(4)
Subject: Incorporating FSM and New Policy
Volume IV
The Table of Contents is revised to remove MS 2210, MS 2760, and MS 2770 as these manual sections are obsolete as incorporated into other manual sections. The table of contents is also revised to rename MS 2750, 4200 and 4210. It is further revised to add new manual sections MS 3010, MS 3015, MS 3020, and MS 3025. See blurbs below for more information.
MS 2036, MA Case Processing for Citizenship Verification, is updated to incorporate automation of the spot check. It is further revised for clarity.
MS 2210, MSE for SSI Child, is obsolete as MSE referrals are completed by the Child Support Enforcement (CSE).
MS 2750, Pregnant Woman Introduction, is renamed Pregnant Woman. It is revised to incorporate MS 2760 and MS 2770. It is further revised for clarity.
MS 2760, Pregnant Woman Procedures, is obsolete as it has been incorporated into MS 2750.
MS 2770, Categories for the Pregnant Woman, is obsolete as it has been incorporated into MS 2750.
MS 2800, Postpartum Eligibility, is revised to include that when newborn is added to newborn database that KAMES automatically changes the pregnant woman to postpartum.
MS 2850, Newborn Children, is revised to include that newborns that move out of state and then back to Kentucky are no longer considered as deemed eligible and must meet all technical and financial eligibility requirements. It is further revised for clarity.
MS 3010, Spend Down Process, is created to incorporate policy on spend down eligibility.
MS 3015, Establishing the Quarter and Income Liability, is created to incorporate policy on spend down eligibility.
MS 3020, Considering Medical Expenses in Spend Down, is created to incorporate policy on spend down eligibility.
MS 3025, Allowable Spend Down Medical Expenses, is created to incorporate policy on spend down eligibility.
MS 4200, Introduction to QMB, is renamed “Medicare Savings Program Overview” and is revised for clarity.
MS 4210, QMB Technical Eligibility, is renamed “Technical Eligibility for Medicare Savings Program” and is revised for clarity.
Volume IVA
The Table of Contents is revised to delete the following manual sections as these are obsolete. An individual blurb is not written for these sections. These manual sections cover outdated policy regarding Medicaid services available to recipients and do not relate to Medicaid eligibility determination. All questions regarding Medicaid services are to be forwarded to Medicaid Member Services at 1-800-635-2570 and are not to be addressed by DCBS staff:
MS 1070, Alternate Birth Centers;
MS 1080, Ambulance Transportation;
MS 1090, Ambulatory Surgical Centers;
MS 1100, Audiology Services;
MS 1105, Chiropractic Services;
MS 1110, Dental Services;
MS 1120, Dialysis;
MS 1130, Family Planning Services;
MS 1140, Hospital Benefits;
MS 1150, Laboratory and X-Ray;
MS 1160, Long Term Care;
MS 1170, Mental Health;
MS 1180, Nurse-Midwife Services;
MS 1190, Optional Services;
MS 1200, Pharmacy Benefits;
MS 1210, Physician Services;
MS 1220, Primary Care Center/Rural Health Clinic; and
MS 1230, Vision Care.
The Table of Contents is revised to remove MS 2655, MS 2660, MS 2680, MS 2690, MS 2700, MS 2710 and MS 2740; these manual sections are obsolete as they are incorporated into other manual sections. See blurbs below for more information.
MS 1575, Adult MA Case Processing for Citizenship Verification, is updated to incorporate automation of the spot check and clarity.
MS 2030, Vehicles, is revised to:
· Explain that in order to exclude a vehicle as a resource the vehicle must be:
1. Used to obtain medical treatment;
2. Specially equipped for the disabled;
3. Used by the community spouse;
4. Used for employment or self-employment; or
5. Used as an owner occupied home.
· Explain that an institutionalized individual wishing to spend down their resources on the purchase of a vehicle must verify that the vehicle being
· purchased is specially equipped to meet their transportation needs, otherwise the vehicle cannot be excluded as a resource;
· Clarify that the total equity value of recreational values is a countable resource;
· Clarify that anytime a vehicle is excluded as a resource to obtain medical treatment the individual is not eligible for non-emergency transportation services; and
· Explain what can be used to verify the value of a vehicle.
MS 2650, Introduction to Spend Down, is renamed “Spend Down Process”. It is revised for clarity and to incorporate MS 2740, Spend Down Case Decision.
MS 2660, Companion Case Spend Down, is obsolete as it is incorporated into MS 2650 and MS 2670.
MS 2655, Determining the Family Size, is obsolete as it is incorporated into MS 2670.
MS 2670, Establishing the Quarter, is renamed “Establishing the Quarter and Income Liability”. It is revised for clarity and to incorporate MS 2690.
MS 2680, Quarters for Companion Case Spend Down, is obsolete.
MS 2690, Spend Down Excess, is obsolete as it is incorporated into MS 2670, Establishing the Quarter and Income Liability.
MS 2700, Spend Down Medical Expense Verification, is obsolete as it is incorporated into MS 2720, Considering Medical Expenses in spend Down.
MS 2710, Spend Down Medical Expenses Restrictions, is obsolete as it is incorporated into MS 2720, Considering Medical Expenses in Spend Down.
MS 2720, Considering Medical Expenses in Spend Down, is revised to incorporate MS 2700 and MS 2710.
MS 2730, Allowable Spend Down Medical Expenses, is revised for clarity.
MS 2740, Spend Down Case Decision, is obsolete as it is incorporated into MS 2650, Spend Down Process.
MS 2815, Michelle P. Waiver, is revised to remove references to the PA-62 system as it is no longer used to issue eligibility.
MS 3910, Medicaid Works Application, is revised for clarity.
MS 4395, Application for Medicare Savings Program through Low Income Subsidy (LIS), is revised to clarify what unearned income is verified by SSA and how to consider the income when processing the application.
MS 4535, Exparte/Extended Managed Care with Medicare Savings Plan, is revised for clarity.
MS 4930, Application Process for State Supplementation, is revised to clarify verification needed for an authorized representative to make application.
MS 5110, Introduction to Income, is revised to correct referred manual sections on calculating income.
Volume VI
The Table of Contents is revised to remove MS 2105, MS 2110, MS 3660, MS 3700, MS 4015, and MS 4270 as these manual sections are obsolete.
MS 2105, Postpartum Procedures, is obsolete as this information is incorporated into Vol. IV, MS 2800.
MS 2110, Denial or Discontinuance with Deemed Eligible Member, is obsolete as this information is incorporated into Vol. IV, MS 2850.
MS 3660, Application for the Current and Previous Quarter, is obsolete as this information is incorporated into Vol. IV, MS 3015 and Vol. IVA, MS 2670.
MS 3700, Separate Application, is obsolete as this information is incorporated into Vol. IV, MS 3010 and Vol. IVA, MS 2650.
MS 4015, MA Child Case Name, is obsolete as this is incorporated into Vol. IV, MS 2896, Juvenile Justice Children, Vol. IV, MS 3010, and Vol. IVA, MS 2650, Spend Down Process.
MS 4270, Special Child Support Procedures, is obsolete as this is incorporated into Vol. IV, MS 2896 and Vol. IVA, MS 3010.
Volume X
MS 99627, Spend Down Changes, is obsolete as it is incorporated into Volumes IV and IVA.