Long-Term Care Handbook Policy Clarifications

PC Number

Description

Chapter/Section or Appendix

PC Date

PMN19278489

OBRA Waiver Recipient Re-Assessments

489

February 26, 2019

PMN19262450

Treatment of Domiciliary Care (DOM Care) Supplemental Payment Income for Medical Assistance (MA)

450

February 13, 2019

PMN19254440

Questions about Long-Term Care Partnership (LTCP) Insurance Policies

440

February 5, 2019

PMN19230472

2019 Cost of Living Adjustment (COLA)

472

January 17, 2019

PMN19229440

When to complete a Resource Assessment (RA)

440

January 17, 2019

PMN19226450

VA Aid and Attendance Figures for 2019

450

December 1, 2018

PMN19088930

Completing the PA 162VR for Verification Related to Exchanges 4 and 5

Not linked

September 6, 2018

PMN19076468

October 2018 Mass Change

468.6

August 30, 2018

PMN19017468

Community HealthChoices (CHC) and Living Independence for the Elderly (LIFE) Fliers

468

July 24, 2018

PMN19000468

Revised Spousal Maintenance Allowance Effective July 1, 2018

468

July 5, 2018

PMN18897479

Reconsideration Policy for Community HealthChoices (CHC) Waiver and Long Term Care (LTC) Recipients

479

Revised June 1, 2018

PMN18897479

Reconsideration Policy for Community HealthChoices (CHC) Waiver and Long Term Care (LTC) Recipients

479

May 1, 2018

PMN18898489

OBRA Waiver Recipient Re-Assessments

489

May 1, 2018

PMN18894489

Address for correspondence and notices for LIFE participants

 

489

April 30, 2018

PMN18887476

Proper recording in eCIS of Long Term Care (LTC) and Home and Community Based Services (HCBS) Provider information for Renewals

476

April 23, 2018

PMN18829468

Eligibility for the Home Maintenance Deduction (HMD) and Dependent Allowance

Not linked

February 15, 2018

PMA18817489

Address for correspondence and notices for LIFE participants

489

February 6, 2018

PMN18674440

Resource Assessments for Long Term Care Medical Assistance (MA LTC) and Home and Community Based Services (HCBS)

440.1

Revised January 26, 2018

PMN18759440

Burial Cost Survey Letter

Not linked

December 1, 2017

PMN18753472

2018 Long Term Care (LTC) Cost of Living Adjustment (COLA) Mass Change

472.31

December 1, 2017

PMN18673489

End Dating Waiver Discharge Codes

489.1

September 7, 2017

PMN18666468

October 2017 LTC Mass Change

468.6, 468 App A

August 31, 2017

PMN18583489

Home and Community Based Services (HCBS) in a Medical Assistance for Workers with Disabilities (MAWD) Category

  489.1

July 17, 2107

PMN18565489

Transition of COMMCARE Recipients

489.31, 489.32

June 29, 2017

PMN18538477

Client Notices for Changes Made During Active Long-Term Care (LTC) Penalty Periods

Not linked

June 13, 2017

PMN18517489

Removal of minimum age requirement for participation in the Office of Developmental Program's (ODP) Person/Family Directed Support (68) and Consolidated (77) Waivers

489.41

May 31, 2017

PMN18514468

Revised Spousal Maintenance Allowance Effective 7/1/2017

468 Appendix A

May 23, 2017

PMN18488404

MA Recipient applying for Long Term Care (LTC) MA

404.3

May 17, 2017

PMN18487489

OBRA Waiver Recipient Re-Assessments

489.1

May 17, 2017

PMN18478489

Capitated Rates Paid to LIFE Program Providers

468.231, 489.1

May 10, 2017

PMN18432489

Home and Community Based Services (HCBS) Mosley Text Manual Notice Templates

477.1, 489.3

April 11, 2017

PMN18420440

Treatment of retroactive VA Aid and Attendance Benefits

440.3

April 3, 2017

PMN18281477

Proper Notice Text when Authorizing an Office of Long Term Living (OLTL) Waiver

477.1, 489.3

December 7, 2016

PMN18255450

Proper Use of Income Code 98-Long Term Care (LTC) Related Unearned Income

450.24

November 16, 2016

PMA18243338

Hospice Care in a Nursing Facility

438.7

November 8, 2016

PMN18176404

Transfer from Act 150 Program to the Attendant Care Waiver

404.1, 489.1

August 25, 2016

PMN18113404

SSI recipients who enter a Long Term Care (LTC) Facility

404.1

July 21, 2016

PMN18079489

Overlapping 902Z and 903Q TPLs on Long Term Care (LTC) records of recipients

489.1

June 27, 2016

PMN16826486

Name change from ICF/MR to ICF/ID and related address information

486

Revised March 24, 2016

PMN17900440

Resources for Long Term Care (LTC) - a Non-Applicant Child Under 21 in the Resident Property

440.1

March 10, 2016

PMN17815440

Treatment of Long Term Care (LTC) Insurance Policies

440.8

December 29, 2015

PMN17807472

Increase in Gross Social Security Income and Medicare Part B Premium Effective January 2016

472.3

December 21, 2015

PMN17784472

Long Term Care (LTC) Related Cost of Living Adjustment (COLA)

472

November 24, 2015

PMN17785450

Medicare Part B Premium 2016

450

November 24, 2015

PMN17678468

October 2015 Mass Change

468 Appendix A

September 3, 2015

PMN17674489

Discontinuance of the 0192 (AIDS) Waiver

489.1,   489.32

September 1, 2015

PMN17657489

Data Entry of Living Independence for the Elderly (LIFE) Program Dates in eCIS.

489.31

August 19, 2015

PMN17655468

LIFE Participants Transitioning from Facility to Community

468.231

August 12, 2015

PMM17626440

Using eCIStance as a reference tool for LTC application processing and case maintenance

440.11, 440.85, 440.89,  450.26

July 16, 2015

PMN17546468

Long-Term Care (LTC) and Home Maintenance Deduction (HMD) Effective Dates

468.38  468.4

May 12, 2015

PMN17401404

Information Needed from Medical Assistance (MA) Recipients Applying for Long Term Care (LTC) Benefits

404.1

January 8, 2015

PMN16859404

LTC COMPASS Applications

404

September 30, 2013

PMN16839489

End Dating Home and Community Based Services (HCBS) Waiver Codes and Long-Term Care (LTC) Facility Codes.

489.1

September 9, 2013

PMN16771450

Federal Tax Refund Exclusion Update

450.3     450.4,

440.61

July 23, 2013

PMN16745350

MA copay rebate checks

Not linked

July 2013

PMN16708440

Resource Determination for Individuals without Bank Accounts

440.3    440.12

 

June 2013

PMN16701468

The Authorization of a Home Maintenance Deduction (HMD) in Long-Term Care (LTC) Spousal Cases  

468

June 2013

PMN16268423

Facility and Waiver Code Effective Dates When an Individual Transfers from a Long Term Care (LTC) Facility to Home and Community Based Services (HCBS) on the Same Day

423.6

489.1

Revised May 7, 2013

July 10, 2012

PMN15948489

Home and Community Based Services (HCBS) Request Prior to Discharge From a Long Term Care (LTC) Facility

489

Revised May 7, 2013

September 29, 2011

PMN16337468

Revised Spousal Maintenance Allowance Effective 7/1/13

468 Appendix A

May 2013

PMN16596468

LTC Facility Private Pay Rate and Coverage of Retroactive Medical Bills

468.5

April 2013

PMN16607404

Application Dates for COMPASS Applications Submitted by providers for Long Term Care Benefits

404.21

April 2013

PMN16499468

Proper Entry of Retirement, Survivors, Disability Insurance (RSDI) Income in a Long-Term Care (LTC) Record

468

January 2013

PMN16480489

Waiver Applications Received More Than 40 Days from the Application

489

December 28, 2012

PMN16429489

Entry of Waiver Code Effective Dates

489.1

November 20, 2012

PMN16385404

Receipt of Incomplete Home and Community-Based services (HCBS) Eligibility/Ineligibility Change PA 1768 Forms from the Independent Enrollment Broker (IEB) MAXIMUS

404.1

489.1

October 17, 2012

PMN16371468

Proper Process for Authorization of Long-Term Care (LTC) Cases when both Non-Continuous Eligibility (NCE) and Ongoing Benefits are Needed

468.5

October 3, 2012

PMN16285440

Data Entry of Multiple Irrevocable Burial Reserves in Long-Term Care (LTC) Budgets

440.51

July 31, 2012

PMN16257440

Submitting Undue Hardship Waiver Requests

440.89

June 27, 2012

PMN16143440

Nursing Home Personal Care Accounts

440.7

April 5, 2012

PMN16058389

Home and Community Based Services (HCBS) and Supplemental Nutrition Assistance Program (SNAP) Budget Alignment

Not linked

January 23, 2012

PMN16051468

Use of Income Expense Codes When Authorizing Long-Term Care Budgets

Not linked

January 19, 2012

PMN16045450

Discrepancies between the Social Security Administration (SSA) Award Letter and Data Exchange 3

450.24

January12, 2012

PMN16044440

2012 Private Pay Rates

440 Appendix A

January 12, 2012

PMN14977403

Long Term Care Forms Update

Not linked

Revised September 29, 2011

PMN15841389

Procedures for Certain Waiver Programs under the Office of Long Term Living

Not linked

June 27.1011

PMN15801468 

Revised Spousal Maintenance Allowance Effective 7/1/11

468 Appendix A

June 3, 2011

PMN15762403

Managed Care Organization (MCO) Dis-enrollment for an Active Medical Assistance (MA) Recipient entering a Long Term Care (LTC) Facility

Not linked

May 25, 2011

PMA15796350

Treatment of Income from Participating in Clinical Trials for Rare Diseases and Conditions

Not linked

May 24, 2011

PMN15789440

Transfer of Assets to a Disabled Child

Not linked

May 18, 2011

PMN15777389

Eligibility for Home and Community Based Services (HCBS) in Spend-down Category of Medical Assistance (MA)

Not linked

May 5, 2011

PMN15737468

Deduction Limitation for Guardian Fees, Including Costs to Establish Guardianship

468.3

April 10, 2011

PMA15506322

Puerto Rico Birth Certificate Validity Extension

Not linked

October 14, 2010

 PMN15408450

RSDI Income Entry for LTC Cases in CIS

Not linked

August 2, 2010

PMN15282477

LTC Service Provider Notices

Not linked  

May 13, 2010

PMN15281477

0192 Waiver Notices

Not linked

May 13, 2010

PMN15063450

VA Aid and Attendance Figures for 2010

450 Appendix B

December 29, 2009

PMN15058472

2010 Long-Term Care (LTC) Related Cost of Living Adjustment (COLA)

472.31

December 16, 2009

PMN14916438

180-Day Exception Letters for LTC

Not linked

August 20, 2009

PMN14762486

Personal Needs Allowance (PNA) for Individuals with Earnings from a Sheltered Workshop or Other Therapeutic Activities Arranged by the Institution

Not linked

May 7, 2009

PMN14566404

CIS Data Entry for Long-Term Care (LTC) Spousal Records

Not linked

December 29, 2008

PMN14194468

Home Equity Loans, Multiple Mortgages, and CSMNA

468.34

October 27, 2008

PMN14456450

Individuals Receiving Social Security from Multiple Claims

450.24

October 14, 2008

PMN14455450

Individuals Receiving Veteran’s Benefits from Multiple Claims

450.24

October 14, 2008

PMA14537304

Use of PA-4 (Authorization for Release of Information) and Medical Assistance Eligibility

Not linked

Revised August 11, 2008

PMN14256450

Consolidation of Income Codes for Veteran's Administration Codes

450.24

Revised July 24, 2008

PMN14255450

Consolidation of RSDI Benefit Income Codes

450.24

Revised July 24, 2008

PMN14295468

New MA 51—Request for HMD after Authorization

468.38

Revised September 25, 2009

PMN14075450

VA Aid and Attendance Figures for 2008

450 Appendix B

February 11, 2008

PMN13781468

Revised Personal Needs Allowance Effective 7-1-07

468.32

June 21, 2007

PMS13662305

TAW and TJW Categories

405.4

May 30, 2007

PMN13629450

No Deduction to Receive Income for LTC and Waivers

450.1

April 10, 2007

PMN12973468

Treatment of Income When Determining Payment Towards Long-Term Care/First Month

450.25,

468.3

April 6, 2006

PMN12797468

Home Maintenance Deduction for Individuals Transitioning to Community

468.38

January 13, 2006

Updated October 11, 2018, replacing September 7, 2018