Medicaid Reference Guide - June 2010
MRG UPDATES JUNE 2010
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Categorical Factors
- Categorical Factors: Table of Contents - page 1 (PDF, 21KB, 1pg.)
- Legally Recognized Same Sex Marriages - page 2.1 (PDF, 30KB, 1pg.)
- Low Income Families (LIF) - page 3 (PDF, 30KB, 1pg.)
- ADC-Related - page 4 (PDF, 30KB, 2pg.)
- ADC-Related Relationship of Child to Caretaker Relative- pages 6 - 7 (PDF, 30KB, 2pg.)
- ADC-Related Living with Specified Relative- pages 8 - 9.1 (PDF, 30KB, 3pg.)
- ADC-Related - Deprivation of Parental Support or Care - page 11 (PDF, 30KB, 1pg.)
- ADC-Related - Deprivation of Parental Support or Care - Death of Parent - page 12 (PDF, 30KB, 1pg.)
- ADC-Related - Deprivation of Parental Support or Care - Incapacity - page 14 (PDF, 30KB, 1pg.)
- ADC-Related - Deprivation of Parental Support or Care - Un/Under Employed two Parent Household- page 20 (PDF, 30KB, 1pg.)
- SSI-Related - page 21 (PDF, 30KB, 1pg.)
- SSI-Related - Age (65 or over)- pages 22-23 (PDF, 30KB, 2pg.)
- SSI-Related - Blindness- pages 24-25 (PDF, 30KB, 2pg.)
- SSI-Related - Disability- pages 26-28 (PDF, 30KB, 2pg.)
- SSI-Related - Disability- page 28-1 (PDF, 30KB, 1pg.)
- SSI-Related - Disability- page 29 (PDF, 30KB, 1pg.)
- SSI-Related - Disability- pages 31-32 (PDF, 30KB, 2pg.)
- Medicaid Buy-In Program for Working People With Disabilities - pages 34.1-34.2a (PDF, 30KB, 5pg.)
- Medicaid Buy-In Program for Working People With Disabilities - page 34-2b (PDF, 30KB, 1pg.)
- Medicaid Buy-In Program for Working People With Disabilities - pages 34.4 - 34.5 (PDF, 30KB, 2pg.)
- Under Age 21 - pages 35-36 (PDF, 30KB, 3pg.)
- Pregnancy/Newborn - pages 37-38.1 (PDF, 30KB, 3pg.)
- FNP Parents - page 38.2 (PDF, 30KB, 1pg.)
- Families Living With Dependent Children Under Age 21 - pages 39-39.1 (PDF, 30KB, 2pg.)
- Singles/Childless Couples (S/CC) - page 40 (PDF, 30KB, 1pg.)
- Family Planning Benefit Program(FPBP) - page 40.1a (PDF, 30KB, 1pg.)
- Family Health Plus(FHPlus) and Family Health Plus Premium Assistance Program (FHP-PAP) - pages 40.2-40.2b (PDF, 30KB, 3pg.)
- Medicaid Cancer Treatment Program: Breast, Cervical, Colorectal and Prostate Cancer (MCTP) - pages 40.3-40.4 (PDF, 30KB, 3pg.)
- Child Health Plus- page 41 (PDF, 30KB, 1pg.)
- Children in Foster Care - page 41-1 (PDF, 30KB, 1pg.)
- Medicare Savings Program - pages 41.3-41.4 (PDF, 30KB, 5pg.)
- Medicare Savings Program - page 41.6 (PDF, 30KB, 1pg.)
- Medicare Buy-In - page 41.7 (PDF, 30KB, 1pg.)
- Medicaid Extensions/Continuations - page 44 (PDF, 30KB, 1pg.)
- Medicaid Extensions/Continuations - page 46.1 (PDF, 30KB, 1pg.)
- Medicaid Extensions/Continuations - Seperate Health Care Coverage Determinations- page 47 (PDF, 30KB, 1pg.)
Income
- Income: Index - page 62.4 (PDF, 18KB, 1pg.)
- Wages, Salaries and Contractual Income- page 67 (PDF, 24KB, 1pg.)
- Self-Employment or Small Business Income - pages 72 - 76 (PDF, 24KB, 5pg.)
- Support Payments (Voluntary and Court-Ordered) page 95 (PDF, 24KB, 1pg.)
- Lump Sum Payments page 109 (PDF, 24KB, 1pg.)
- Windfalls pages 111-111.1 (PDF, 24KB, 2pg.)
- Medicaid Standard - page 115 (PDF, 24KB, 1pg.)
- Medicaid Expanded Income Levels - page 118 (PDF, 24KB, 1pg.)
- Medicare Savings Program - page 119 (PDF, 24KB, 1pg.)
- Low Income Families (LIF) Disregard- page 130 (PDF, 24KB, 1pg.)
- Low Income Families (LIF) Disregard- pages 133 - 135 (PDF, 29KB, 3pg.)
- Low Income Families (LIF) Disregard- page 137 (PDF, 24KB, 1pg.)
- Low Income Families (LIF) Disregard- pages 138-138.1 (PDF, 24KB, 2pg.)
- Child / Incapacitated Adult Care Cost- page 147 (PDF, 24KB, 1pg.)
- Determination of Eligibility - page 149 (PDF, 24KB, 1pg.)
- ADC Related Disregards - page 151 (PDF, 25KB, 1pg.)
- ADC Related Disregards - pages 152-154 (PDF, 25KB, 3pg.)
- ADC Related Disregards - pages 155.1-157 (PDF, 25KB, 3pg.)
- Child /Incapacitated Adult Care Cost - page 162 (PDF, 25KB, 1pg.)
- Health Insurance Premiums - page 163 (PDF, 25KB, 1pg.)
- Health Insurance Premiums - page 164 (PDF, 25KB, 1pg.)
- Determination of Eligibility- page 168 (PDF, 25KB, 1pg.)
- Adopted Children- pages 172-173 (PDF, 25KB, 2pg.)
- SSI-Related Disregards - pages 174 - 176 (PDF, 23KB, 4pg.)
- SSI-Related Disregards - pages 180 - 183 (PDF, 23KB, 4pg.)
- SCC-Disregards - pages 210 - 212 (PDF, 23KB, 3pg.)
- SCC-Disregards - pages 215 - 217 (PDF, 23KB, 3pg.)
- Determination of Eligibility - page 223 (PDF, 28KB, 1pg.)
- Family Health Plus (FHPlus) - page 224.1 (PDF, 28KB, 1pg.)
- Chronic Care Budgeting Methodology for Institutionalized Spouses - pages 228 - 230.1 (PDF, 24KB, 4pg.)
- Persons in Medical Facilities - Chronic Care Budgeting Methodology For Individuals - pages 232-232.1 (PDF, 24KB, 2pg.)
- Excess - page 241 (PDF, 24KB, 1pg.)
Resources
- Table of Contents - pages 249.1-249.3 (PDF, 19KB, 3pg.)
- Resources - pages 250-251.1 (PDF, 19KB, 3pg.)
- Financial Institution Accounts- pages 252-254 (PDF, 19KB, 3pg.)
- Uniform Gifts to Minors Act/Uniform Transfer to Minors Act- page 255 (PDF, 19KB, 1pg.)
- Qualified State Savings Programs (Section 529)- page 256 (PDF, 19KB, 1pg.)
- Blank Page- page 256.1 (PDF, 19KB, 1pg.)
- Retirement Funds- page 257-258 (PDF, 19KB, 2pg.)
- Lump Sum Payments- page 262-262-1 (PDF, 19KB, 2pg.)
- Windfalls- page 263 (PDF, 19KB, 1pg.)
- Life Insurance- page 264-266 (PDF, 19KB, 3pg.)
- Stocks, Bonds and Securities- pages 267-269.1 (PDF, 19KB, 6pg.)
- Promisory Notes- page 270.1a (PDF, 19KB, 1pg.)
- Real Property- pages 271-272 (PDF, 19KB, 2pg.)
- Real Property - Homestead page 273 (PDF, 19KB, 1pg.)
- Real Property - Homestead page 274 (PDF, 19KB, 1pg.)
- Real Property- Contiguous Property and Non-Contiguous Property pages 276-277 (PDF, 19KB, 2pg.)
- Real Property- Income-Producing pages 278-279 (PDF, 19KB, 2pg.)
- Blank Page- pages 281-282 (PDF, 19KB, 2pg.)
- Producing Personal Goods/Services- page 283 (PDF, 19KB, 2pg.)
- Essential Personal Property pages 284-285 (PDF, 19KB, 2pg.)
- Automobiles and Other Vehicles pages 284-285 (PDF, 19KB, 3pg.)
- Blank Page- pages 289-289.1 (PDF, 19KB, 2pg.)
- Business Property- pages 290-291 (PDF, 19KB, 2pg.)
- Mortgages and Contracts of Sale- pages 293-294 (PDF, 19KB, 3pg.)
- Blank Page- page 294.1 (PDF, 19KB, 1pg.)
- Trust Funds- pages 295-296 (PDF, 19KB, 2pg.)
- Trust Funds - pages 298 - 299.2 (PDF, 25KB, 4pg.)
- Pre-Need Funeral Agreements - pages 300 - 302 (PDF, 25KB, 3pg.)
- Burial Funds - pages 303.1 - 303.2 (PDF, 25KB, 2pg.)
- Burial Spaces - page 303.3 (PDF, 25KB, 1pg.)
- Resource Documentation Requirements - pages 303.4 - 303.8 (PDF, 25KB, 5pg.)
- Levels - pages 304 - 304.1 (PDF, 25KB, 2pg.)
- Blank Page- pages 305-310 (PDF, 19KB, 5pg.)
- Blank Page- page 311.1 (PDF, 19KB, 1pg.)
- Medicaid Resource Level- pages 311-312 (PDF, 19KB, 2pg.)
- Blank Page- pages 311-317 (PDF, 19KB, 5pg.)
- Blank Page- page 318.1 (PDF, 19KB, 1pg.)
- SSI-Related Resource Disregards- page 318 - 321.1 (PDF, 19KB, 5pg.)
- Time Limited SSI-Related Resource Disregards- page 322 - 323 (PDF, 19KB, 2pg.)
- Blank Page- page 323.1 (PDF, 19KB, 1pg.)
- Blank Page- pages 326 - 329.1 (PDF, 19KB, 6pg.)
- Blank Page- pages 330.1 - 330.2 (PDF, 19KB, 2pg.)
- Blank Page- page 330 (PDF, 19KB, 1pg.)
- Determination For Individuals- page 335 (PDF, 19KB, 1pg.)
- Treatment of Real Property- page 336 (PDF, 19KB, 1pg.)
- Substantial Home Equity - page 336.1-336.3 (PDF, 19KB, 3pg.)
- Continuing Care Retirement Community Contracts - page 336.4 - 336.5 (PDF, 19KB, 3pg.)
- Budgeting for Legally Responsible Relatives - pages 337 - 338 (PDF, 25KB, 2pg.)
- Excess Resources - pages 339 - 341 (PDF, 25KB, 3pg.)
- Blank Page- page 341.1 (PDF, 19KB, 1pg.)
- Third Party Resources - page 344 (PDF, 22KB, 1pg.)
- Third Party Resources - page 347 (PDF, 22KB, 1pg.)
- Medicare Savings Program - pages 352.2 - 352.3 (PDF, 22KB, 2pg.)
- Transfer of Assets- pages 353 - 359.2 (PDF, 22KB, 13pg.)
- Blank Page- page 356 - 356.1c (PDF, 19KB, 2pg.)
- Annuties- page 359.3 - 359.3b (PDF, 19KB, 3pg.)
- Regional Rates- page 360 - 360.1 (PDF, 19KB, 2pg.)
Other Eligibility Requirements
- Table of Contents - pages 363.1- 363.4 (PDF, 20KB, 4pg.)
- Application, Certification and Renewal - pages 364- 365 (PDF, 20KB, 2pg.)
- Facilitated Enrollers - pages 365.1 - 365.2 (PDF, 20KB, 2pg.)
- New Application - pages 366 - 369.3a (PDF, 20KB, 10pg.)
- Family Planning Benefit Program (FPBP) Application - pages 369.4 - 369.5 (PDF, 20KB, 2pg.)
- Medicare Part D Low Income Subsidy Application - pages 369.6 (PDF, 20KB, 1pg.)
- Reapplication - pages 370 (PDF, 20KB, 1pg.)
- Renewal - pages 373-373.1 (PDF, 20KB, 3pg.)
- Decision and Notification - pages 374-375 (PDF, 20KB, 2pg.)
- Denial - pages 378-378.1 (PDF, 20KB, 2pg.)
- Discontinuance or Reduction - pages 380-381 (PDF, 20KB, 2pg.)
- Financial Maintenance - pages 386-387 (PDF, 20KB, 2pg.)
- Ownership and Availability - pages 388-393 (PDF, 20KB, 6pg.)
- Card Issuance - pages 395-396 (PDF, 20KB, 2pg.)
- Medicaid Buy-In Program for Working People With Disabilities (MBI-WPD) Premium Payment - page 399.1 (PDF, 20KB, 1pg.)
- District of Fiscal Responsibility (DFR) - page 405 (PDF, 20KB, 1pg.)
- State Residence and Responsibility for Assistance to Persons who Change Residency - page 408.1 - 408.4 (PDF, 28KB, 5pg.)
- Assistance to Persons Temporarily Absent - page 410 (PDF, 28KB, 1pg.)
- Assistance to Persons Temporarily in State - page 411 (PDF, 28KB, 1pg.)
- Infants Residing With Incarcerated Mothers- pages 421-422 (PDF, 28KB, 2pg.)
- Legally Responsible Relatives - page 425 (PDF, 22KB, 1pg.)
- Legally Responsible Relatives - Spouse - pages 426-427 (PDF, 19KB, 2pg.)
- Legally Responsible Relatives - Parents and Children - pages 430 - 431 (PDF, 42KB, 2pg.)
- Legally Responsible Relatives Parents and Children - Absent Parent - page 432 (PDF, 42KB, 1pg.)
- IV-D Requirements - page 434-439 (PDF, 20KB, 8pg.)
- Legally Responsible Relatives Parents and Children - Step Parent - pages 440-441 (PDF, 42KB, 2pg.)
- Household Composition - page 443 (PDF, 42KB, 1pg.)
- Low Income Families (LIF), ADC-Related, Pregnant Women and Children - pages 445-446 (PDF, 42KB, 2pg.)
- Singles/Childless Couples (S/CC) - page 448 (PDF, 42KB, 1pg.)
- Identity - page 450 (PDF, 42KB, 1pg.)
- Citizenship and Immigration Status - pages 451 - 452 (PDF, 188KB, 2pg.)
- Citizens - pages 453.1 - 453.4 (PDF, 44KB, 4pg.)
- Satisfactory Immigration Status - pages 454 - 454.1 (PDF, 51KB, 2pg.)
- Victims of Trafficking - pages 455.20 - 455.22a (PDF, 51KB, 4pg.)
- Temporary Protected Status (TPS) - page 455.38 (PDF, 256KB, 1pg.)
- Citizenship and Immigration Status - Undocumented/Illegal Aliens - pages 457 - 460 (PDF, 53KB, 4pg.)
- Recoveries - pages 476-478 (PDF, 18KB, 3pg.)
- Recoveries - Confinement and Pregnancy Related Expenses - page 478.1 - 378.2 (PDF, 28KB, 2pg.)
- Recoveries - Liens - page 480 (PDF, 24KB, 1pg.)
- Presumptive Eligibility - page 495 (PDF, 38KB, 1pg.)
- Nursing Facility, Hospice or Home Health Care Services - page 497 - 500 (PDF, 38KB, 4pg.)
- Pregnant Women - page 501 - 502 (PDF, 38KB, 2pg.)
- Pregnant Women - page 503 - 503.4 (PDF, 38KB, 5pg.)
- Immediate Medical Need - page 504 (PDF, 38KB, 1pg.)
- Consolidated Omnibus Budget Reconcilation Act (COBRA)- page 507 (PDF, 38KB, 1pg.)
- Blank- page 519 - 253 (PDF, 38KB, 5pg.)
- Office of Mental Retardation and Developmental Disabilities(OMRDD) Home and Community Based Services Waiver (HCBS)- page 524 - 524.2 (PDF, 38KB, 3pg.)
Reference
- Table of Contents - page 525(PDF, 24KB, 1pg.)
- Categorical Factors - Family Health Plus and Family Health Plus Premium Assistance Program - page 527.1- 527.4(PDF, 29KB, 4pg.)
- Medicaid Extensions/Continuations Section 249E of the Public Law 92-603 - page 527(PDF, 29KB, 1pg.)
- Categorical Factors - Substantial Gainful Activity (SGA) - page 528 (PDF, 26KB, 1pg.)
- Categorical Factors - Trial Work Period - page 529 (PDF, 26KB, 1pg.)
- Income Disregards - page 530.1 - 530.5 (PDF, 26KB, 5pg.)
- Earned Income Disregard - page 531 (PDF, 20KB, 1pg.)
- Income - Student Income - page 532 (PDF, 20KB, 1pg.)
- Income - Income Allocation - page 533 (PDF, 32KB, 1pg.)
- Income - Medically Needy Levels - page 534-536.1(PDF, 118KB, 4pg.)
- Income - Medically Needy Levels - page 537-539.2(PDF, 118KB, 5pg.)
- Income - Medicare Part A and Part B Premiums - page 540 (PDF, 20KB, 1pg.)
- Income - New York State Minimum Wage - page 541 (PDF, 20KB, 1pg.)
- Income - Personal Needs Allowance--PACE-PNA - page 542 (PDF, 20KB, 1pg.)
- Income - MBL Shelter Type Table - Medicaid Standard beginning April 1, 2008 - page 543 (PDF, 20KB, 1pg.)
- Public Assistance Standard of Need - pages 544 - 546 (PDF, 20KB, 3pg.)
- Family Member Allowance (FMA)- page 547(PDF, 24KB, 1pg.)
- Spouse Impoverishment Income Allowance- page 548(PDF, 24KB, 1pg.)
- Income - Minimum Monthly Maintenance Needs Allowance (MMMNA)- page 549(PDF, 20KB, 1pg.)
- Income - Spousal Impoverishment: Personal Needs Allowance (PNA)- page 550(PDF, 20KB, 1pg.)
- Blank- page 552 - 554.2(PDF, 20KB, 5pg.)
- Income - Minimum/Maximum Community Spouse Allowance - page 555 (PDF, 21KB, 1pg.)
- Resource- Medically Resource Levels - page 556 (PDF, 44KB, 1pg.)
- Resource- SSI Resource Levels - page 556.1 (PDF, 20KB, 1pg.)
- Transfer of Assets Regional Rates- page 557-558 (PDF, 44KB, 2pg.)
- Medicaid Covered Services - page 561 (PDF, 30KB, 1pg.)
- Covered Services for Pregnant Women- page 562 (PDF, 30KB, 1pg.)
