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Effective: December 1, 2006 |
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03.45.15ar1 - Center for Victims of Torture (CVT) (Archive) |
Archived May 1, 2007 |
People who are not eligible for federally or state-funded Medical Assistance (MA) may be eligible for state-funded MA (program NM) if they are receiving care and rehabilitation services from the Center for Victims of Torture (CVT) .
First, determine MA eligibility under standard program guidelines. Applicants are potentially eligible for program NM while they are receiving CVT services if they are otherwise ineligible for federally funded or state-funded MA because of any of the following:
l Citizenship/immigration status.
l Assets.
l Income in excess of the standard to qualify without a spenddown .
l Lack of an MA basis of eligibility.
Example:
Olga submits a HCAPP, and indicates that she is receiving CVT services. However, she meets all eligibility requirements for federally funded MA as a parent/caretaker, so the worker approves MA under that basis. Two months later, her only child moves to his father's household. Olga does not have another MA basis of eligibility.
Action:
Request verification from Olga that she is still receiving CVT services. If so, approve program NM for the period in which she receives the services.
Eligibility factors are listed below with any information that is unique for this group. Links to standard program guidelines are included as well.
Citizenship/Immigration Status.
Insurance and Benefit Recovery.
Relationship to Other Groups/Bases.
Other Groups/Bases to Consider.
Application Process (standard guidelines)
Follow standard MA guidelines.
The earliest possible begin date is the month in which CVT services began. Approve program NM for the period of CVT services.
Note: This may include up to three months of retroactive eligibility.
Renewals (standard guidelines)
Verify continued receipt of CVT services at each renewal.
Request a copy of the CVT acceptance letter dated within the past 30 days. If the applicant submits an acceptance letter more than 30 days old, request updated verification to determine if the applicant is still receiving services.
Example:
Raoul submits a HCAPP. He includes a CVT acceptance letter dated within 30 days of the date of application. He is an undocumented noncitizen and ineligible for MA.
Action:
Approve program NM for the period in which Raoul receives CVT services.
Do not require verification of receipt of CVT services for people who are eligible for federally or state-funded MA under another basis of eligibility. MA will pay for covered services received through CVT.
Social Security Number (standard guidelines)
Undocumented people and non-immigrants who receive state-funded MA because they receive CVT services are not required to provide SSNs.
People who receive CVT services and are not otherwise eligible for federally or state-funded MA may be eligible for program NM regardless of their date of entry into the U.S., including those with an undocumented or non-immigrant status.
Do not use the Systematic Alien Verification for Entitlements (SAVE) system for people whose eligibility is based solely on receipt of CVT services.
Residency (standard guidelines)
Follow standard MA guidelines.
Follow standard MA guidelines.
Household Composition (standard guidelines)
Follow standard MA guidelines.
Not applicable. Because there is no income or asset test, no evaluation method is needed.
Asset Guidelines (standard guidelines)
There is no asset limit.
There is no income limit.
Deductions/Disregards (standard guidelines)
There is no income limit.
There is no income limit.
Covered Services (standard guidelines)
Follow standard MA guidelines.
Enrollees receiving CVT services are excluded from managed care enrollment.
When you identify a case in which an enrollee is receiving CVT services, contact the MAXIS Help Desk to request security. Only the primary and secondary workers, mentors, and supervisors will have access to these cases. Once the Help Desk has established security, the primary worker may add a secondary worker.
l In SPEC/XFER, select "Transfer Information" or "Transfer County to County" and transmit. PF9 to edit the panel.
l Add the secondary worker number after the "Servicing Worker" number.
Note: The security will remain as long as the case is active on MAXIS, regardless of whether the person continues to receive CVT services.
In MAXIS and MMIS, use eligibility type "GS" for people who are eligible for program NM due to the receipt of CVT services. See POLI/TEMP TE02.07.061 for further system coding information.
If CVT services end and the person is not otherwise eligible for MA, terminate program NM. Consider eligibility for GAMC or MinnesotaCare.
Relationship to Other Groups/Bases (standard guidelines)
If current enrollees indicate they have begun receiving CVT services:
l If they remain eligible for MA under their current basis, take no action.
l If MA eligibility ends, request verification of continued CVT services. Approve program NM while the CVT services continue.
Example:
Keisha receives MA. At the time of her annual renewal, she reports increased income. She is unable to meet a spenddown for continued eligibility. She submits a current CVT acceptance letter.
Action:
Approve program NM for the period of CVT services.
See the beginning of this section. Determine eligibility for MA under standard program guidelines before approving state-funded MA due to receipt of CVT services.