Cost Effective Health Care Coverage - MA.
Clarifies that an MA enrollee cannot be closed for failure to cooperate with enrolling an adult child in their employer's health plan.
Chapter 18 - Deeming Income and Assets
l Section 18.05 - Sponsor Deeming.
Incorporates bulletin #10-21-09.
l Section 18.05.05 - Sponsor Deeming Program Provisions.
Incorporates bulletin #10-21-09.
l Section 22.30 - IRS Mileage Rate.
Increases IRS mileage rate effective January 1, 2011, to 51 cents per mile.
Chapter 29 - Quality Assurance
l Section 29.15.05 - Overpayment Notification and Collection.
Clarifies proper use of revenue recapture to collect overpayments.
l Section 30.10 - Medical Needs.
Incorporates bulletin #10-14-01.
l Lawfully Present Noncitizen (New).