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Adult Assistance Manual
INTRODUCTION
Introduction
How To Use This Manual
How This Manual Is Updated
Navigating the Adult Assistance Manual
100 CASE PROCESSING
100 CASE PROCESSING
101 INDIVIDUAL RIGHTS AND RESPONSIBILITIES
101 INDIVIDUAL RIGHTS AND RESPONSIBILITIES
101.01 Individual Rights
101.03 Individual Responsibilities
103 NONDISCRIMINATION
103 NONDISCRIMINATION
103.01 Primary Language Data Collection
105 COMPLIANCE WITH REQUIREMENTS
105 COMPLIANCE WITH REQUIREMENTS
105.01 Eligibility Determinations
105.03 Eligibility Reviews
105.05 Failure to Comply
105.07 Willful Withholding of Information
107 PROVIDING VERIFICATION
107 PROVIDING VERIFICATION
109 APPLICATION PROCESS
109 APPLICATION PROCESS
109.01 Filing an Application
109.03 Processing a Filed Application
109.07 Withdrawal of a Request for Assistance
109.09 Reuse of Forms 800, 800HR, and 800Q After Denial or Closing (AAM)
109.11 Application for Retroactive Medical Assistance or SLMB (AAM)
109.11 Application for Retroactive Medical Assistance, SLMB or SLMB135 (AAM)
109.11 Application for Retroactive Medical Assistance, QDWI, SLMB, or SLMB135 (AAM)
109.13 Choice of Assistance
109.15 Concurrent Receipt of Financial Assistance
111 AUTHORIZED REPRESENTATIVES (AR)
111 AUTHORIZED REPRESENTATIVES (AR)
111.01 AR Acting in Place of the Individual
111.03 AR Signature Required
111.05 AR Documentation Required
113 PROTECTIVE PAYEES
113 PROTECTIVE PAYEES
113.01 Mismanagement of Funds
113.03 Protective Payee Criteria
113.05 Protective Payee Responsibilities
115 VENDOR PAYEES
115 VENDOR PAYEES
116 APPLICATION PROCESSING TIME FRAMES
116 APPLICATION PROCESSING TIME FRAMES
117 JOINT APPLICATIONS
117 JOINT APPLICATIONS
117.01 When Eligibility is Uncertain
119 BENEFIT DELIVERY TIME FRAMES
119 BENEFIT DELIVERY TIME FRAMES
119.01 Initiation of Medical Assistance
119.03 Initiation of QMB and SLMB (AAM)
119.03 Initiation of QMB, SLMB and SLMB135 (AAM)
119.03 Initiation of QMB, QDWI, SLMB and SLMB135 (AAM)
121 INTERVIEWS
121 INTERVIEWS
121.01 Interview Sites
121.03 Failure to Appear for an Interview
123 PENDING INFORMATION
123 PENDING INFORMATION
125 ELIGIBILITY DETERMINATIONS
125 ELIGIBILITY DETERMINATIONS
127 LENGTH OF ELIGIBILITY
127 LENGTH OF ELIGIBILITY
129 PROVIDING NOTICES TO INDIVIDUALS
129 PROVIDING NOTICES TO INDIVIDUALS
131 NOTIFYING LOCAL WELFARE OFFICERS
131 NOTIFYING LOCAL WELFARE OFFICERS
133 NOTICES OF DECISION (NOD)
133 NOTICES OF DECISION (NOD)
135 ADVANCE NOTICE PERIOD (ANP)
135 ADVANCE NOTICE PERIOD (ANP)
135.01 Fair Hearing Requests and the ANP
135.03 No ANP Required
135.05 Five-Day ANP
135.07 30-Day ANP
137 COMPLAINTS AND FAIR HEARINGS
137 COMPLAINTS AND FAIR HEARINGS
139 CHANGES
139 CHANGES
139.01 Reporting Requirements
139.03 What to Report
139.05 How to Report
139.07 When to Report
139.09 Notifying Individuals of Reporting Requirements
141 ACTIONS ON CHANGES
141 ACTIONS ON CHANGES
143 CHANGES THAT INCREASE BENEFITS
143 CHANGES THAT INCREASE BENEFITS
145 CHANGES THAT DECREASE BENEFITS
145 CHANGES THAT DECREASE BENEFITS
147 MASS CHANGES
147 MASS CHANGES
149 ADDITION OF AN INDIVIDUAL
149 ADDITION OF AN INDIVIDUAL
151 FAILURE TO REPORT A CHANGE
151 FAILURE TO REPORT A CHANGE
153 DESK REVIEWS
153 DESK REVIEWS
155 REDETERMINATION
155 REDETERMINATION
155.01 Timely Notice
155.03 Termination at Redetermination
155.05 Required Verification for Redetermination
157 TERMINATION OF ASSISTANCE
157 TERMINATION OF ASSISTANCE
159 TERMINATION OF FINANCIAL ASSISTANCE
159 TERMINATION OF FINANCIAL ASSISTANCE
161 TERMINATION OF MEDICAL ASSISTANCE, QMB, AND SLMB
161 TERMINATION OF MEDICAL ASSISTANCE, QMB, AND SLMB (AAM)
161 TERMINATION OF MEDICAL ASSISTANCE, QMB, SLMB and SLMB135 (AAM)
161 TERMINATION OF MEDICAL ASSISTANCE, QMB, QDWI, SLMB and SLMB135 (AAM)
163 REDETERMINATION OF ASSISTANCE FOR INDIVIDUALS DISCHARGED FROM NH HOSPITAL (NHH)
163 REDETERMINATION OF ASSISTANCE FOR INDIVIDUALS DISCHARGED FROM NH HOSPITAL (NHH)
165 EXTENDED MEDICAL ASSISTANCE DUE TO SECTION 1619 STATUS
165 EXTENDED MEDICAL ASSISTANCE DUE TO SECTION 1619 STATUS
165.01 Open Individuals Who Report New or Increased Earnings
165.03 Individuals Who Request Assistance Due to Section 1619 Status
167 EXTENDED MEDICAL ASSISTANCE DUE TO THE PICKLE AMENDMENT
167 EXTENDED MEDICAL ASSISTANCE DUE TO THE PICKLE AMENDMENT
167.01 COLA Income Deduction
167.03 COLA Adjustments Since 1977
167.05 Losing Pickle Status
169 TEMPORARY ADJUSTMENT PERIOD: APTD
169 TEMPORARY ADJUSTMENT PERIOD: APTD
171 TEMPORARY ADJUSTMENT PERIOD: ANB
171 TEMPORARY ADJUSTMENT PERIOD: ANB
173 MINIMUM MANDATORY STATE SUPPLEMENT (MMSS)
173 MINIMUM MANDATORY STATE SUPPLEMENT (MMSS)
175 MEDICAL ASSISTANCE FOR INMATES
175 MEDICAL ASSISTANCE FOR INMATES
175.01 Inmates With an Approaching Release Date
175.03 Inmates Who Become Inpatients in a Medical Facility While Incarcerated
200 PROGRAM CRITERIA
200 PROGRAM CRITERIA
201 GENERAL INFORMATION
201 GENERAL INFORMATION
203 CATEGORICAL REQUIREMENTS
203 CATEGORICAL REQUIREMENTS
205 OLD AGE ASSISTANCE
205 OLD AGE ASSISTANCE
205.01 Verification: OAA
207 AID TO THE NEEDY BLIND
207 AID TO THE NEEDY BLIND
207.01 Verification: ANB
209 AID TO THE PERMANENTLY AND TOTALLY DISABLED
209 AID TO THE PERMANENTLY AND TOTALLY DISABLED
209.01 Verification: APTD
209.03 SGA Adjustments Since 2000
210 MEDICAID FOR EMPLOYED ADULTS WITH DISABILITIES (MEAD)
210 MEDICAID FOR EMPLOYED ADULTS WITH DISABILITIES (MEAD)
210.01 MEAD Medical Criteria (AAM)
210.03 MEAD Employment-Related Requirements (AAM)
210.05 MEAD Good Cause for Loss of Employment (AAM)
210.07 MEAD Income Requirements (AAM)
210.09 MEAD Resource Requirements and Treatments (AAM)
210.11 MEAD-Specific Resources (AAM)
210.13 MEAD Premium Requirements (AAM)
210.15 Good Cause for Non-Payment of MEAD Premiums (AAM)
210.17 Extensions of MEAD Coverage Due to Unemployment (AAM)
210.19 Termination of MEAD (AAM)
211 QUALIFIED MEDICARE BENEFICIARY
211 QUALIFIED MEDICARE BENEFICIARY
211.01 Verification: QMB
212 QUALIFIED DISABLED AND WORKING INDIVIDUAL
212 QUALIFIED DISABLED AND WORKING INDIVIDUAL
212.01 Verification: QDWI
213 SPECIFIED LOW-INCOME MEDICARE BENEFICIARY AND SLMB135
213 SPECIFIED LOW-INCOME MEDICARE BENEFICIARY (AAM)
213 SPECIFIED LOW-INCOME MEDICARE BENEFICIARY AND SLMB135 (AAM)
213.01 Verification: SLMB (AAM)
213.01 Verification: SLMB AND SLMB135 (AAM)
215 RESIDENTIAL CARE FACILITY
215 RESIDENTIAL CARE FACILITY
215.01 Residential Care Facility Payment
215.03 Verification: RCF
217 COMMUNITY RESIDENCE
217 COMMUNITY RESIDENCE
217.01 Community Residence Payment
217.03 Verification: Community Residence
219 NURSING FACILITY
219 NURSING FACILITY
219.01 Verification: Nursing Facility
221 HOME AND COMMUNITY-BASED CARE (HCBC-ECI)
221 HOME AND COMMUNITY-BASED CARE (HCBC-ECI)
221.01 Verification: HCBC-ECI
222 HOME AND COMMUNITY BASED CARE FOR IN HOME SUPPORTS (HCBC-IHS)
222 Home and Community Based Care for in-Home Supports (HCBC-IHS) (AAM)
222.01 Verification: HCBC-IHS (AAM)
223 HOME AND COMMUNITY-BASED CARE (HCBC-DD)
223 HOME AND COMMUNITY-BASED CARE (HCBC-DD)
223.01 Verification: HCBC-DD
224 HOME AND COMMUNITY-BASED CARE (HCBC-ABD)
224 HOME AND COMMUNITY-BASED CARE (HCBC-ABD)
224.01 Verification: HCBC-ABD
225 ASSISTANCE GROUP
225 ASSISTANCE GROUP
225.01 Disqualified Individuals
227 ASSISTANCE GROUP COMPOSITION FOR INDEPENDENT LIVING
227 ASSISTANCE GROUP COMPOSITION FOR INDEPENDENT LIVING
227.01 Assistance Group Size for OAA, ANB, or APTD: Independent Living
229 ASSISTANCE GROUP COMPOSITION FOR GROUP LIVING
229 ASSISTANCE GROUP COMPOSITION FOR GROUP LIVING
230 ASSISTANCE GROUP COMPOSITION FOR HCBC-DD/ABD
230 ASSISTANCE GROUP COMPOSITION FOR HCBC-DD/ABD/IHS (AAM)
230.01 HCBC-DD/ABD/IHS Financial Assistance (AAM)
230.03 HCBC-DD/ABD/IHS Medical Assistance (AAM)
231 ASSISTANCE GROUP COMPOSITION FOR HCBC-ECI
231 ASSISTANCE GROUP COMPOSITION FOR HCBC-ECI
231.01 HCBC-ECI Financial Assistance
231.03 HCBC-ECI Medical Assistance
233 ASSISTANCE GROUP COMPOSITION FOR QMB, QDWI, SLMB, SLMB135, OR SLMB175
233 ASSISTANCE GROUP COMPOSITION FOR QMB OR SLMB (AAM)
233 ASSISTANCE GROUP COMPOSITION FOR QMB, SLMB, OR SLMB135 (AAM)
233 ASSISTANCE GROUP COMPOSITION FOR QMB, QDWI, SLMB OR SLMB135 (AAM)
235 ASSISTANCE GROUP VERIFICATION
235 ASSISTANCE GROUP VERIFICATION
300 NONFINANCIAL CRITERIA
300 NONFINANCIAL CRITERIA
301 RESIDENCY
301 RESIDENCY
301.01 Absence from New Hampshire
301.03 Out-of-State Recipient Moves into New Hampshire
301.05 Verification
303 MEDICAL ASSISTANCE-ONLY - RESIDENCY
303 MEDICAL ASSISTANCE-ONLY - RESIDENCY
303.01 Individuals Incapable of Indicating Intent
303.03 How to Determine Residency for Medical Assistance
305 CITIZENSHIP*
305 CITIZENSHIP*
305.01 Declaration of Citizenship or Alien Status
305.03 Definition of U.S. Citizen
305.05 Verification of Citizenship and Identity
305.07 Determining Qualified Alien Status
305.09 Eligibility for Certain Qualified Aliens
305.11 Qualified Aliens Eligible Without Restriction
305.13 Qualified Aliens with Restricted Eligibility
305.15 Documentation of BCIS Status (AAM)
305.17 Verification of Qualified Alien Status
305.19 When INS Responds Late
305.21 Administrative Appeals (AAM)
305.23 Reporting Illegal Aliens to INS
307 INSTITUTIONS
307 INSTITUTIONS
307.01 Individuals in Designated Receiving Facilities
307.03 Verification
309 SOCIAL SECURITY NUMBERS
309 SOCIAL SECURITY NUMBERS
309.01 SSN Eligibility and Applicant Notification Requirement
309.03 Completing an Application for an SSN
309.05 Verification
311 LIABILITY OF RELATIVES TO SUPPORT
311 LIABILITY OF RELATIVES TO SUPPORT
311.01 Relative's Ability to Contribute
311.03 Cooperation
311.05 Legal Action Against Liable Relatives
313 LEGAL LIABILITY OF COUNTIES
313 LEGAL LIABILITY OF COUNTIES
313.01 Verification
315 DEVELOPING POTENTIAL SOURCES OF INCOME
315 DEVELOPING POTENTIAL SOURCES OF INCOME
315.01 Requirements for Developing Potential Sources of Income
315.03 Application Requirements for Developing Potential Sources of Income
315.05 Cooperation Requirements for Developing Potential Sources of Income
315.07 Good Cause for Not Developing Potential Sources of Income
315.09 APTD Verification Requirements for SSA Denial
315.11 Denial or Termination of Assistance
317 REIMBURSEMENT
317 REIMBURSEMENT
317.01 Reimbursement - Financial Assistance
317.03 Reimbursement - Medical Assistance for Non-Institutionalized Individuals (AAM)
317.03 Reimbursement - Medical Assistance and QMB (AAM)
317.03 Reimbursement - Medical Assistance, QMB, SLMB AND SLMB135 (AAM)
317.03 Reimbursement - Medical Assistance, QMB, QDWI, SLMB AND SLMB135 (AAM)
317.03 Reimbursement - MA, QMB, QDWI, SLMB, SLMB135, and SLMB175
317.04 Reimbursement - MA for Residents of Medical Institutions
317.05 Verification
317.07 Disposal of Property and Conflict of Interest
317.09 Fire Insurance
317.11 Tax Sale
317.13 Death of Recipient and Reimbursements
317.15 Release of Liens
317.17 Recovery Distribution
317.19 Recovery for Medical Assistance Provided-Estates
319 FUGITIVE FELONS AND VIOLATORS OF PROBATION OR PAROLE
319 FUGITIVE FELONS AND VIOLATORS OF PROBATION OR PAROLE
400 RESOURCES
400 RESOURCES
401 GENERAL INFORMATION
401 GENERAL INFORMATION
403 WHOSE RESOURCES COUNT?
403 WHOSE RESOURCES COUNT?
405 TREATMENT OF RESOURCES
405 TREATMENT OF RESOURCES
407 RESOURCE LIMITS
407 RESOURCE LIMITS
407.01 Financial Assistance and Categorically Needy MA
407.03 Medically Needy Medical Assistance
407.05 QDWI Resource Limits
407.07 QMB, SLMB and SLMB 135 Resource Limits
409 VERIFICATION
409 VERIFICATION
411 COMMON TYPES OF RESOURCES
411 COMMON TYPES OF RESOURCES
ANNUITIES
AUTOMOBILE
BANK ACCOUNTS
BONDS
BORROWED MONEY
BURIAL FUND
BURIAL FUND EXCLUSION
BURIAL PLOT
CERTIFICATE OF DEPOSIT
CHECKING ACCOUNTS
CORRECTIVE PAYMENTS
CREDIT UNION ACCOUNTS
DIVIDENDS
HOME
HOUSEHOLD ITEMS
INACCESSIBLE RESOURCE
INCOME-PRODUCING PROPERTY
INDIVIDUAL RETIREMENT ACCOUNT
INTEREST
JOINTLY OWNED PERSONAL PROPERTY
KEOGH PLAN
LIFE ESTATE
LIFE INSURANCE
LIFE INSURANCE OFFSET
LOANS
LUMP SUM DEATH BENEFITS
LUMP SUM EARNED INCOME (RESOURCE)
LUMP SUM PAYMENTS
MEDICAID QUALIFYING TRUST
PLAN FOR ACHIEVING SELF-SUPPORT (PASS)
REAL PROPERTY
SAVINGS ACCOUNT
STOCKS
TRUSTS
SPECIAL NEEDS TRUSTS
TRUSTS USING THE ASSETS OF OTHER PARTIES (AAM)
TRUSTS USING THE ASSETS OF THE INDIVIDUAL OR SPOUSE (AAM)
UNOCCUPIED PROPERTY
VEHICLES
413 LESS COMMON TYPES OF RESOURCES
413 LESS COMMON TYPES OF RESOURCES
CONTINUING CARE RETIREMENT COMMUNITIES (CCRC) (AAM)
EARNED INCOME TAX CREDIT
DISASTER RELIEF EMERGENCY ASSISTANCE
FARM MACHINERY, LIVESTOCK, TOOLS, AND EQUIPMENT
INDIVIDUAL DEVELOPMENT ACCOUNT (IDA)
MEAD PROTECTED EARNED INCOME (EI) RESOURCES (AAM)
RESOURCES EXCLUDED BY FEDERAL MANDATE
SUSAN WALKER V. BAYER CORPORATION ET AL
TAX REFUND
TRUSTS FOR DISABLED INDIVIDUALS
415 TRANSFER OF ASSETS
415 TRANSFER OF ASSETS
415.01 What Is an Asset Transfer?
415.03 Look-back Period for Transfers of Assets
415.05 Transfers by Financial Assistance Applicants or Recipients
415.07 Transfers by an Institutionalized Individual
415.09 Transfers by the Community Spouse of an Institutionalized Individual
415.11 Evaluation of Transfers
415.13 Reasons for Transfers
415.15 Allowable Property Transfers
415.17 Transfer of Assets into a Life Estate
415.19 Transfer of Assets into an Annuity
415.20 Transfer of Assets into a Trust
415.21 Penalty for Transferring Assets - Financial Assistance
415.22 Penalty Period for Transferring Assets - Medical Assistance
415.23 Determining and Applying the Penalty Period
415.25 When a Penalty Period for Transferring Assets Is Not Assessed
415.27 Undue Hardship
415.28 Required Documentation for an Undue Hardship Waiver Application
415.29 Verification of Asset Transfers
417 RESOURCE ASSESSMENT
417 RESOURCE ASSESSMENT
417.01 Entitlement to a Resource Assessment
417.03 Requirements of the Resource Assessment
417.05 Verification Requirement
417.07 Resource Assessment Procedures
417.09 Fair Hearing
417.11 Spenddown of Excess Resources
419 PROTECTION OF RESOURCES
419 PROTECTION OF RESOURCES
419.01 Entitlement to Protection of Resources
419.03 Determining the Protected Resource Amount
419.05 Procedures for Protection of Resources
419.07 Resource Increases During the First Year of Eligibility
419.09 Recomputation of Protected Resources/Spousal Share/Spousal Allowance
419.11 Verification Requirement
420 RESOURCE TABLES
420 RESOURCE TABLES
SSA LIFE EXPECTANCY TABLES: MALE
SSA LIFE EXPECTANCY TABLES: FEMALE
LIFE ESTATE TABLES
500 INCOME
500 INCOME
501 GENERAL INFORMATION
501 GENERAL INFORMATION
503 AVAILABLE INCOME
503 AVAILABLE INCOME
505 WHOSE INCOME COUNTS?
505 WHOSE INCOME COUNTS?
507 TREATMENT OF INCOME
507 TREATMENT OF INCOME
509 VERIFICATION
509 VERIFICATION
509.01 Countable Income
509.03 Excluded Income
511 INCOME TYPES
511 INCOME TYPES
ACTIVE CORPS OF EXECUTIVES (ACE)
ADOPTION SUBSIDIES
ALIMONY
ALLOCATED INCOME
AMERICORPS
ANNUITIES
ASSISTANCE PAYMENT
BENEFITS
BOARDER INCOME
CHILD CARE INCOME
CHILD SUPPORT
COMMISSIONS
CONTRACT INCOME
CONTRIBUTIONS
DEEMED INCOME
DIRECT RELIEF
DIVIDENDS
EARNINGS
EDUCATIONAL INCOME
FEDERAL FUEL ASSISTANCE
FEDERAL WORK AND TRAINING PROGRAMS
FOSTER GRANDPARENT PROGRAM
FOOD STAMPS
FOSTER CARE
INCOME-IN-KIND
INTEREST
LOANS
LUMP SUM EARNED INCOME (INCOME)
LUMP SUM UNEARNED INCOME
OLDER AMERICANS COMMUNITY SERVICE PROGRAM (OACSP)
PLAN FOR ACHIEVING SELF-SUPPORT (PASS)
PENSIONS
RENTAL INCOME
RETIRED SENIOR VOLUNTEER PROGRAM (RSVP)
ROOMER INCOME
ROYALTIES
SALARIES
SCHOLARSHIPS
SELF-EMPLOYMENT
SENIOR CITIZEN COMMUNITY SERVICE EMPLOYMENT INCOME
SERVICE CORPS OF RETIRED EXECUTIVES (SCORE)
SSA BENEFITS
SSDI BENEFITS
SSI BENEFITS
TAX REFUNDS
TIPS
TRUSTS
UNEMPLOYMENT COMPENSATION
VA AID and ATTENDANCE ALLOWANCE
VA BENEFITS
VA $90 NURSING FACILITY PENSION
VISTA
WAGES
WORKER'S COMPENSATION
WORK-STUDY
513 LESS COMMON INCOME TYPES
513 LESS COMMON INCOME TYPES
AGENT ORANGE SETTLEMENT
ALASKAN NATIVES
ALEUTIAN AND PRIBILOF ISLANDERS
AMERICAN INDIANS
CENSUS INCOME
DONATED FOODS
EARNED INCOME TAX CREDIT
GERMAN REPARATION PAYMENTS
HOME-PRODUCED FOOD
IDA WITHDRAWALS
NUTRITION PROGRAM FOR THE ELDERLY
RADIATION EXPOSURE COMPENSATION
RELOCATION ASSISTANCE
SUPPLEMENTAL FOOD ASSISTANCE
U.S. CITIZENS OF JAPANESE ANCESTRY
YOUTH EMPLOYMENT PROGRAM
600 STANDARDS AND BUDGETS
600 STANDARDS AND BUDGETS
601 INCOME LIMITS
601 INCOME LIMITS
Table A: Income Limits
Table B: Special Income Limits for CFI and HCBC Individuals
Table C: Qualified Medicare Beneficiary (QMB)
Table D: Specified Low-Income Medicare Beneficiary (SLMB) and SLMB135 (AAM)
Table E: Qualified Disabled and Working Individual (QDWI)
Table F: Medicaid for Employed Adults with Disabilities (MEAD)(AAM)
603 DISREGARDS
603 DISREGARDS
603.01 Earned Income Disregard
603.03 Employment Expense Disregard
603.05 Adult Standard Disregard
603.07 Verification of Disregards
605 DEDUCTIONS
605 DEDUCTIONS
605.01 Verification of Deductions
607 BUDGETING OVERVIEW
607 BUDGETING OVERVIEW
609 CONVERSION TO MONTHLY AMOUNTS
609 CONVERSION TO MONTHLY AMOUNTS
611 FLUCTUATING INCOME
611 FLUCTUATING INCOME
611.01 Averaging Fluctuating Income
611.03 Time Frames for Using Averaged Fluctuating Income
613 COMPUTING ELIGIBILITY
613 COMPUTING ELIGIBILITY
615 BUDGETING: Independent Living, RCF, CR, QMB, QDWI, SLMB, SLMB135, and SLMB175
615 BUDGETING: Independent Living, RCF, CR, QMB, and SLMB (AAM)
615 BUDGETING: Independent Living, RCF, CR, QMB, QDWI, SLMB and SLMB135 (AAM)
615 BUDGETING: Independent Living, RCF, CR, QMB, SLMB and SLMB135 (AAM)
615.01 ANB Parental Deeming Principles (AAM)
615.03 ANB Parental Deeming Verification Requirements (AAM)
617 GRANT DETERMINATION
617 GRANT DETERMINATION
617.01 Assistance Payments: Determination, Frequency, and Issuance
617.03 SSP One-Third Grant Reduction Principles (AAM)
617.05 SSP One-Third Grant Reduction Verification Requirements (AAM)
619 BUDGETING: Nursing Facility
619 BUDGETING: Nursing Facility
619.01 Cost of Care: Nursing Facility
619.03 Supplemental Payments: Nursing Facility
621 BUDGETING: HCBC-ECI
621 BUDGETING: HCBC-ECI
621.01 CFI Financial Assistance
621.03 CFI Medical Assistance
621.05 Cost of Care: CFI Medical Assistance
621.07 Payment for Cost of Care: CFI Medical Assistance
622 BUDGETING: HCBC-IHS
622 BUDGETING: HCBC-IHS (AAM)
622.01 HCBC-IHS Financial Assistance (AAM)
622.03 HCBC-IHS Medical Assistance (AAM)
622.05 Cost of Care: HCBC-IHS Medical Assistance (AAM)
622.07 Payment for Cost of Care: HCBC-IHS Medical Assistance (AAM)
623 BUDGETING: HCBC-DD
623 BUDGETING: HCBC-DD
623.01 HCBC-DD Financial Assistance
623.03 HCBC-DD Medical Assistance
623.05 Cost of Care: HCBC-DD Medical Assistance
623.07 Payment for Cost of Care: HCBC-DD Medical Assistance
624 BUDGETING: HCBC-ABD
624 BUDGETING: HCBC-ABD
624.01 HCBC-ABD Financial Assistance
624.03 HCBC-ABD Medical Assistance
624.05 Cost of Care: HCBC-ABD Medical Assistance
624.07 Payment for Cost of Care: HCBC-ABD Medical Assistance
625 IN AND OUT MEDICAL ASSISTANCE
625 IN AND OUT MEDICAL ASSISTANCE
625.01 One-Month Spenddown
625.03 Six-Month Spenddown
625.05 Allowable Medical Expenses
625.07 Offsetting the Spenddown
627 ALLOCATION OF INCOME
627 ALLOCATION OF INCOME
627.01 Allocation to Dependents
627.03 Allocation to a Community Spouse
627.04 Criteria for Increased Income Allocation Due to Significant Financial Duress
627.05 Allocation to Dependents Who Reside with the Community Spouse (AAM)
627.07 Allocation for Expenses Incurred Outside of the Nursing Facility (AAM)
627.09 Allocation to Maintain the Home
627.11 Verification: Allocated Income
629 CORRECTIVE PAYMENTS
629 CORRECTIVE PAYMENTS
629.01 Determine the Corrective Payment
631 RECOUPMENT OF FINANCIAL ASSISTANCE
631 RECOUPMENT OF FINANCIAL ASSISTANCE
631.01 Determine the Overpayment
631.03 Rate and Method of Recoupment
633 RECOUPMENT OF MEDICAL ASSISTANCE
633 RECOUPMENT OF MEDICAL ASSISTANCE
635 RECOUPMENT: LEGAL ACTION
635 RECOUPMENT: LEGAL ACTION
700 MISCELLANEOUS
700 MISCELLANEOUS
701 DECEASED RECIPIENTS: Outstanding Expenses Covered by Last Check
701 DECEASED RECIPIENTS OF FINANCIAL ASSISTANCE
701.01 Outstanding Expenses Covered by Last Payment
703 FUNERAL AND DISPOSITION EXPENSES
703 FUNERAL AND DISPOSITION EXPENSES
703.01 Conditions for Eligibility
703.03 Method of Payment
703.05 Funeral Director Responsibilities
703.07 Required Verification
705 ISSUING BENEFITS
705 ISSUING BENEFITS
707 REPLACING ASSISTANCE CHECKS
707 REPLACING FINANCIAL ASSISTANCE BENEFITS
707.01 Paper Check Replacement Procedures
709 BUY-IN
709 BUY-IN
709.01 Definition of Medicare
709.03 Who Is Eligible for Medicare Part B?
709.05 Who is Eligible for Part B Buy-In?
709.07 When is Part B Buy-In Effective?
709.09 Who Is Eligible for Part A Buy-In?
709.11 When is Part A Buy-In Effective?
709.13 How is Part A or Part B Buy-In Terminated?
GLOSSARY
GLOSSARY
Glossary A-words
Glossary B-words
Glossary C-words
Glossary D-words
Glossary E-words
Glossary F-words
Glossary G-words
Glossary I-words
Glossary L-words
Glossary M-words
Glossary N-words
Glossary P-words
Glossary R-words
Glossary S-words
Glossary T-words
Glossary U-words
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