SR 22-01 Dated 01/22 |
STATE OF NEW HAMPSHIRE
DEPARTMENT OF HEALTH & HUMAN SERVICES – DIVISION OF ECONOMIC AND HOUSING STABILITY
Bureau of family assistance (bfa)
INTER-DEPARTMENT COMMUNICATION
FROM: |
OFFICE OF THE ADMINISTRATOR IV, BFA Debra Sorli |
BFA SIGNATURE DATE: |
December 22, 2021 |
AT (OFFICE): |
Bureau of Family Assistance |
FROM: |
OFFICE OF THE DIRECTOR Henry Lipman |
DMS SIGNATURE DATE: |
December 27,2021 |
AT (OFFICE): |
Division of Medicaid Services |
TO: |
All BFA Staff |
|
All BES Staff |
SUBJECT: |
January 2022 Mass Change 5.9% COLA for 2022 Impacting SSA/SSI/VA Benefit Levels, OAA, APTD, and ANB Standards of Need (SON) for Adults in Independent Living Arrangements, Residential Care Facilities, and Community Residences; the Nursing Facility (NF) CAP, and the Income Disregards for Choices For Independence (HCBS-CFI) and Home and Community-Based Services (HCBS) Medically-Needy Recipients, and the Child Allocation Deduction and Parental Living Allowance Related to Parental Deeming for Aid to the Needy Blind (ANB) Cash Assistance Applicants or Recipients Under the Age of 18; New Medicare Part B and Part D Premium Amounts; Updated 2022 Qualified Medicare Beneficiary (QMB, Specified Low Income Beneficiary (SLMB), and Specified Low Income Beneficiary 135 (SLMB135) Resource Limits; Minimum and Maximum Resource Limits and Maximum Monthly Maintenance Allowance for Spousal Impoverishment Cases; New Substantial Gainful Activity (SGA) Income Ceiling; Presumed Maximum Value (PMV) Used for Disbursements from Special Needs Trusts that can be Counted as Unearned Income; Home Equity Limit Used in the Financial Eligibility Determination Process for NF, HCBS, and CFI Services; QMB/SLMB/SLMB135 Resource Limits; Protected Income Level (PIL) for Medically Needy Medical Assistance; Revised Electronic BFA Form 798A, Resource Assessment for Institutionalized Individuals with Community Spouses, BFA Form 799, Spousal Income Protection, and BFA Form 799A, Income Computation Worksheet for Allocation of Income for Institutionalized Individuals |
EFFECTIVE DATE: |
January 1,2022 |
SUMMARY
This SR releases a 5.9% cost-of-living adjustment (COLA) for January 2022 to Social Security Administration (SSA), Supplemental Security Income (SSI) and Veterans Affairs (VA) Annual Review benefits, and its associated increase to the SSI maximum benefit levels. This COLA increase is:
• “passed along” in NH via formula-based updates to the adult Standards of Need (SON) which are used in Old Age Assistance (OAA), Aid to the Permanently and Totally Disabled (APTD), and Aid to the Needy Blind (ANB) eligibility and benefit determination process for applicants and recipients residing in independent living arrangements, residential care facilities, and community residences. [See 42 USC 1382g, 20 CFR 416.2095-2099, RSA 167:3-c,II-b, RSA 167:7,I & I-a, RSA 167:27-c, He-W 648.04, and He-W 658.03];
• used to determine the Nursing Facility (NF) CAP which is then used to determine eligibility for NF and Home and Community-Based Services (HCBS), including HCBS Choices For Independence (HCBS-CFI) categorically-needy services, as well as the income disregard for HCBS or HCBS-CFI medically-needy recipients who were receiving services as of 10/1/08. [See 20 CFR 416.405, 20 CFR 416.414, He-W 858.05 and He-W 858.06]; and
• used to determine the ineligible child disregard and parental living allowance used in ANB parental deeming for ANB applicants and recipients under the age of 18. [See 20 CFR 416.1165(d)(3)(i) and He-W 652.03(f)].
Additionally this SR releases updates to:
• Medicare Part B and Part D premium amounts. [See 42 USC 1395r(a)(1) and 42 USC 1395w-102(b)(6) respectively];
• Presumed Maximum Value (PMV) used for disbursements from Special Needs Trusts that can be treated as unearned income;
• Spousal impoverishment figures, pursuant to 42 USC 1396r-5(g);
• Substantial Gainful Activity (SGA) income ceiling used in the initial eligibility determination for APTD cash and medical assistance only. [See 20 CFR 404.1574(b), 20 CFR 404.1575(c), 20 CFR 404.1584(d), 20 CFR 416.974(b), and 20 CFR 416.975(c)];
• the home equity limit used in the NF, HCBS, and HCBS-CFI eligibility determination process. [See 42 USC 1396p(f)(1)(C)];
• the Protected Income Level (PIL). [See He-W 601.06(s) and He-W 858.04];and
• Child Allocation deduction and the Parental Living Allowance related to parental deeming for ANB applicants and recipients under the age of 18, pursuant to 20 CFR 416.1165(d)(3)(i) and He-W 652.03(f).
The following forms and their associated instructions were revised to reflect the increased spousal impoverishment figures:
• BFA Form 798A, Resource Assessment for Institutionalized Individuals with Community Spouses and its associated New HEIGHTS-generated Form AE0020;
• BFA Form 799, Spousal Income Protection, and its associated New HEIGHTS-generated Form AE0017; and
• BFA Form 799A, Income Computation Worksheet for Allocation of Income for Institutionalized Individuals, and its associated New HEIGHTS-generated Form AE0017.
POLICY
Based on the 5.9% cost-of-living adjustment (COLA) increase to SSA/SSI and VA Annual Review benefits, the SSI maximum monthly benefit levels for independent living arrangements increased as follows:
• $841 for an individual (from $794);
• $1,261 for an individual and either a spouse or needy essential person (from $1,191); and
• $1,682 for a couple and needy essential person (from $1,588).
The 2022 Adult Standards of Need (SON) for OAA, ANB, and APTD individuals increased as follows:
Group Size | Independent Living Arrangement |
1 | $855 |
2 | $1,262 |
3 | $1,670 |
Group Size |
Residential Care Facility |
Community Residence |
1 |
$1,035 |
$917 (subsidized) |
1 |
|
$977 (non- subsidized) |
1 |
|
$1,035 (enhanced family care) |
The Nursing Facility CAP used to determine NF, HCBS, and HCBS-CFI categorically-needy services has increased to $2,523 (from $2,382).
The Income Disregard for HCBS or HCBS-CFI medically-needy recipients who were receiving services as of 10/1/08 is:
• $72 for HCBS-CFI (formerly $69); and
• the difference between the cost of services on 9/26/08 and the NF CAP of $2,523 for all other HCBS categories.
Parental Deeming for ANB applicants and recipients under the age of 18:
• The Child Allocation deduction is the difference between the SSI maximum benefit for a couple and the SSI maximum benefit for an individual. The 2022 Child Allocation deduction amount is $420 per child (from $397), (i.e. $1,261 - $841 = $420), as follows:
# of Children |
2022 Child Allocation Amount for Sibilings of the ANB Indivdual |
1 |
$420 |
2 |
$840 |
3 |
$1,260 |
4 |
$1,680 |
5 |
$2,100 |
6 |
$2,520 |
7 |
$2,940 |
8* |
$3,360 |
For each addt'l sibling add: |
$420 |
• The Parental Living Allowance is the SSI maximum benefit for a couple (if there are 2 parents) or an individual (if there is one parent). The 2022 Parental Living Allowance:
- Couple (2-parent): $1,261 (from $1,191)
- Individual (1-parent): $841 (from $794).
The Spousal Impoverishment limits for 2022 are:
• Maximum monthly maintenance needs allowance increased from $3,260 to $3,435;
• Minimum community spouse resource allowance increased from $26,076 to $27,480; and
• Maximum community spouse resource allowance increased from $130,380 to $137,400.
The Medicare Part B standard monthly premium cost:
• Increases to $170.10 from $148.50 for:
new enrollees in Part B in 2022;
people who don’t have their Part B premiums deducted from Social Security benefits, which includes recipients currently eligible for State “buy-in” of their Part B premium;
those individuals who are not collecting Social Security benefits;
individuals with annual income above $91,000; and
dual-eligibles, which are people eligible for both Medicaid and Medicare.
NOTE: Family Services Specialists (FSS) should not make any changes to the Part B premium amounts or SSI/SSA benefits displayed in New HEIGHTS unless one of the following occurs:
• the casehead provides verification that their Part B premium or benefit amount is a different amount than displayed; or
• the individual’s case is placed on the discrepancy report after the mass change, at which point the individual will need to present verification of income or premium amount.
New recipients for any assistance other than the MAGI categories of medical assistance will need to verify, per current policy, their premium and benefit amount so that the FSS can enter the correct amount. However, electronic verification will occur at the time of application and based upon the information provided by the individual for applicants of the MAGI categories of medical assistance. Paper verification for applicants of MAGI categories of medical assistance will only be required if there is a discrepancy between what the applicant provided about their premium and benefit amount and what is retrieved during the electronic crossmatch with Medicare.
The Medicare Part D Low-Income Premium Subsidy and the Maximum Co-Pays for Full Benefit Dual Eligible Individual for 2022 are:
Medicare Part D NH Low-Income Premium Subsidy Amount is now $30.53 (from $29.08)
Maximum Co-Pays for Full Benefit Dual Eligible (FBDE) individuals:
• Institutionalized Individuals $0.00
• Non-Institutionalized Beneficiaries
Up to or at 100% FPL
Generic/Preferred $1.30
Other $4.00
Above Out-of-Pocket Threshold $0.00
Over 100% FPL
Generic/Preferred $3.70
Other $9.20
Above Out-of-Pocket Threshold $0.00
The Substantial Gainful Activity (SGA) income ceiling increased from $1,310 to $1,350. The SGA is used only during initial APTD eligibility determinations for cash and medical assistance; working APTD applicants must have an adjusted earned income of less than the SGA.
The Home Equity Limit used in the financial eligibility determination process for NF, HCBS, and HCBS-CFI services is $636,000 (from $603,000). NF/HCBS services need to be denied or terminated if the applicant or recipient for NF/HCBS services has equity in the home that exceeds this figure.
The Protected Income Level (PIL) for all group sizes remains unchanged.
The Presumed Maximum Value (PMV) for disbursements from Special Needs Trusts to third parties for food or shelter that can be counted as unearned income is $300.33 (from $284.66) for an individual, $440.66 (from $417) for an individual with a needy essential person, and $440.66 (from $417) for an individual with a spouse.
The QMB/SLMB/SLMB135 resource limits for 2022 are:
• $8,400 (from $7,970) for an individual; and
• $12,600 (from $11,960) for a couple.
These limits are determined by subtracting the $1,500 allotment for burial expenses from the 2022 resource limits of $9,900 (or $3,000 from $15,600, if married) for low-income subsidy (LIS), as authorized under 42 USC 1396d(p)(1)(C).
NEW HEIGHTS & NH EASY SYSTEMS PROCEDURES AND IMPLEMENTATION
SSA/SSI COLA Increase
Using the individual’s Social Security Number (SSN), SSA/SSI benefits are updated during the January Mass Change by crossmatching open:
• SSA cases against BENDEX and SVES; and
• SSI cases against SDX.
For those cases that match, the SSA/SSI amount will be replaced with the actual check amount listed in the BENDEX/SVES/SDX files, and benefits will be recomputed. For those SSA individuals that do not match, New HEIGHTS will apply the 5.9% increase and round up to the nearest dollar. For, SSI, New HEIGHTS will automatically update anyone whose current SSI amount is $794 to $841. For all others, HEIGHTS will apply the 5.9% increase and round up to the nearest dollar.
VA Increase
New HEIGHTS will apply a 5.9% COLA, dropping all cents, to all VA benefits with an annual review indicator and certain VA beneficiaries, widows and children of veterans, who do not have an annual review indicator. If a case with an annual review indicator also has Aid and Attendance (A&A) benefits, the 5.9% COLA will also be applied to the A&A benefits, dropping all cents.
Individuals who are coded as “VA Nursing Facility Pension” or “VA Frozen Pension” are not entitled to the January COLA and will not see the COLA applied to their benefits.
Parental Deeming
Recipients who are still currently eligible for an ANB cash grant despite having parental income and resources deemed to their case, will be automatically run thru the mass change with all the other adult categories and will have their ANB grants redetermined.
ANB cash recipients who do not get a cash grant due to parental deeming, but are still eligible for MA, will not have their eligibility for a cash grant automatically redetermined. These individuals will have to formally apply for cash and ask to have their eligibility redetermined. Parental income and resource information must be reverified at that time.
Three-Month Retroactive Medical Assistance Cases
New HEIGHTS will automatically use pre-mass change SON amounts for Three-Month Retroactive Categorically-Needy Medical Assistance eligibility determinations for months prior to January 1, 2022.
Pickle Amendment Cases
The Pickle Amendment prevents SSA cases receiving an adult category of state supplement (ANB, APTD, OAA) from closing due to the COLA increase New HEIGHTS Pickle Amendment cases are processed automatically. The calculations and COLA deduction for cases that would lose cash payment are invisible to DO staff. Questions about the calculations or COLA deduction on New HEIGHTS Pickle cases should be directed to the New HEIGHTS Help Desk.
Medicare Part B Premiums
FSS should not make any changes to the amounts displayed in New HEIGHTS unless the casehead provides verification that their Part B premium or benefit amount is different than displayed, or unless the individual’s case is placed on the discrepancy report after the mass change, at which point the individual will need to present verification of income or premium amount. New applicants, other than applicants for the MAGI categories of medical assistance, will need to verify their premium, per current policy, so the FSS can enter the correct amount.
Spousal Impoverishment Cases
Effective January 1, 2022, the maximum monthly maintenance allowance increases from $3,260 to $3,435 per month. When determining income allocated to the community spouse for months prior to January 2022, use the $3,260 amount. For example, if an individual applied for institutionalized care in January and requested retroactive medical assistance for December, the District Office would calculate the spousal allocation separately for December and January.
The minimum and maximum resource allowance for the community spouse is also increasing from $26,076 to $27,480 and from $130,380 to $137,400 respectively.
• The new figures apply to requests for resource assessments that are currently in process or being processed after 12/31/21.
• Use amounts in effect when the individual applies, regardless of when the assessment was done.
• These amounts do not affect individuals whose resource amount is between the minimum and maximum.
• An individual could be resource ineligible in December but resource eligible in January due to the higher figures.
QMB, QDWI, SLMB, and SLMB135 Cases
Federal law mandates that COLA increases for the year 2022 cannot be used to determine QMB, QDWI, SLMB, and SLMB135 eligibility until after the annual update to the federal poverty levels is effective in the spring of 2022. Until the new figures are available, cases that would close due to the COLA will be kept open automatically by New HEIGHTS.
Reminder: New HEIGHTS adds a deduction called “QMB/QDWI/SLMB COLA Deduct” to the “Other Allowable Deduction” screen for these cases. Do not change the amount or end date the deduction; New HEIGHTS will automatically end date the deduction when the federal poverty levels become effective.
Adult Category Recoupment
For recoupment cases, New HEIGHTS will recompute the amounts when the case goes through the mass change. The notice of the revised amount will be generated automatically as well.
Rollbacks
New HEIGHTS will process rollbacks automatically and the correct values will be used for the pre-January amounts.
Patient Liability
Nursing facilities are automatically notified of the patient’s liability, the monthly amount the resident is expected to pay towards their care, through MMIS. Any time a new patient liability is created or a change is made to a current resident’s patient liability, New HEIGHTS will automatically generate the AE0009, Patient Liability Letter, to the nursing facility resident and/or authorized representative.
Categorically Eligible SNAP Households
SNAP policy in FSM PART 231, CATEGORICALLY ELIGIBLE HOUSEHOLDS, states that certain public assistance and SSI households are categorically eligible for SNAP benefits without regard to income or resources. To be considered categorically eligible, all members of the SNAP household must be included in an open public assistance and/or SSI case. New HEIGHTS will calculate SNAP categorical eligibility automatically.
SYSTEM CHANGES
Mass Change Schedule
The January Mass Change, impacting approximately 60,063 cases, will be included in the daily run over the course of 23 days, as follows:
Date |
Case Types |
Approx # of Cases |
Monday, December 27, 2022 |
All Nursing Facility & HCBS or CFI medically needy recipients (SIG) who were receiving services as of 10/1/08 and are eligible for the special income disregard cases |
6,185 |
Tuesday, December 28, 2021 |
Spenddown Cases for MA, In and Out (Deductible) cases |
5,734 |
Wednesday, December 29, 2022 |
Cash cases |
4,000 |
Monday, January 3, 2022 |
Cash cases |
3,046 |
Tuesday, January 4, 2022 |
The remaining set of cases selected for COLA updates – VA/SSI/SSA, Part A/B, FS only, CC only, or MA only. |
4,098 |
Thursday, January 6, 2022 |
The remaining set of cases selected for COLA updates – VA/SSI/SSA, Part A/B, FS only, CC only, or MA only. |
5,500 |
Friday, January 7, 2022 |
The remaining set of cases selected for COLA updates – VA/SSI/SSA, Part A/B, FS only, CC only, or MA only. |
5,500 |
Monday, January 10, 2022 |
The remaining set of cases selected for COLA updates – VA/SSI/SSA, Part A/B, FS only, CC only, or MA only. |
5,500 |
Tuesday, January 11, 2022 |
The remaining set of cases selected for COLA updates – VA/SSI/SSA, Part A/B, FS only, CC only, or MA only. |
5,500 |
Wednesday, January 12, 2022 |
The remaining set of cases selected for COLA updates – VA/SSI/SSA, Part A/B, FS only, CC only, or MA only. |
5,500 |
Thursday, January 13, 2022 |
The remaining set of cases selected for COLA updates – VA/SSI/SSA, Part A/B, FS only, CC only, or MA only. |
5,500 |
Friday, January 14, 2022 |
The remaining set of cases selected for COLA updates – VA/SSI/SSA, Part A/B, FS only, CC only, or MA only. |
4,000 |
Tuesday, January 18, 2022 |
Clean Up Run, including cases that exceptioned out during the MC. |
3,000 (Approx.) |
New HEIGHTS will be down at 6pm on the above listed dates with the exception of Tuesday, December 28, 2021 and Monday, January 3, 2022 when it will be down at 5:00pm.
Mass Change NOD
Notices of Decision (NOD) generated during the January Mass Change will contain special text messages that correlate to the change(s) that occurred in the case, as follows:
Group 1: In and Out Cases
The federal government increased Social Security, SSI, and some VA benefits to reflect increases in the cost of living. Your eligibility for medical assistance was refigured using the new benefit amount and income limit.
Group 2: Nursing Facility Cases
The federal government increased Social Security, SSI, and some VA benefits to reflect increases in the cost of living. The 2022 standard Medicare Part B premium is $170.10. Your cost of care liability was refigured using your new benefit amount and this year’s Medicare Part B premium.
Group 3: All Cash Cases
The federal government increased Social Security, SSI, and some VA benefits to reflect an increase in the cost of living. The income limits for OAA, ANB and APTD cash assistance were also increased. For individuals living in an independent living arrangement, the income limit increased to $855 for a group size of one, and $1,262 for a couple. For individuals living in a residential care facility or an enhanced family care residence, the income limit increased to $1,035. For individuals living in a subsidized community residence, the income limit increased to $917. For individuals living in a non-subsidized community residence, the income limit increased to $977.
Someone in your cash assistance case, which may include a foster child or an adoption subsidy child in your care, had a change in their Social Security, SSI, or VA benefit amount. Eligibility for cash assistance was refigured using the new benefit amount. If you receive OAA, ANB, or APTD cash assistance, the new income limits were also used. The change in your cash assistance benefit amount may have also changed your food stamp and/or medical assistance benefits.
Group 4: Remaining Selected Cases (Cases Experiencing a Change in VA/SSI/SSA, Part A/B, Food Stamp Only, Child Care Only, or MA Only)
The federal government increased Social Security, SSI, and some VA benefits to reflect increases in the cost of living. Because someone in your assistance group had a change in their Social Security, SSI, or VA benefit amount, eligibility for assistance was refigured using the new benefit amount.
QMB, SLMB, or QDWI cases, whose eligibility would end due solely to the cost of living increase, will remain open until the new federal poverty guidelines are available. In March we will refigure your case and notify you of any change.
Group 5 Clean Up Cases (Includes cases that exceptioned out during the mass change)
The federal government increased Social Security, SSI, and some VA benefits to reflect increases in the cost of living. The income limits for cash assistance for OAA, ANB, and APTD were also increased.
Because someone in your assistance group had a change in their Social Security, SSI, or VA benefit amount, eligibility for assistance was refigured using the new benefit amount. If someone in your assistance group receives OAA, ANB, or APTD cash assistance, the new income limits were used in the refiguring, too.
QMB, SLMB, or QDWI cases, whose eligibility would end due solely to the cost of living increase, will remain open until the new federal poverty guidelines are available. In March we will refigure your case and notify you of any change.
Medicare Part B
New HEIGHTS will automatically update the Medicare Part B premium amount with the figure specified on the BENDEX report. If the Bendex or SVES file has Medicare information and New HEIGHTS does not have information in the system for this individual, the Medicare information will be automatically entered into the pertinent fields in New HEIGHTS.
POST-MASS CHANGE REPORTS
The reports described below will be produced as a result of the Mass Change. These reports will be available in New HEIGHTS as indicated below.
NMC820RA: Mass Change Skipped Cases - SSA/SSI/VA/Part B Unverified Income Report
The Unearned Income Type Unverified report lists cases that were not selected for computation during the Mass Change because there was an unverified SSA, SSI, or VA income type or claim number or an unverified Part B premium amount. These cases require further District Office action. The report contains the following information: DO, Worker ID, Client Name, and Case Number. This report will be available on the first business day after each run of the mass change.
NMC540RA: AG’s Affected by Mass Change Report
This report lists all cases that the Mass Change ran successfully through confirmation. It contains the following information: DO, Worker Name, Client Name, and Case Number. This report will be available on the first business day after each run of the mass change.
NMC550RA: Mass Change Exception Listing Report
This report lists cases that were selected for computation during the Mass Change, but were not confirmed due to some discrepancy in data. These cases require further District Office action. It contains the following information: DO, Worker Name, Client Name, Case Number, Reason for Exception, and Mass Change Type. This report will be available on the first business day after each run of the mass change.
NMC810RA: Mass Change Patient Liability Override Report
The Nursing Facility with Patient Liability Override report lists cases that contain a Patient Liability override and therefore the amount did not change. These cases require further District Office action. The report contains the following information: DO, Worker ID, Client Name, and Case Number. Nursing Facility cases will be run on Monday, December 27, 2021. The report will be available to the field the first business day following its running, on Tuesday, December 28, 2021. This report will be rerun after the clean-up run on January 18, 2022, so another report will be available the next day, on January 19, 2022.
NMC850RA: HCBS Liability Override Report
The HCBS Liability Override report lists cases that contain a CFI or HCBS liability override and therefore the amount did not change. These cases require further District Office action. The report contains the following information: RID #, Client Name, Case Number, Casehead Name, Case Status, Client Phone #, and CFI or HCBS type. CFI/HCBS cases will be run on Monday, December 27, 2021. The report will be available to the field the first business day following its running, on Tuesday, December 28, 2021. This report will be rerun after the clean-up run on January 18, 2022, so another report will be available the next day, on January 19, 2022.
DESCRIPTION OF REVISIONS MADE TO FORMS
BFA Forms 798A, Resource Assessment for Institutionalized Individuals with Community Spouses, BFA Form 799, Spousal Income Protection, and BFA Form 799A, Income Computation Worksheet for Allocation of Income for Institutionalized Individuals, and their associated New HEIGHTS-generated Forms AE0017 and AE0020, were revised to include the increase in the spousal impoverishment limits.
With new spousal applications dated January 1, 2022 or later, use the updated forms. However, prior to detaching the new versions, rename and retain the January/July 2021 electronic versions of BFA Forms 798A, 799, and 799A, in case rollbacks are required.
The new versions of BFA Forms 798A, 799, and 799A will be electronically transmitted to each District Office with the electronic release of this SR. All forms identified in this SR are also available electronically, for DHHS staff only, on the N drive.
POLICY MANUAL REVISIONS
Revised Adult Assistance Manual Topics
Section 167.03 COLA Adjustments Since 1977
PART 209 AID TO THE PERMANENTLY AND TOTALLY DISABLED
Section 209.03 SGA Adjustments Since 2000
PART 411 COMMON TYPES OF RESOURCES: REAL PROPERTY
Section 415.28 Required Documentation for an Undue Hardship Waiver Application
Section 419.03 Determining the Protected Resource Amount
Section 419.05 Procedures for Protection of Resources
PART 601, TABLE A INCOME LIMITS
PART 601, TABLE B SPECIAL INCOME LIMITS FOR CFI AND HCBS INDIVIDUALS
Section 615.01 ANB Parental Deeming Principles
Revised Medical Assistance Manual Topics
Section 161.03 COLA Adjustments Since 1977
PART 209 AID TO THE PERMANENTLY AND TOTALLY DISABLED (APTD)
Section 209.03 SGA Adjustments Since 2000
Section 407.07 QMB, SLMB, and SLMB 135 Resource Limits
PART 411 COMMON TYPES OF RESOURCES: REAL PROPERTY
Section 415.31 Required Documentation for an Undue Hardship Waiver Application
Section 419.03 Determining the Protected Resource Amount
Section 419.05 Procedures for Protection of Resources
PART 511 INCOME TYPES: TRUST DISBURSEMENTS
PART 601, TABLE A INCOME LIMITS
Section 627.03 Allocation to a Community Spouse
Section 715.05 Who is Eligible for Medicare Part A Buy-In?
IMPLEMENTATION
Changes identified in this SR are effective January 1, 2022 for current cases, and apply to any new cases processed on or after that date. Use the updated Forms 798A, 799, and 799A for any new spousal applications date
CLIENT NOTIFICATION
A one-time mailing, to notify all institutionalized individuals and their community spouses of the unchanged spousal impoverishment figures, is scheduled to be generated from State Office in January 2022. The 2022 Spousal Letter is attached to this SR for reference.
All individuals who experienced a change in their case due to the January Mass Change updates will receive the NOD message as detailed in the Mass Change NOD section above.
No other client notification is planned.
TRAINING
No training is needed or planned due to the procedural nature of this SR
FORMS MANUAL POSTING INSTRUCTIONS
Remove and Destroy Insert/Replace
Forms Manual
BFA Form 798A, Resource Assessment for Institutionalized Individuals with Community Spouses, BFA SR 21-01/January, 2021 1 back-to-back sheet |
BFA Form 798A, Resource Assessment for Institutionalized Individuals with Community Spouses, BFA SR 22-01/January, 2022 1 back-to-back sheet |
BFA Form 799, Spousal Income Protection, BFA SR 20-21/July, 2021 1 back-to-back sheet |
BFA Form 799, Spousal Income Protection, BFA SR 22-01/January, 2022 1 back-to-back sheet |
BFA Form 799A, Income Computation Worksheet for Allocation of Income for Institutionalized Individuals, BFA SR 20-21/July, 2021 1 single-sided sheet |
BFA Form 799A, Income Computation Worksheet for Allocation of Income for Institutionalized Individuals, BFA SR 22-01/January, 2022 1 single-sided sheet |
DISPOSITION
This SR may be destroyed or deleted after its contents have been noted and the revised manual topics released by this SR have been posted to the On-line Manuals.
DISTRIBUTION
This SR will be distributed according to the electronic distribution list for Bureau of Family Assistance policy releases. Revised On-Line Manuals will be available for agency staff in the On-Line Manual Library, and for public access on the Internet at www.dhhs.nh.gov/dfa/publications.htm, effective January 3, 2022. This SR will be available for agency staff in the On-Line Manual Library, and for public access on the Internet at www.dhhs.nh.gov/dfa/publications.htm, effective January 3, 2022.
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