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Appendix XXXVIII, Pickle Disregard Computation Worksheet

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  • Appendix XXXVIII, Pickle Disregard Computation Worksheet

Medicaid for the Elderly and People with Disabilities Handbook

  • Chapter A, General Information and MEPD Groups
  • Chapter B, Applications and Redeterminations
  • Chapter C, Rights and Responsibilities
  • Chapter D, Non-Financial
  • Chapter E, General Income
  • Chapter F, Resources
  • Chapter G, Eligibility Budgets
  • Chapter H, Co-Payment
  • Chapter I, Transfer of Assets
  • Chapter J, Spousal Impoverishment
  • Chapter K, Reserved for Future Use
  • Chapter L, Reserved for Future Use
  • Chapter M, Medicaid Buy-In Program
  • Chapter N, Medicaid Buy-In for Children
  • Chapter O, Waiver Programs, Demonstration Projects and All-Inclusive Care
  • Chapter P, Long-term Care Partnership (LTCP) Program
  • Chapter Q, Medicare Savings Program
  • Chapter R, Case Disposition
  • Glossary
  • Appendices
    • Appendix I, MAO Action Codes
    • Appendix II, Forms H1000-A and H1000-B Instructions; Supplement No. 2 Error Messages
    • Appendix III, Code Card for Forms H1000-A/B (Categories 1, 3 and 4)
    • Appendix IV, Data Broker
    • Appendix V, Levels of Evidence of Citizenship and Acceptable Evidence of Identity Reference Guide
    • Appendix VI, SSA Claim Number Suffixes
    • Appendix VII, County Names, Codes and Regions
    • Appendix VIII, Summary of Effects of Institutionalization on Supplemental Security Income (SSI) Eligibility
    • Appendix IX, Medicare Savings Program Information
    • Appendix X, Life Estate and Remainder Interest Tables
    • Appendix XI, Reference for Notification Forms
    • Appendix XII, Nursing Facility and Home and Community-Based Services Waiver Information
    • Appendix XIII, Reserved For Future Use
    • Appendix XIV, In-Kind Support and Maintenance Charts A through E; Worksheets A through D
    • Appendix XV, Notification to Provide Proof of Citizenship and Identity
    • Appendix XVI, Documentation and Verification Guide
    • Appendix XVII, System Generated IEVS Worksheet Legends for IRS Tax Data
    • Appendix XVIII, IRS Tax Code, Sections 7213, 7213A, and 7431
    • Appendix XIX, Reserved for Future Use
    • Appendix XX, Deeming Noninstitutional Budgets – Couple Living in the Same Household
    • Appendix XXI, Reserved for Future Use
    • Appendix XXII, Home and Community-Based Services Waiver Program Co-Payment Worksheets
    • Appendix XXIII, Procedure for Designated Vendor Number to Withhold Vendor Payment
    • Appendix XXIV, Reserved for Future Use
    • Appendix XXV, Accessibility to Income and Resources in Joint Bank Accounts
    • Appendix XXVI, ICF/ID Vendor Payment Budget Worksheets
    • Appendix XXVII, Worksheet for Expanded SPRA on Appeal
    • Appendix XXVIII, Worksheet for Spouse's Income,(Post-Expanded SPRA Appeals)
    • Appendix XXIX, Special Deeming Eligibility Test for Spouse to Spouse
    • Appendix XXX, Medical Effective Dates (MEDs)
    • Appendix XXXI, Budget Reference Chart
    • Appendix XXXII, Reserved for Future Use
    • Appendix XXXIII, Medicaid for the Elderly and People with Disabilities Information
    • Appendix XXXIV, Burial Resources
    • Appendix XXXV, Treatment of Insurance Dividends
    • Appendix XXXVI, Qualified Income Trusts (QITs) and Medicaid for the Elderly and People with Disabilities (MEPD) Information
    • Appendix XXXVII, Master Pooled Trust and Medicaid Eligibility Information
    • Appendix XXXVIII, Pickle Disregard Computation Worksheet
    • Appendix XXXIX, MBI Screening Tool and Worksheets
    • Appendix XL, Medicare and Extra Help Information
    • Appendix XLI, Historical Income Limits Chart for Institutional, SSI and MBI
    • Appendix XLII, Variable Income Worksheet
    • Appendix XLIV, Reserved for Future Use
    • Appendix XLV, Program Transfer with Form H1200 Guide
    • Appendix XLVI, Reserved for Future Use
    • Appendix XLVII, Simplified Redetermination Process
    • Appendix XLVIII, Medicaid Buy-In for Children (MBIC) Denial Codes
    • Appendix XLIX, Medicaid Buy-In for Children Program Forms Chart
    • Appendix L, 2019 Income/Resources Reference Chart
    • Appendix LI, Self-Service Portal (SSP) Information
    • Appendix LII, Reserved for Future Use
    • Appendix LIII, Sponsor to Alien Deeming Worksheet
    • Appendix LIV, Description of Alien Resident Cards
    • Appendix LV, Historical Medicare Part B Premiums
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Revision 19-1; Effective March 1, 2019

 

Appendix is available for staff use at: https://oss.txhhsc.txnet.state.tx.us/Pages/Home.aspx.

 

‹ Appendix XXXVII, Master Pooled Trust and Medicaid Eligibility Information up Appendix XXXIX, MBI Screening Tool and Worksheets ›

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