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SPD Manual Letters

Manual Letter #43

Effective Date: January 1, 2009
Reference: CAF Administrative Rules Manual Letter #50

Manual changes are summarized below. Click on the related links and the change will be indicated with red text or a red line to the right of the text (you may need to scroll to find the related policy change). There is no red indication for the corresponding changes to the Administrative Rules.

Manual

Change

Section/Item

Rule Change

Counting Client Assets

Pooled trusts. Amended to provide that the amount paid to the state upon termination of the trust can be reduced only by administrative costs directly related to administering the beneficiary's sub-trust account.

B.73 461-145-0540
Glossary Initial month for a disqualifying transfer is the month in which the applicant would have been eligible had it not been for the disqualifying transfer of assets. Initial month 461-001-0000
QMB A signed application is no longer necessary for a redetermination of QMB eligibility. B.4
F.5
461-115-0050
  Added a notice section related to applications. B.12 N/A
  Moved all redetermination policy from the Application (section B) to Issuing Benefits and Changes (section F) F.5 N/A
OSIP

Added a notice section related to applications.

B.9

461-160-0550
461-160-0551

 

The following program standards increased based on the cost-of-living increase:

  • Income standards
  • Room and board and PIF rates
  • Community spouse resource allowance minimum and maximum
  • Community spouse maximum monthly income allowance
  • Shelter-in-kind standards
  • Pickle standards
E.2
E.4
E.8
WG.2
WG.6
WG.8
WG.9
WG.12
SPD WG E.5
461-155-0250
461-155-0270
461-155-0300
461-160-0550
461-160-0551
461-160-0580
461-160-0620
  Added a new section on medical costs. Included coding and notice procedures. Also, weight management programs will be allowed as a medical deduction for OSIPM (it is also allowable for FS). It must be used under the direction of this individual’s physician and may not exceed $50. E.6 N/A
  Clients with a court order spousal allowance may waive the requirement for income to be considered first if the Department determines that the resulting community resource allowance would create an undue hardship on the spouse of the client. E.8 461-160-0580
  Moved all redetermination policy from the Application (section B) to Issuing Benefits and Changes (section F). A signed application is not longer necessary for redetermination of OSIPM eligibility. F.5 461-115-0050
  PMDDT. Added information on administrative examinations for the purpose of determining if an applicant is eligible for Medicaid based on disability. WG.4 N/A
SPD Worker Guide Updates to the Alternate Format WG. New LP forms added. Reorganized A.2 N/A
  Updated the Eligibility and Application Processes with the new redetermination process. B.8 461-115-0050
  Updated the replacement check procedures to align with the DHS procedures. F.6 N/A
  10-day calendar updated for 2009. G.7 N/A
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