Family & Children's Medicaid Change Notices

A. MA-3120, SSI Medicaid, advises the caseworker that the instructions to evaluate for MAF caretaker relative have been removed. This section now refers the caseworker to MA-3235, Caretaker Relative Eligibility.

B. MA-3200, Initial Contact, has been updated to remove Alleghany Memorial Hospital from the Mandatory Outstation Locations list in Figure 5 as a Disproportionate Share Hospital.

C. MA-3265, Medicaid Family Planning Waiver, has been changed to:

A. Remove: MA-3120, SSI Medicaid, pages 13 and 14.

B. Insert: MA-3120, SSI Medicaid, pages 13 and 14 dated December 1, 2005.

C. Remove: MA-3200, Initial Contact, Figure 5, pages 1 and 2.

D. Insert: MA-3200, Initial Contact, Figure 5, pages 1 and 2 dated December 1, 2005.

E. Remove: MA-3265, Medicaid Family Planning Waiver, pages 1 through 10.

F. Insert: MA-3265, Medicaid Family Planning Waiver, pages 1 through 10 dated December 1, 2005 and Figure 3, Primary Care “Safety Net” Providers.

CHANGE NOTICE FOR MANUAL NO. 27-05, SSI MEDICAID

DATE: NOVEMBER 15, 2005

Manual: Family And Children’s Medicaid

Change No: 27-05

To: County Directors of Social Services

Effective: December 1, 2005

I. Content of Change

Revisions were made to manual sections to reflect the following:

A. MA-3120, SSI Medicaid, advises the caseworker that the instructions to evaluate for MAF caretaker relative have been removed. This section now refers the caseworker to MA-3235, Caretaker Relative Eligibility.

B. MA-3200, Initial Contact, has been updated to remove Alleghany Memorial Hospital from the Mandatory Outstation Locations list in Figure 5 as a Disproportionate Share Hospital.

C. MA-3265, Medicaid Family Planning Waiver, has been changed to:

1. Refer the caseworker to MA-3365, Child Support, in II.K.

2. Include a list of primary care providers as Figure 3 and to instruct the caseworker to give the applicant the DMA-3150, Family Planning Waiver Brochure.

II. IMPLEMENTATION

This policy is effective December 1, 2005. Apply this policy to any applications taken on or after December 1, 2005, or to redeterminations begun on or after December 1, 2005.

iII. MAINTENANCE OF MANUAL

A. Remove: MA-3120, SSI Medicaid, pages 13 and 14.

B. Insert: MA-3120, SSI Medicaid, pages 13 and 14 dated December 1, 2005.

C. Remove: MA-3200, Initial Contact, Figure 5, pages 1 and 2.

D. Insert: MA-3200, Initial Contact, Figure 5, pages 1 and 2 dated December 1, 2005.

E. Remove: MA-3265, Medicaid Family Planning Waiver, pages 1 through 10.

F. Insert: MA-3265, Medicaid Family Planning Waiver, pages 1 through 10 dated December 1, 2005 and Figure 3, Primary Care “Safety Net” Providers.

If you have any questions, please contact your Medicaid Program Representative.

L. Allen Dobson, Jr., M.D., Assistant Secretary

for Health Policy and Medical Assistance

(This material was researched and written by Sandi Morrow, Policy Consultant, Medicaid Eligibility Unit.)