Home > Manual Letters > 2010 > Manual Letter 34 (May 2010)
This manual letter lists new and revised material for the Health Care Programs Manual. Unless otherwise noted, new and revised instructions are effective May 1, 2010.
Chapter 03 - Eligibility Groups and Bases of Eligibility.
Updates to this chapter clarify the exceptions to creditable coverage for MA-BC applicants and enrollees. Also clarifies that asset transfers by applicants, enrollees or their spouses could result in a transfer penalty for the waiver programs.
Chapter 11 - Citizenship and Immigration Status.
Changes to this chapter clarify the documentation requirements.
Chapter 15 - Third Party Liability.
Clarification made regarding past access to ESI.
Clarifications made in the sections related to trusts.
Minor clarifications to several sections.
Chapter 23 - MA Payment of Long-Term Care (LTC) Services.
Changes incorporate information from bulletin #10-21-04, "Modified Requirements for the MA Deduction for Medical Expenses in the LTC Income Calculation."
Chapter 03 - Eligibility Groups and Bases of Eligibility
l Section 03.40.05 - Community Alternative Care (CAC).
Change to Asset Guidelines to clarify that asset transfers by applicants, enrollees or their spouses could result in a transfer penalty.
l Section 03.40.10 - Community Alternatives for Disabled Individuals (CADI).
Change to Asset Guidelines to clarify that asset transfers by applicants, enrollees or their spouses could result in a transfer penalty.
l Section 03.40.15 - Developmental Disabilities (DD).
Change to Asset Guidelines to clarify that asset transfers by applicants, enrollees or their spouses could result in a transfer penalty.
l Section 03.40.20 - Traumatic Brain Injury (TBI).
Change to Asset Guidelines to clarify that asset transfers by applicants, enrollees or their spouses could result in a transfer penalty.
l Section 03.40.25 - Elderly Waiver (EW).
Change to Asset Guidelines to clarify that asset transfers by applicants, enrollees or their spouses could result in a transfer penalty.
l Section 03.45.30 - MA for Breast/Cervical Cancer (MA-BC).
Clarifies the exception to creditable coverage for MA-BC applicants and enrollees.
Chapter 11 - Citizenship and Immigration Status
l Section 11.05.10 - Process for Documentation of U.S. Citizenship and Identity.
Deletes repetitive language under Worker Checklist and Case Notes.
Chapter 15 - Third Party Liability
l Section 15.05 - MinnesotaCare Other Health Care Coverage Barriers.
Clarifies that people who have had access to employer-subsidized insurance (ESI) through a current employer at any time in the preceding 18 months are not eligible for MinnesotaCare.
l Section 19.20 - Verification of Assets.
Adds information about verification of trusts.
l Section 19.25.30.15 - Evaluation of Annuities under Transfer Policy.
Clarifies to use Method 2 transfer analysis if the annuity was purchased with funds of the person and his or her spouse within the lookback period or while receiving MA.
l Section 19.25.35.05 - Identifying Types of Trusts.
Separates the information about Special Needs and Pooled trusts to help clarify that these are two different types of trusts.
l Section 19.25.35.10 - Client-Funded Trusts.
n Clarifies when to count trust assets.
n Provides clarification about the waiver of trust value.
l Section 19.25.35.25 - Pooled Trusts.
Clarifies that distributions upon trust sub-account termination applies to the amount not retained by the trust, up to the amount of medical expenses paid through MA on the client’s behalf.
l Section 19.25.35.30 - Third Party Established and Funded Trusts.
n Clarifies when a trust created by a will becomes viable.
n Clarifies the verification requirements.
l Section 19.25.35.35 - Supplemental Needs Trusts.
Clarifies the verification requirements for Supplemental Needs Trusts.
l Section 19.35.10 - MA and GAMC Excess Assets.
Removes out-of-date references to POLI - Temp sections.
l Section 20.25 - Earned and Unearned Income.
Clarifies how to determine total unemployment compensation (UC) income received in 2009. The first $2,400 of UC received in 2009 is not taxable and will not appear on an individual’s IRS form 1040.
l Section 20.25.25 - Seasonal Income.
Clarifies how to determine total unemployment compensation (UC) income received in 2009. The first $2,400 of UC received in 2009 is not taxable and will not appear on an individual’s IRS form 1040.
l Section 23.15.10 - Deductions from LTC Countable Gross Income.
Deletes the reference to bulletin #10-21-04, "Modified Requirements for the MA Deduction for Medical Expenses in the LTC Income Calculation" in this section. Provides a link to detailed information regarding medical expenses in a new section.
l Section 23.15.10.15 - Medical Expense Deduction in the LTC Income Calculation (New).
New section to incorporate changes from bulletin #10-21-04, "Modified Requirements for the MA Deduction for Medical Expenses in the LTC Income Calculation."
l Section 23.15.15 - Verification of Medical Expenses (New).
New section to incorporate changes from bulletin #10-21-04, "Modified Requirements for the MA Deduction for Medical Expenses in the LTC Income Calculation."