COMMONWEALTH OF KENTUCKY Cabinet for Health and Family Services Department for Community Based Services Frankfort, Kentucky
Operation Manual Transmittal Letter 293 May 1, 2008
To: All Field Staff
Subject: Revisions to Pass Through Policy
Volume IVA
The Table of Contents is revised to add the following:
MS 4155, Acronyms and Definitions; MS 4235, Applicant with Eligible Spouse; and MS 4245, Pass Through for Individual Losing SSP.
The Table of Contents is further revised to delete MS 4210, Application Process, and to rename MS 4250 “Application Process” as the contents of the former MS 4210 are added to MS 4250. Additionally, it is revised to change the title of MS 4150 to “Pass Through Overview”.
MS 4150, Pass Through Review, is revised to change the title to “Pass Through Overview” and to outline the three groups of Pass Through recipients.
MS 4155, Acronyms and Definitions, is created to outline acronyms and definitions commonly used in Medicaid and Pass Through.
MS 4160, Concurrent SSI/SSP, is revised for clarity of wording and to add instructions for Pass Through computation for this group of recipients.
MS 4180, Disabled Adult Child, is revised for clarity of wording and to add information regarding the age limits and RSDI claim number for this group of recipients. It is further revised to add instructions for Pass Through computation and to incorporate OM Update No. 06-16, Disabled Adult Child (DAC) Pass Through, MS 99735, 6/1/06.
MS 4190, Disabled Early Widows and Widowers or Disabled Surviving Divorced Spouses with No Medicare Part A, is revised for clarity of wording and to add instructions to explore eligibility for QMB, SLMB, QDWI, or QI1 when the Pass Through case terminates. It is further revised to add instructions for Pass Through computation for this group of recipients.
MS 4210 is obsolete as its contents are merged with MS 4250.
MS 4220, Resources, is revised to remove information regarding a blind or disabled child as Pass Through recipients are over 18 years of age. MS 4230, Income Calculation, is revised to remove instructions for income calculations specific to each Pass Through group and to applicants who have eligible/ineligible spouses or are single or considered single due to a spouse being in LTC for over 30 days. This information was moved to manual sections specific to these groups. MS 4230 is also revised for clarity of wording and to add links to MS 2180 – MS 2470, which contain information regarding countable income for Aged, Blind, Disabled MA.
MS 4235, Applicant with Eligible Spouse, is created to give instruction for income calculation for this particular household situation.
MS 4240, Applicant with Ineligible Spouse, is revised for clarity and to remove Part C, which is not applicable to Pass Through.
MS 4245, Single Applicant or Married Applicant with Spouse in LTC Over 30 Days, is created to give instruction for income calculation for this particular household situation.
MS 4250 is renamed “Application Process” and is revised to incorporate information from the former MS 4210.
MS 4260, Discontinuances, is revised for clarity of wording and to add that the original recertification month is to be restored if a reinstatement is done within the original certification period.
MS 4270, Pass Through Individual Moving to a Nursing Facility or Institutional Hospice, is revised to change “Confirmation Notice” to “PRO Certification” and to add further instruction for income computation and system entry. It is also revised to change the title.
MS 4280, Pass Through Individual in Receipt of Waiver or Non-Institutional Hospice Services, is revised for clarity of wording, to add Non-Institutional Hospice and Institutional Hospice to the list of waiver programs, and to add instructions for system entry. It is further revised to change the title.
Volume X
The Table of Contents is revised to remove OM Update No. 06-16, MS 99375, 6/1/06.
MS 99735, Disabled Adult Child (DAC) Pass Through, is obsoleted as it is incorporated into Volume IVA, MS 4180.
Patricia R. Wilson, Commissioner