Revision Notice 19-1; March 1, 2019

 

Archived Revision 18-4; Effective December 1, 2018
Archived Revision 18-3; Effective September 1, 2018
Archived Revision 18-2; Effective June 1, 2018
Archived Revision 18-1; Effective March 1, 2018

 

The following changes were made:

Section Title Change
B-3221 Valid Signatures Incorporates policy from LTC ME Bulletin #08-04 released on Feb. 19, 2008 and MEPD Bulletin #16-07, released on June 30, 2016. Adds Related Policy section.
B-5000 Previously Completed Application Reformats section for clarity and adds Related Policy section.
B-6510 Failure to Provide Missing Information Updates wording to provide clarity and consistency with the Texas Works Handbook and adds Related Policy section.
B-9100 Administrative Denials Updates wording to provide clarity, removes DADS references and adds Related Policy section.
F-1311 Encumbered Funds Clarifies policy related to encumbered funds and adds Related Policy section.
F-1312.2 Refunds for Payments Before Medicaid Eligibility Approval Corrects handbook reference and adds Related Policy section.
F-3600 Substantial Home Equity Updates the amounts for home equity interest.
F-3610 Persons Impacted by Substantial Home Equity Disqualification Updates substantial home equity limit amount.
G-1310 Community-Based Programs Using SSI Income Limits Updates reference chart with 2019 Supplemental Security Income (SSI) limits.
G-1320 Special Income Limits Updates reference chart with 2019 special income limits.
G-2311.2 Examples of Spouse to Spouse Deeming Updates examples with the 2019 SSI limits and ineligible child allocation.
G-2312.1 Examples of Parent-to-Child Deeming Updates examples with the 2019 ineligible child allocation and income limits.
G-4310 Computing Social Security Cost-of-Living Increases Updates reference chart with the 2019 Social Security cost-of-living adjustment (COLA) multiplier.
H-1800 Medicare Part B Premium Updates information on the base Medicare Part B premium and the 2019 cost-of-living adjustment.
H-6000 Co-Payment for SSI Cases Updates reference chart for the 2019 SSI federal benefit rate (FBR) income limits.
J-7200 Spousal Co-Payment Updates the 2019 spousal allowance amount in the co-payment calculation portion of the example. Updates brother’s dependent allowance and co-payment calculations in examples.
J-7300 ICF/IID Spousal Companion Cases Updates the 2019 spousal allowance amount in step 4 of the example.
O-3200 STAR+PLUS Waiver (SPW) Removes links.
Appendix XII Nursing Facility and Home and Community-Based Services Waiver Information Updates the 1915(c) Waiver Program Co-Payment Worksheets with the 2019 budget amounts. Appendix is available on the LOOP.
Appendix XIII Spousal Impoverishment Information Updates the 2019 budget amounts for spousal allowance. Updates the spousal protected resource amount (SPRA) minimum and maximum amounts in the examples.
Appendix XXII Home and Community-Based Services Waiver Program Co-Payment Worksheets Updates the worksheets with the 2019 budget amounts. Appendix is available on the LOOP.
Appendix XXIX Special Deeming Eligibility Test for Spouse to Spouse Updates the worksheet with the 2019 living allowance for certain programs.
Appendix XXX Medical Effective Dates (MEDs) Corrects form number.
Appendix XXXI Budget Reference Chart Updates the chart with 2019 budget amounts for living arrangements, savings programs, buy-in programs and premiums.
Appendix XXXIII Medicaid for the Elderly and People with Disabilities Information Updates the SPRA amounts and effective dates for 2019 budget.
Appendix XXXVI Qualified Income Trusts (QITs) and Medicaid for the Elderly and People with Disabilities (MEPD) Information Updates the special income limits and effective dates for 2019 budget amounts.
Appendix XXXVIII Pickle Disregard Computation Worksheet Updates the worksheet with the 2019 multiplier amounts. Appendix is available on the LOOP.
Appendix XLI Historical Income Limits Chart for Institutional, SSI, and MBI Updates the charts with the 2019 amounts and effective date.
Appendix L 2019 Income/Resources Reference Chart Updates the chart with the 2019 Supplemental Security Income (SSI) income limits and deeming amounts.
Appendix LIII Sponsor to Alien Deeming Worksheet Updates the worksheet with 2019 SSI income limit. Appendix is available on the LOOP.
Appendix LV Historical Medicare Part B Premiums Updates the chart with 2019 effective date and Standard Part B premium amount.
Form H1051- IME Recipient of Durable Medical Equipment Updates form to include agency contact information (phone number, mailing address and fax number) and change “client” to “recipient”.
Form H1051- IME Instructions Recipient of Durable Medical Equipment Updates instructions to accompany form.
Form H1052- IME Notice of Delay in Decision for Incurred Medical Expense Instructions Updates form to include agency contact information (phone number, mailing address and fax number) and change “client” to “recipient”.
Form H1052- Instructions Notice of Delay in Decision for Incurred Medical Expense Instructions Updates instructions to accompany form.
Form H1053-IME Provider Notice of Incurred Medical Expense Decision Updates form to include agency contact information (phone number, mailing address and fax number) and change “client” to “recipient”.
Form H1053-IME Instructions Provider Notice of Incurred Medical Expense Decision Updates instructions to accompany form.
Form H1054-IME Proof of Dental Services Updates form to include agency contact information (phone number, mailing address and fax number) and change “client” to “recipient”.
Form H1054-IME Instructions Proof of Dental Services Updates instructions to accompany form.
Form H1263-A Instructions Certification of Medical Necessity - Durable Medical Equipment or Other IME Changes transmittal instructions and provides information on how to send form to HHSC.
Form H1263-B Instructions Certification of No Medical Contraindication - Dental Changes transmittal instructions provides information on how to send form to HHSC.