This manual letter lists new and revised material for the Health Care Programs Manual (HCPM). Unless otherwise noted, new and revised instructions are effective April 1, 2009.
This bulletin was incorporated into the following sections:
l Section 09.05.05 - Inconsistent Information.
l Section 21.10 - MinnesotaCare Income Calculation.
l Section 21.10.05 - MinnesotaCare Income Worksheet (New).
Chapter 02 - Minnesota Health Care Programs.
Most sections are slightly modified based on a regularly-scheduled review.
Chapter 14 - Living Arrangements.
Most sections are slightly modified based on a regularly-scheduled review.
The self-employment sections of Chapter 20 are updated based on a regularly-scheduled review.
Chapter 21 - Income Calculation (Community).
Most sections are slightly modified based on a regularly-scheduled review.
Chapter 03 - Eligibility Groups and Bases of Eligibility.
Bulletin #08-21-05, "Clarifications for MinnesotaCare Income Calculation and Redesigned Income Worksheet"
n Section 09.05.05 - Inconsistent Information.
Chapter 21 - Income Calculation (Community)
n Section 21.10 - MinnesotaCare Income Calculation.
n Section 21.10.05 - MinnesotaCare Income Worksheet (New).
Chapter 02 - Minnesota Health Care Programs
This chapter was updated based on regularly-scheduled review.
l Section 02 - Minnesota Health Care Programs (MHCP).
n No policy changes.
n Adds the words ”home and community-based” to all references to waiver programs to differentiate from other human services waivers.
n Minor rewording for clarification.
l Section 02.05 - Hierarchy of Major Programs.
n No policy changes.
n Deleted paragraph that refers to spenddowns as a form of cost-sharing, which is defined differently from a spenddown.
n Added Transitional MinnesotaCare to the Summary of Hierarchy.
n Minor rewording for clarification.
Chapter 14 - Living Arrangements
l Section 14 - Living Arrangements.
n Provides information about living arrangements that are considered community settings and those that are facility living arrangements.
n Moved the community living arrangement information to this page from section 14.05.
n Adds information about types of facilities.
l Section 14.05 - Institutions for Mental Diseases (IMD).
n Formerly 14.10.10.
n Defines what is considered an IMD and explains importance of coding MMIS with correct living arrangement codes.
n Removes duplicative information about adult enrollees who are in IMDs that is in Chapter 3.
l Section 14.10 - Long-Term Care Facilities (LTCF).
n Formerly 14.10.15.
n Removes duplicative information that is in Chapter 3.
n Removes information about Long-Term Care Consultations that is available in Chapter 23.
n Adds that an MA enrollee who is absent from a LTCF on a leave day is still considered to be residing in a LTCF.
l Section 14.15 - Correctional Facilities.
n Formerly 14.10.20.
n Revises information to differentiate between applicants and enrollees who reside in correctional facilities.
n Clarifies that a MinnesotaCare enrollee who is incarcerated remains eligible for coverage until the next renewal.
n Note added to inform that MA enrollees who reside in a correctional facility for no more than 12 consecutive months may request to have coverage reopened upon release from the facility through a shorted process. A link to the bulletin explaining this process is provided.
l Section 14.20 - Other Facilities.
n Formerly 14.10.25.
n Adds information explaining non-negotiated rate facilities.
n Adds information about Title IV-E certified facilities
Archived Chapter 14 sections:
n Section 14.05 - Community Living Arrangements.
Information has been incorporated into section 14.00.
n Section 14.10 - Facility Living Arrangements
Information has been incorporated into the pages for the specific facility living arrangements.
n Section 14.10.05 - Children in Facilities.
Information has been incorporated into the section dealing with the specific type of facility.
l Section 20.25.20 - Self-Employment Income.
n No policy changes.
n Removes income calculation information and moves it to Chapter 21, Income Calculation.
n Provides links to the MinnesotaCare and MA/GAMC self-employment pages for more specific information.
l Section 20.25.20.05 - MinnesotaCare Self-Employment Income.
n No policy changes.
n Replaces ”Definitions” subsection with links to the pertinent glossary definitions throughout this section.
n Adds chart listing types of self-employment and the tax forms required for each type.
n Adds general overview of self-employment calculation steps.
n Rewords several paragraphs to clarify policy.
l Section 20.25.20.10 - MA/GAMC Self-Employment Income.
n No policy changes.
n Rewords the first paragraph to clarify that calculating self-employment differs for non-farm self-employed and farm self-employed businesses.
n Replaces ”Definitions” subsection with links to the pertinent glossary definitions throughout this section.
n Minor wording changes for clarification.
Chapter 21 - Income Calculation (Community)
This chapter was updated based on regularly-scheduled review.
l Section 21 - Income Calculation (Community).
n No policy changes.
n Reworded to align terminology throughout the chapter.
n Eliminates the unnecessary use of ”countable” and instead uses gross or net income, as appropriate.
n Adds additional information on net income.
n Clarifies to use gross income for GAMC, GHO and Transitional MinnesotaCare and adds information on these income standards.
l Section 21.05 - Certification Period.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.10 - Determining Gross Income - MinnesotaCare.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.10.05 - MinnesotaCare Income Worksheet (New).
Provides step-by-step information for completing the new worksheet.
l Section 21.15 - MA/GAMC Gross Income Determination.
n No policy changes.
n Removes definitions and provides links to the glossary where appropriate.
n Explains change in procedure on entering unvarying income in MAXIS.
n Reworded to align terminology throughout the chapter.
l Section 21.20 - MinnesotaCare Income Calculation.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.20.05 - Excess Income - MinnesotaCare.
n No policy changes.
n Minor rewording to align terminology throughout the chapter.
n Clarifies that income changes must be evaluated to determine if an increase causes ineligibility.
n Removes the definition for Minnesota Comprehensive Health Association (MCHA) and adds a link to this term to the glossary.
l Section 21.25 - MA Method A Income Calculation.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.30 - MA Method B Income Calculation.
n No policy changes.
n Reworded to align terminology throughout the chapter.
n Adds a work expense deduction from earned income for blind basis of eligibility.
n Clarifies the Impairment-related Work Expense deduction for people whose disability is blindness.
l Section 21.35 - Medicare Savings Programs Income Calculation.
n No policy changes.
n Reworded to align terminology throughout the chapter.
n Adds a work expense deduction from earned income for blind basis of eligibility.
n Clarifies the Impairment-related Work Expense deduction for people whose disability is blindness.
l Section 21.40 - MA-EPD Income Calculation.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.45 - GAMC and GHO Income Calculation.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.50.05 - Disabled Widow and Widower Disregard.
n No policy changes.
n Clarifies that this disregard is available to a widow or widower ages 50 to 65.
n Clarifies that Medicare Savings Program enrollees may not use this deduction.
l Section 21.50.10 - Widow and Widower Disregard.
n No policy changes.
n Corrected the last two statements under Conditions for Use from ”MA” to ”MSA” to read, ”Was eligible for SSI or MSA ” and ”Lost eligibility for SSI or MSA”
l Section 21.50.15 - Pickle Disregard.
n No policy changes.
n Corrected Pickle Threshold Date.
n Added MAXIS work-around to accommodate corrected Threshold date.
n Reworded to align terminology throughout the chapter.
l Section 21.50.15.05 - COLA Chart for Pickle Disregard.
n No policy changes.
n Corrects COLA amount for 2000 from 1.024 to 1.025.
n Adds COLA amounts for years 1977 - 1981.
n Reworded to align terminology throughout the chapter.
l Section 21.50.20 - Disabled Adult Child (DAC) Disregard.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.50.25 - RSDI COLA Disregard.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.50.35 - Standard Deduction.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.50.40 - Blind and Disabled Student Child Disregard.
n No policy changes.
n Clarifies policy on who is considered a student.
n Reworded to align terminology throughout the chapter.
l Section 21.50.45 - Work Expense Deduction.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.50.50 - MA Method A Earned Income Disregard.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.50.55 - MA Method B Earned Income Disregard.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.50.60 - Dependent Care Deduction.
n No policy changes.
n Reworded to align terminology throughout the chapter.
l Section 21.50.65 - Child Support Deduction.
n No policy changes.
n Changed ”non-custodial parents” to ”obligors” based on current usage in child support.
n Reworded to align terminology throughout the chapter.
Chapter 03 - Eligibility Groups and Bases of Eligibility
n Section 03.25.20 - MA for Children in Foster Care.
Clarifies that children in foster care who have a six-month spenddown are eligible effective the date the spenddown is met (satisfaction date).
n Section 07.15 - Who May Apply.
Clarifies requirements for a guardian or conservator acting as an authorized representative.
n Section 07.15.10 - Authorized Representatives.
m Clarifies the role of the agency and power of attorney in determining and acting as the authorized representative.
m Adds information about termination or revocation of a power of attorney.
Chapter 13 - State and County Residence
n Section 13.20 - Temporary Absence.
Clarifies that the time limit for a temporary absence depends on the reason for the absence.
n Section 19.35.05 - MinnesotaCare Excess Assets.
Clarifies the example by adding that Susan has a household size of one.
n Section 19.50 - Liens and Estate Recovery.
Replaces ”Definitions” subsection with links to the pertinent glossary definitions throughout this section.
n Section A-F.
m Conservator (revised).
n Section G-L.
m Gross income (revised).
m Guardian (new).
m Legal Guardian (deleted).
n Section M-R.
m Obligor (new).