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Family Medicaid Program Policy Manual

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TABLE OF CONTENTS

Section/
Subsection

Title/Content

Date Issued
or Revised

  0-1 CONTENTS INDEX 04/01/13
  0-2 ALPHA SUBJECT INDEX 01/01/07
  0-3 INTRODUCTION 01/01/06
  0-4 ACRONYMS AND GLOSSARY 01/01/08
     

000

Tables of Standards

  001 General Resource Limitation 07/01/06
  002 Monthly Income Standards 01/01/08
  003 Medically Needy Income Levels 04/01/09
  004 Poverty Level Standards (PW – Pregnancy) 04/01/13
  005 Poverty Level Standards (Healthy Montana Kids (HMK) Plus ) 04/01/13
  006 Poverty Level Standards (Breast & Cervical Cancer Treatment ) 04/01/13
     

100

Application Processing

  101-1 Confidentiality 07/01/04
  102-1 Civil Rights 01/01/07
  102-2 General Complaint Procedure 08/01/00
  Bulletin FMA-66 Application Filing/Interview Process
(103-1 between  pp 2-3)
02/07/11
  Bulletin 71 - Ex parte reviews for children on Healthy Montana Kids 11/01/12
  103-1 Application Filing 10/01/08
  103-2 Interview 01/01/07
  103-3 Applicant and Recipient Rights and Responsibilities 07/01/05
  103-4 Verification and Documentation 01/01/07
  Bulletin FMA-50 Application Processing 04/25/08
  103-5 Processing 01/01/08
  103-6 Voter Registration 02/01/00
  104-1 Eligibility Determination 01/01/07
  104-2 Timely Action 01/01/08
  104-3 Retroactive Medicaid Coverage 01/01/08
  105-1 Presumptive Eligibility 07/01/06
  106-1 Designated Outstations 08/01/99
     

200

Coverage Groups

  200 Overview 01/01/08
  201-1 Family (FM) 01/01/09
  201-2 Pregnancy (PW) 01/01/08
  201-3 Qualified Pregnant Women (QP) 01/01/08
  201-4 Pregnancy-Extended (EP) 01/01/06
  201-5 Newborn Coverage (EP, AN) 01/01/07
  201-6 Child-Under Age 6 (PC) 10/01/09
  201-7 Child-Age 6 to 19 (PS) 01/01/08
  201-8 Child-Medically Needy (RK) 01/01/07
  201-9 Family-Transitional (TR) 07/01/09
  201-10 SSI recipient in Family-Related Medicaid Household 01/01/06
  201-11 Breast & Cervical Cancer Treatment (BC) 01/01/08
  201-12 Family-Extended (EC) 01/01/06
  202-1 Adding New Household Members 01/01/07
  202-2 Household Member Loses Eligibility 01/01/06
     

300

Nonfinancial Requirements

  300 Overview 01/01/07
  301-1 Citizenship and Identity 01/01/10
  Bulletin FMA-61 Afghan and Iraqi Special Immigrants
(301-2 between pp4-5)
05/24/10
  Bulletin FMA-63 Five Year Ban-Children
(301-2 between pp4-5)
07/16/10
  301-2 Alien Status 01/01/12
  301-3 Emergency Alien Medical Coverage 01/01/08
  301-4 Refugee Medical Assistance 07/01/08
302-1 Montana Residency 01/01/08
  302-2 Temporary Absence from the Home 01/01/08
  303-1 Social Security Number 01/01/08
  304-1 Age 01/01/07
  305-1 Living with a Specified Relative 01/01/06
  306-1 Managed Care 01/01/08
  307-1 Health Coverage - Overview 01/01/07
  307-2 Health Coverage – HIPPS 01/01/06
  307-3 Health Coverage – Trauma Questionnaires 07/01/05
  307-4 Estates Recovery 01/01/08
  307-5 Liens 07/01/05
  308-1 COBRA 75 Continuation Beneficiaries 01/01/08
     

400

Resources

  400  Overview 07/01/08
  400-1 Alpha Index 07/01/05
  401-1 Ownership/Accessibility/Equity Value 07/01/08
  Bulletin FMA-49 Stimulus Tax Rebate 03/06/08
  Bulletin FMA-55 One Time Payment for SSI recipients and others 03/26/09
  Bulletin FMA-65 Tax Refund Disregard
(402-1 between pp 18-19)
02/09/11
  Bulletin FMA 70 Bulletin FMA 70 Keepseagle vs. Vilsack - Settlement of Tribal Trust Accounting and Management Lawsuits 11/05/2012
  402-1 Countable & Excluded Resources 07/01/08
&
10/01/08
  Bulletin FMA-53 Native American Income and Resources 12/19/08
  Bulletin FMA-58 Native American Resources –ARRA 11/20/09
  Bulletin FMA-68a Native American Settlements Cobell vs. Salazar 08/01/12
  Bulletin FMA-68b Native American Settlements Nez Perce et al v. Salazar 08/01/12
  402-2 Native American Resources 01/01/08
  402-3 Trust Funds 07/01/08
  403-1 Vehicles 07/01/02
       

500

Income

 
  500 Overview 07/01/06
  Bulletin FMA-49 Stimulus Tax Rebate 03/06/08
  500-1 Alpha Index 07/01/05
  Bulletin FMA-54 Additional Unemployment Benefit 03/02/09
  Bulletin FMA-55 One Time Payment for SSI recipients and others 03/26/09
  Bulletin FMA-67 Medicaid Incentives for Prevention of Chronic Diseases 02/08/12
  Bulletin FMA 70 Bulletin FMA 70 Keepseagle vs. Vilsack - Settlement of Tribal Trust Accounting and Management Lawsuits 11/05/12
  501-1 Unearned Income 07/01/05
  Bulletin FMA-53 Native American Income and Resources 12/19/08
  Bulletin FMA-57 Native American Income –ARRA 11/20/09
  Bulletin FMA-68a Native American Settlements Cobell vs. Salazar 08/01/12
  Bulletin FMA-68b Native American Settlements Nez Perce et al v. Salazar 08/01/12
  501-2 Native American Income 01/01/08
  Bulletin FMA-52 Census Income 09/02/08
  502-1 Earned Income 07/01/05
  503-1 Self-Employment 07/01/08 & 10/01/08
       

600

Eligibility and Benefit Determination

 
  601-1 Prospective Budgeting 01/01/09
  602-1 Income Disregards 01/01/09
  603-1 Deeming 01/01/08
       

700

Medically Needy

 
  700 Overview 01/01/09
  701-1 Applications 01/01/06
  702-1 Cash Option 01/01/06
  702-2 Cash Option Refunds 01/01/08
  703-1 Medical Expense Option 07/01/08
       

800

Medicaid Services

 
  801-1 Basic Medicaid 07/01/05
  802-1 Essential for Employment 01/01/08
  803-1 Emergency Dental Services 07/01/06
  804-1 EPSDT (Early & Periodic Screening, Diagnosis & Treatment) 01/01/08
  805-1 Medicaid Transportation 07/01/07
       

900

Child Support

 
  900 Overview 01/01/06
  901-1 Cooperation 01/01/09
  902-1 Good Cause for Non-Cooperation 01/01/06
  902-2 Good Cause; TEAMS Procedure 01/01/07
  902-3 Periodic Review of Good Cause 07/01/05
  903-1 Failure/Refusal to Cooperate 01/01/06
  904-1 Continuation of Support Services 01/01/06
  905-1 Child Support Enforcement Regional Offices 01/01/06
       

1000

Foster Care Medicaid

 
  1000 Overview 01/01/07
  1001-1 Application Processing 01/01/07
  1001-2 Redetermination 01/01/07
  1002-1 Therapeutic Foster Care & Group Homes 01/01/07
       

1100

Subsidized Adoption

 
  1100 Overview 07/01/06
  1101-1 Application Processing 07/01/06
       

1200

Residential Medicald Facilities

 
  1201-1 Residential Chemical Dependency Treatment 01/01/06
  1202-1 Intermediate Care/Psychiatric Residential Treatment 01/01/06
  1203-1 Penal Institutions 01/01/06
  Bulletin FMA-64 Psychiatric Residential Treatment Facility (PRTF) HCBS Waiver 08/19/10
       

1300

HIPAA

 
  1301-1 HIPAA - Creditable Coverage 01/01/04
  1302-1 HIPAA - Release of Protected Health Information 01/01/04
       

1500

Case Management

 
  1501-1 Reporting Changes 07/01/06
  Bulletin FMA69 Administrative Redeterminations for Nursing Home and Waiver Programs 10/01/12
  Bulletin 71 - Ex parte reviews for children on Healthy Montana Kids 11/01/12
  1502-1 Redetermination 03/01/12
  1503-1 Timely and Adequate Notice 01/01/06
  1504-1 Overissuance 07/01/07 & 01/01/08
  1505-1 (Reserved Section)  
  1506-1 Requesting a Fair Hearing/Continuation of Benefits 01/01/08
  1506-2 Administrative Reviews 01/01/07
  1506-3 Fair Hearing Procedure 01/01/07
  1506-4 Board of Public Assistance Appeal and Judicial Reviews 01/01/07
  1507-1 Case Notes 01/01/06
  1508-2 Program Compliance Reviews 02/01/02
  1509-1 Good Cause 01/01/06
  1510-1 Case File Retention/Purging 01/01/06
  1511-1 Case File Organization 01/01/06
  1512-1 Case Transfer 01/01/06
       

1600

Forms

 
  1600 Forms List 09/01/98
       

1700

Directories

 
  1701-1 Tribal and Indian Agency Offices 07/01/07
       

1800

Policies and Procedures - Cash Management

 
  1800-1 Cash Management Policy 01/01/08