MR #11.07: Revised Medical Program Standards for 2011

MR #11.07: Revised Medical Program Standards for 2011

Summary:

  • Updates the various medical program income standards which are based on the Federal Poverty Level (FPL) Income Guidelines effective 01/01/11.
  • Updates the Program Standards Desk Aid.
  • Provides details on the central conversion of Family Health Spenddown cases to FamilyCare Assist coverage.
  • Provides details on the central conversion of All Kids Premium Level 1-8 cases to Share and Premium Level 1-7 cases.
  • Requires the review of All Kids/Family Care cases potentially eligible for Assist and FamilyCare T cases potentially eligible for Premium Level 1.
  • Provides details on the central conversion of AABD Spenddown cases to AABD medical coverage. 
  • Clarifies policy about using FHP income standards and adds examples about how to consider unmarried parents, 3-generation families and other caretaker relatives.