GIS 13 MA/013:Expansion of Automated Renewals for Aged, Blind and Disabled and Medicare Savings Program (MSP) Cases to Include Pensions

To: Local District Commissioners, Medicaid Directors

From: Judith Arnold, Director - Division of Health Reform and Health Insurance Exchange Integration

Subject:Expansion of Automated Renewals for Aged, Blind and Disabled and Medicare Savings Program (MSP) Cases to Include Pensions

Effective Date: June 1, 2013

Contact Person: Local District Support Unit - Upstate (518) 474-8887, New York City (212) 417-4500

The purpose of this General Information System (GIS) message is to inform upstate local departments of social services (LDSS) of an expansion to the automated renewal processes for the Aged, Blind and Disabled (ABD) and the Medicare Savings Program (MSP). Currently, in order for a case to be selected for automated renewal, Social Security can be the only income source in Medicaid Budget Logic (MBL). Effective with the Systems migration in June, unearned income from pensions will also be allowed for upstate ABD and MSP automated renewal cases.

The first full weekend in June 2013, and on a monthly basis thereafter, ABD, MSP Qualified Medicare Beneficiary (QMB) and Specified Low Income Medicare Beneficiary (SLIMB) cases that meet the conditions for automated renewal will include cases with the following unearned income source codes for pensions.

  • 07 - Disabled Veterans Benefits (Non-Service Connected)
  • 11 - Disabled Veterans Benefits (Service Connected)
  • 33 - NYS Disability Insurance
  • 35 - Railroad Retirement Benefits (Dependent)
  • 38 - Railroad Retirement Benefits
  • 39 - Retirement Benefits (Pensions)
  • 55 - Veteran's Pensions or Benefits

Cases not selected will remain on the WINR 4133 "Recert Report" for manual processing by the district. On the second full weekend in June 2013, a similar selection process will be used for the automated renewal of MSP Qualified Individuals (QI) cases. The above unearned income source codes for pensions have been included in this process. Cases not selected will remain on the WINR 5257 "QI-1 Renewals Report" for manual processing by the district.