Medicaid Reference Guide - November 2009
MRG UPDATES NOVEMBER 2009
Page numbers are provided for print use only. To search for a specific topic, use the search function and enter a desired word or topic.
Categorical Factors
- Categorical Factors: Table of Contents - pages 1 - 1.1 (PDF, 21KB, 2pg.)
- Categorical Factors: Table of Contents - pages 1.2 - 2 (PDF, 21KB, 2pg.)
- ADC-Related Age of Child - page 5 (PDF, 14KB, 1pg.)
- Relationship of Child to Caretaker Relative - page 7 (PDF, 13KB, 1pg.)
- Living with Specified Relative - page 8 (PDF, 14KB, 1pg.)
- ADC-Related - Deprivation of Parental Support or Care - pages 10 - 11 (PDF, 22KB, 2pg.)
- ADC-Related - Deprivation of Parental Support or Care - Death of Parent - pages 12 - 13 (PDF, 16KB, 2pg.)
- ADC-Related - Deprivation of Parental Support or Care - Incapacity - pages 14 - 15 (PDF, 22KB, 2pg.)
- ADC-Related - Deprivation of Parental Support or Care - Continued Absence - pages 17 - 18 (PDF, 22KB, 2pg.)
- SSI-Related - page 21 (PDF, 19KB, 1pg.)
- Disability - page 28 (PDF, 18KB, 1pg.)
- Disability - page 30 (PDF, 14KB, 1pg.)
- Medicaid Buy-In Program for Working People with Disabilities - page 34.1 (PDF, 15KB, 1pg.)
- Medicaid Buy-In Program for Working People with Disabilities - page 34.4 (PDF, 20KB, 1pg.)
- Singles/Childless Couples (S/CC) - page 40 (PDF, 14KB, 1pg.)
- Family Health Plus (FHPlus) and Family Health Plus Premium Assistance Program (FHP-PAP) - page 40.2 (PDF, 19KB, 1pg.)
- Family Health Plus (FHPlus) and Family Health Plus Premium Assistance Program (FHP-PAP) - pages 40.2a - 40.2b (PDF, 24KB, 2pg.)
- Children in Foster Care - page 41.2 (PDF, 13KB, 1pg.)
- Medicare Buy-In - page 41.7 (PDF, 19KB, 1pg.)
- Medicaid Extensions/Continuations- page 42 (PDF, 14KB, 1pg.)
- Medicaid Extensions/Continuations- page 46.1 (PDF, 22KB, 1pg.)
- Seperate Health Care Coverage Determination - page 47 (PDF, 15KB, 1pg.)
- Medicaid Extensions/Continuations - Pickle Eligible (FORMERLY 503 CASES) - page 50 (PDF, 15KB, 1pg.)
- Transitional Medicaid (TMA) - pages 56-62 (PDF, 26KB, 7pg.)
Income
- Income: Index - page 62.4 (PDF, 11KB, 1pg.)
- Earned Self-Employment and Small Business Income - pages 72 - 76 (PDF, 38KB, 5pg.)
- Earned Unemployment Insurance Benefits (UIB) - pages 81 - 82 (PDF, 18KB, 2pg.)
- Federal Poverty Levels Medicare Savings Program - pages 119 - 120 (PDF, 21KB, 2pg.)
- Budgeting - pages 127 - 128 (PDF, 24KB, 2pg.)
- Low Income Families (LIF) Disregard- page 129 (PDF, 14KB, 1pg.)
- Low Income Families (LIF) Budgeting Methodology - page 139 (PDF, 19KB, 1pg.)
- Low Income Families (LIF) Budgeting Methodology - 185% Maximum Income Test - page 139 (PDF, 14KB, 1pg.)
- Low Income Families (LIF) Methodology - Child/Incapacitated Adult Care Cost - page 147 (PDF, 13KB, 1pg.)
- Low Income Families (LIF) Methodology - Determination of Eligibility - page 148 (PDF, 20KB, 1pg.)
- ADC-Related Disregards - page 150 (PDF, 14KB, 1pg.)
- ADC-Related Budgeting Methodology - page 158 (PDF, 20KB, 1pg.)
- ADC-Related Budgeting Methodology - Child /Incapacitated Adult Care Cost - page 162 (PDF, 13KB, 1pg.)
- ADC-Related Budgeting Methodology - Determination of Eligibility - page 166 (PDF, 19KB, 1pg.)
- ADC-Related Budgeting Methodology - Determination of Eligibility - page 167 (PDF, 13KB, 1pg.)
- Adopted Children - page 172 (PDF, 13KB, 1pg.)
- SSI-Related Disregards - page 174 (PDF, 14KB, 1pg.)
- Allocation - page 187 (PDF, 23KB, 1pg.)
- Allocation - page 188 (PDF, 13KB, 1pg.)
- Allocation - page 189 (PDF, 11KB, 1pg.)
- S/CC Disregards - page 210 (PDF, 15KB, 1pg.)
- S/CC - Budgeting Methodology - page 219 (PDF, 13KB, 1pg.)
- Determination of Eligibility - page 224 (PDF, 13KB, 1pg.)
- Persons in Medical Facilities - Budgeting for Institutionalized Spouses in Specified Home and Community Based Waivers (HCBS) - page 231.2 (PDF, 15KB, 1pg.)
- Excess - pages 239 - 242.2 (PDF, 46KB, 6pg.)
- Excess - Six-Month - page 243 (PDF, 14KB, 1pg.)
- Excess - Six-Month and Pay-In - pages 245 - 249 (PDF, 30KB, 5pg.)
Resources
- Table of Contents - pages 249.2 - 249.3 (PDF, 17KB, 2pg.)
- Stocks, Bonds, Securities and Promissory Notes - page 269.1 (PDF, 14KB, 1pg.)
- Stocks, Bonds, Securities - pages 270 - 270.1 (PDF, 15KB, 2pg.)
- Income-Producing - page 278 (PDF, 14KB, 1pg.)
- Real Property Producing Personal Goods/Services - page 283 (PDF, 14KB, 1pg.)
- Personal Property Automobile and Other Vehicles - pages 286 -287 (PDF, 17KB, 2pg.)
- Automobile and Other Vehicles - page 289 (PDF, 20KB, 1pg.)
- Resource Documentation Requirements - page 303.5 (PDF, 13KB, 1pg.)
- Resource Documentation Requirements - pages 303.6 - 303.9 (PDF, 36KB, 4pg.)
- Levels - pages 304 - 304.1 (PDF, 15KB, 2pg.)
- LIF Resource Disregards - pages 306 - 307.1 (PDF, 24KB, 3pg.)
- LIF Resource Disregards - page 309 (PDF, 14KB, 1pg.)
- Medicaid Resource Level - pages 311 - 311.1 (PDF, 22KB, 2pg.)
- ADC-Related Disregards - page 313 (PDF, 15KB, 1pg.)
- ADC-Related Resource Disregards - page 316 (PDF, 14KB, 1pg.)
- SSI-Related Resource Disregards - page 318.1 (PDF, 13KB, 1pg.)
- SSI-Related Resource Disregards - page 319 (PDF, 15KB, 1pg.)
- SSI-Related Resource Disregards - page 321 (PDF, 16KB, 1pg.)
- SSI-Related Deeming of Resources - pages 324 - 325 (PDF, 16KB, 2pg.)
- S/CC Resource Level - page 326 (PDF, 13KB, 1pg.)
- S/CC Resource Disregards - page 327 (PDF, 14KB, 1pg.)
- S/CC Resource Disregards - pages 329 - 329.1 (PDF, 16KB, 2pg.)
- Family Health Plus - page 330.1 (PDF, 13KB, 1pg.)
- Persons in Medical Facilities Assessment/Determination - pages 333 - 334.1 (PDF, 28KB, 5pg.)
- Persons in Medical Facilities - Budgeting for Institutionalized Spouses in Home and Community Based Waivers (HCBS) - page 334.2 (PDF, 12KB, 1pg.)
- Persons in Medical Facilities - Treatment of Real Property - page 336 (PDF, 14KB, 1pg.)
- Substantial Home Equity - pages 336.1 - 336.2 (PDF, 23KB, 2pg.)
- Budgeting for Legally Responsible Relatives - pages 337 - 338 (PDF, 19KB, 2pg.)
- Third Party Resources - page 342.1 (PDF, 11KB, 1pg.)
- Third Party Resources - pages 344.1 - 344.5 (PDF, 33KB, 5pg.)
- Third Party Health Insurance Enrollment in Group Health Insurance - pages 351 - 352 (PDF, 18KB, 2pg.)
- New York State Partnership for Long-Term Care - pages 352.1 - 352.1d (PDF, 33KB, 5pg.)
- Medicare Savings Program - pages 352.3 - 352.4 (PDF, 19KB, 2pg.)
- Transfer of Assets All Categories - page 353 (PDF, 13KB, 1pg.)
- Transfer of Assets All Categories - page 353.1 (PDF, 13KB, 1pg.)
- Transfer of Assets All Categories - page 354 (PDF, 19KB, 1pg.)
- Transfer of Assets All Categories - pages 356.1a - 356.1c (PDF, 30KB, 3pg.)
- Transfer of Assets All Categories - page 357 (PDF, 14KB, 1pg.)
- Transfer of Assets Annuities - pages 359.3 - 359.3b (PDF, 27KB, 3pg.)
Other Eligibility Requirements
- Table of Contents - pages 363.1 - 363.4 (PDF, 26KB, 4pg.)
- Facilitated Enrollers - page 365.1 (PDF, 20KB, 1pg.)
- New Application - pages 368 - 368.1 (PDF, 16KB, 2pg.)
- New Application - page 369 (PDF, 14KB, 1pg.)
- Renewal - pages 372 - 373 (PDF, 21KB, 3pg.)
- Ownership and Availability - page 391 (PDF, 15KB, 1pg.)
- Card Issuance - page 396 (PDF, 15KB, 1pg.)
- Co-Pay - page 398.1 (PDF, 22KB, 1pg.)
- District of Fiscal Responsibility (DFR) - page 406 (PDF, 16KB, 1pg.)
- District of Fiscal Responsibility (DFR) - page 407 (PDF, 14KB, 1pg.)
- State Residence and Responsibility for Assistance- Assistance to Persons who Change Residency - page 408.1 (PDF, 20KB, 1pg.)
- State Residence and Responsibility for Assistance- Assistance to Persons who Change Residency - page 408.3 - 408.3a (PDF, 15KB, 2pg.)
- Maintaining Medicaid Eligibility For Incarcerated Individuals - pages 422.1 - 423 (PDF, 36KB, 5pg.)
- Previously Identity - pages 423.1 - 423.10 (PDF, 22KB, 10pg.)
- Legally Responsible Relatives (LRR) - page 425 (PDF, 13KB, 1pg.)
- Legally Responsible Relatives - Parents and Children Absent Parent - page 432 (PDF, 14KB, 1pg.)
- IV-D Requirements - page 438 (PDF, 19KB, 1pg.)
- Household Composition - page 443 (PDF, 18KB, 1pg.)
- Household Composition - Low Income Families (LIF), ADC-Related, Pregnant Women and Children - pages 444 - 446 (PDF, 32KB, 3pg.)
- Household Composition - SSI-Related - page 447 (PDF, 19KB, 1pg.)
- Household Composition - S/CC - page 448 (PDF, 13KB, 1pg.)
- Identity - pages 449 - 450.09 (PDF, 83KB, 11pg.)
- Citizenship and Immigration Status - pages 451 - 453 (PDF, 21KB, 3pg.)
- Citizens - page 453.2 (PDF, 23KB, 1pg.)
- Citizens - page 453.5a (PDF, 23KB, 1pg.)
- Citizens - pages 453.6 - 453.8a (PDF, 14KB, 5pg.)
- Native Americans - pages 453.9 - 453.11 (PDF, 117KB, 3pg.)
- Satisfactory Immigration Status - pages 454 - 454.1 (PDF, 58KB, 2pg.)
- Qualified Aliens - pages 455.1 - 455.9 (PDF, 159KB, 9pg.)
- Battered Qualified Aliens - pages 455.10 - 455.17a (PDF, 119KB, 9pg.)
- U.S. Armed Forces Active Duty and Veterans - pages 455.18 - 455.19 (PDF, 57KB, 2pg.)
- Victims of Trafficking - pages 455.20 - 455.23 (PDF, 86KB, 4pg.)
- Prucol - pages 455.24 - 455.26 (PDF, 28KB, 3pg.)
- Prucol - pages 455.30 - 455.31 (PDF, 25KB, 2pg.)
- Prucol - pages 455.37 - 455.37g (PDF, 105KB, 8pg.)
- Temporary Protected Status (TPS)- pages 455.38 - 455.40 (PDF, 71KB, 3pg.)
- Other Visa Statuses - page 456 (PDF, 14KB, 1pg.)
- Non-Immigrants - pages 456.1 - 456.5 (PDF, 80KB, 5pg.)
- Undocumented/Illegal Aliens - Treatment of an Emergency Medical Condition - pages 457 - 460 (PDF, 49KB, 4pg.)
- Previously Aliens Admitted on a Temporary Basis - page 475 (PDF, 10KB, 1pg.)
- Recoveries - page 476 (PDF, 19KB, 1pg.)
- Recoveries - page 478.a - 478.b (PDF, 21KB, 2pg.)
- Liens - page 479 (PDF, 19KB, 1pg.)
- Liens - pages 480 - 480.1 (PDF, 16KB, 2pg.)
- Voluntary Repayments - page 481 (PDF, 13KB, 1pg.)
- State and Federal Charges - Native Americans and Their Families Living on a Reservation - page 484 (PDF, 18KB, 1pg.)
- Children Under the Age of 19 - page 503.2 (PDF, 19KB, 1pg.)
- Consolidated Omnibus Budget Reconciliation ACT (COBRA) - pages 506 - 508 (PDF, 29KB, 3pg.)
- Computer Matching - page 509 (PDF, 12KB, 1pg.)
- Waivers Care at Home - pages 510 - 511 (PDF, 27KB, 2pg.)
- Waivers Nursing Home Transition and Diversion Waiver - pages 512 - 514 (PDF, 22KB, 3pg.)
- Waivers Bridges to Health (B2H) - pages 515 - 516 (PDF, 20KB, 2pg.)
- Waivers Traumatic Brain Injury (TBI) Waiver - pages 517 - 518 (PDF, 27KB, 2pg.)
Reference
- Table of Contents - page 525(PDF, 17KB, 1pg.)
- Reduction Factors for Calculating Medicaid Eligibility Under the Pickle Amendment - page 527.4(PDF, 92KB, 1pg.)
- Income Disregard - pages 530.1 - 530.5(PDF, 108KB, 5pg.)
- Earned Income Disregard - page 531(PDF, 15KB, 1pg.)
- Income - Income Allocation - page 533 (PDF, 22KB, 1pg.)
- Income - Medically Needy Levels and Federal Poverty Levels - pages 534-536.1(PDF, 107KB, 4pg.)
- Income/Resource Test - pages 537 - 539.2(PDF, 117KB, 5pg.)
- New York State Minimum Wage - page 541 (PDF, 13KB, 1pg.)
- Personal Needs Allowance (PNA) - page 542 (PDF, 14KB, 1pg.)
- SSI Benefit Levels - pages 544 - 546 (PDF, 66KB, 3pg.)
- Family Member Allowance - page 547(PDF, 14KB, 1pg.)
- Income/Resource Test - pages 552 - 554.2(PDF, 117KB, 5pg.)
- Transfer of Assets Regional Rates - pages 557 - 558(PDF, 30KB, 2pg.)
- Medicaid Covered Servies - page 561 (PDF, 24KB, 1pg.)
