PM 15: Eligibility for Medical Only Programs

PM 15-01-00: Medical Only Programs – 10/07/02
PM 15-02-00: Classification of Cases – 01/01/03
- PM 15-02-01: Community (No Spenddown) – 01/01/03
  - PM 15-02-01-a: Persons Applying for or Receiving DoA Services with a Spouse – 01/01/04
- PM 15-02-02: Community Spenddown – 01/01/03
  - PM 15-02-02-a: Persons Applying for or Receiving DoA Services with a Spouse – 01/01/04
- PM 15-02-03: Nursing Home (NH)/Supportive Living Facility (SLF) (AABD) – 07/01/12 MR 12.18
  - PM 15-02-03-a: Nursing Home (NH)/Supportive Living Facility (SLF) Credit – 07/01/12 MR 12.18
  - PM 15-02-03-b: Nursing Home (NH)/Supportive Living Facility (SLF) Spenddown – 02/06/14 MR 14.05
PM 15-03-00: Definitions – 04/17/98
PM 15-04-00: Use of Income and Assets – 01/01/03
- PM 15-04-01: Resources (AABD) – 07/01/12 MR 12.17
- PM 15-04-02: Income (FHP, ACA Adults and Family Planning) – 12/07/2022 MR #22.28
  - PM 15-04-02-b: Deductions from Earned Income – 07/29/15 MR 15.19
  - PM 15-04-02-c: Reserved – 07/29/15 MR 15.19
- PM 15-04-03: Income (AABD) – 07/01/12 MR 12.18
  - PM 15-04-03-a: AABD Income Disregard (Community Cases) – 01/01/03
  - PM 15-04-03-b: Earned Income – 03/01/97
  - PM 15-04-03-c: Monthly SSI Benefits – 04/01/04
  - PM 15-04-03-d: Medical Expense Payment or Reimbursement – 03/01/97
  - PM 15-04-03-e: Health Benefit Payments – 03/01/97
  - PM 15-04-03-f: Support Payments and Contributions – 03/01/02
- PM 15-04-04: Use of Income (NH, SLF, and DoA HCBS Waiver) – 02/06/14 MR 14.05
  - PM 15-04-04-a: Community Spouse Maintenance Needs Allowance – 12/22/2023 MR #23.38
  - PM 15-04-04-b: Family Maintenance Needs Allowance – 05/04/17 MR 17.08
  - PM 15-04-04-c: Maintenance Allowance - Child Under 21 (NH/SLF) – 07/01/12 MR 12.18
  - PM 15-04-04-d: Community Home Maintenance Allowance (Nursing Home) – 07/01/12 MR 12.18
  - PM 15-04-04-e: Nursing Home Veterans Benefit Disregard – 01/24/2024 MR #24.02
PM 15-05-00: Determining Countable Monthly Income – 12/07/2022 MR #22.28
- PM 15-05-01: Family Assist – 07/29/15 MR 15.19
- PM 15-05-02: Family Health Plans (Except Family Assist), ACA Adults and Family Planning – 12/07/2022 MR #22.28
- PM 15-05-03: AABD Community – 09/01/00
- PM 15-05-04: Nursing Home/Supportive Living Facility Cases – 07/01/12 MR 12.18
  - PM 15-05-04-a: Medicare Covered SNF Services – 03/01/97
PM 15-06-00: Income Standards – 12/07/2022 MR #22.28
- PM 15-06-01: FHP/ACA Adult Standards and MAGI Budgeting – 07/22/2022 MR#22.14
  - PM 15-06-01-a: Family Assist - Adult Included in Standard – 09/23/2024 MR #24.18
  - PM 15-06-01-b: ACA Adults – 07/29/15 MR 15.19
  - PM 15-06-01-c: FamilyCare Assist Standard for Parents and Caretaker Relatives – 07/29/15 MR 15.19
  - PM 15-06-01-d: All Kids Assist Standard – 03/20/2024 MR #24.10
  - PM 15-06-01-e: Family Health Spenddown Standard – 10/01/00
  - PM 15-06-01-f: Who to Include in the FHP or ACA Adult EDG – 07/29/15 MR 15.19
  - PM 15-06-01-g: Whose Income to Count in the FHP or ACA Adult EDG – 12/07/2022 MR #22.28
  - PM 15-06-01-h: Income of a Tax Dependent or Child of Another Person in the EDG – 03/29/19 MR 19.04
  - PM 15-06-01-i: Pregnant Woman With No Child Case (FHP) – 06/09/14 MR 14.15
  - PM 15-06-01-j: All Children Receive AABD Medical (FHP) – 01/01/03
  - PM 15-06-01-k: MAGI and Children Under 19 Years – 12/07/2022 MR #22.28
  - PM 15-06-01-m: Family Planning – 12/07/2022 MR #22.28
- PM 15-06-02: AABD Medical Income Standards – 01/01/03
  - PM 15-06-02-a: Community Standard – 01/01/09 MR 09.05
  - PM 15-06-02-b Personal Needs Allowance and Supportive Living Program Room and Board – 01/24/2024 MR #24.02
  - PM 15-06-02-c: Using AABD Medical Income Standards – 01/01/03
  - PM 15-06-02-d: Client Applying for or Receiving DoA Services – 01/01/04
- PM 15-06-03: Change in Standard – 12/07/98
  - PM 15-06-03-a: Family Size – 02/10/00
  - PM 15-06-03-b: Residence Change (AABD) – 04/17/98
PM 15-07-00: Beginning Month of Medical Eligibility – 01/01/03
- PM 15-07-01: Backdating Medical Eligibility – 03/01/97
- PM 15-07-02: Change of Beginning Month – 03/01/07
- PM 15-07-03: Deceased Applicants – 03/01/97
- PM 15-07-04: Child Born to Active AABD Client – 01/01/03
- PM 15-07-05: Medical Benefits When a Woman is No Longer Pregnant at Application – 01/18/2024 MR #24.01
PM 15-08-00: Spenddown – 9/28/16 MR 16.16
- PM 15-08-01: Determining Spenddown – 9/28/16 MR 16.16
- PM 15-08-02: Enrollment Period – 04/07/2022 MR #22.08
- PM 15-08-03: Spenddown of Excess Income and Resources – 9/28/16 MR 16.16
- PM 15-08-04: Changes During Enrollment Period – 09/01/00
  - PM 15-08-04-a:Change in Spenddown Amount – 9/28/16 MR 16.16
  - PM 15-08-04-b: Change in Case Classification – 09/01/00
- PM 15-08-05: Allowable Medical Expenses – 9/28/16 MR 16.16
- PM 15-08-06: Bills – 03/01/97
  - PM 15-08-06-a: Adjudicated Bills – 04/17/98
- PM 15-08-07: Receipts – 04/17/98
- PM 15-08-08: Use of Medical Expenses – 9/28/16 MR 16.16
  - PM 15-08-08-a: Use of a Bill for the Month of Service – 03/01/97
  - PM 15-08-08-b: Inpatient Hospital Care Costs – 03/01/97
  - PM 15-08-08-c: Use of a Bill for a Later Month (Carryover) – 03/01/97
  - PM 15-08-08-d: Use of Receipts – 04/17/98
  - PM 15-08-08-e: Medical Expenses Paid By Someone Not in the MANG Standard – 05/31/99
- PM 15-08-09: Spenddown Met Day – 9/28/16 MR 16.16
  - PM 15-08-09-a: Spenddown Met - Single Expense – 9/28/16 MR 16.16
  - PM 15-08-09-b: Spenddown Met - Multiple Expenses – 03/01/97
- PM 15-08-10: Starting Medical Coverage – 03/01/13 MR 13.06
- PM 15-08-11: Split Bills – 03/01/97
- PM 15-08-12: Change in Spenddown Met Day – 04/07/97
- PM 15-08-13: Meeting Spenddown Centrally with Home and Community Bases Services – 9/28/16 MR 16.16
- PM 15-08-14: Nursing Home/Supportive Living Facility Cases – 07/01/12 MR 12.18
  - PM 15-08-14-a: Monthly Spenddown – 07/01/12 MR 12.18
  - PM 15-08-14-b: Meeting Spenddown – 04/17/98
- PM 15-08-15: Pay-In Spenddown – 9/28/16 MR 16.16
  - PM 15-08-15-a: Enrollment in Pay-in Spenddown – 9/28/16 MR 16.16
  - PM 15-08-15-b: Meeting Spenddown with Pay-in Option – 11/01/08 MR 08.31
  - PM 15-08-15-c: Pay-in Spenddown Refunds – 9/28/16 MR 16.16