1000
ADMINISTRATIVE INFORMATION

2000
GENERAL ELIGIBILITY REQUIREMENTS

3000
EMPLOYMENT FOCUSED ACTIVITIES

4000
ASSISTANCE PLANNING WITH INDIVIDUAL APPLICANTS/ RECIPIENTS

5000
RESOURCES (NOT APPLICABLE TO MEDICAID POVERTY LEVEL, HEALTHWAVE, AND CHILD CARE PROGRAMS)

6000
INCOME

8000
INSTITUTIONAL AND HOME AND COMMUNITY BASED SERVICES LIVING
ARRANGEMENTS

9000
REPORTING CHANGES, TRANSFER OF ASSISTANCE AND REVIEWS

10000
CHILD CARE PROVIDERS

11000
INCORRECT BENEFITS AND FRAUD DETERMINATIONS

12000
ADULT PROTECTIVE SERVICES

13000
LIEAP

8000

INSTITUTIONAL AND HOME AND COMMUNITY BASED SERVICES LIVING
ARRANGEMENTS

8100

INSTITUTIONAL LIVING/LONG TERM CARE

8110

Types of Institutional Arrangements and Care

8111

Non-Medicaid Approved Institutions

8111.1

Penal Institutions

8111.2

Other Nonapproved Institutions

8112

Medicaid Approved Institutions

8112.1

Adult Care Homes (ACH)

8112.2

State Facilities Certified as ICF-MR

8112.3

Long Term Care in Hospitals

8112.4

Institutions for Mental Diseases (IMD)

8113

Long Term vs. Temporary Care (Planned Brief Stay)

8114

CARE Assessment Process and Eligibility

8114.1

CARE Exceptions

8114.2

Level of Care Threshold

8115

Resident Status Review

8120

Assistance Planning

8130

Establishing Base Period

8131

Eligibility Periods

8132

Prior Medical Eligibility

8140

Treatment of Resources and Income

8141

Initial Resource Test

8142

Other Resource Provisions

8143

Income Provisions

8144

Spousal Impoverishment Provisions

8144.1

Spousal Resource Provisions

8144.2

Spousal Income Provisions

8150

Determination of Countable Income

8151

Deductions from Earned Income

8160

Income Standards

8170

Financial Eligibility

8171

Eligibility for Persons in Non-Medicaid Approved Institutions

8172

Eligibility for Persons in Medicaid - Approved Institutions

8172.1

Allowable Medical Expenses

8172.2

Application of Patient Liability

8172.3

Retroactive Patient Liability Changes

8173

Continuing Financial Eligibility

8173.1

Medically Needy

8173.2

Long Term Care to Independent Living

8173.3

Long Term Care to HCBS

8173.4

HCBS to Long Term Care

8173.5

Inter-Home Transfers

8180

Special Topics Related to Long Term Care

8181

Treatment of Medicare Days

8182

Long Term Care Insurance

8183

Children in an Institutional Setting

8184

Payment Certification and Related Policies for Facilities

8184.1

The MS-2126

8184.2

Decertification of Facility

8184.3

Private Rooms

8184.4

Additional Charges

8200

HOME AND-COMMUNITY-BASED SERVICES (HCBS)

8200.1

General Requirements

8200.2

HCBS Effective Date

8200.3

HCBS Plan of Care/Cost of Care

8210

Description of Waiver Programs

8211

Frail Elderly Waiver (HCBS/FE)

8212

Physically Disabled Waiver (HCBS/PD)

8213

Waiver for Individuals with Mental Retardation or Other Developmental Disabilities (HCBS/MRDD)

8214

Technology - Assisted Children Waiver (HCBS/TA)

8215

Waiver for Individuals With Head Injuries (HCBS/HI)

8216

Waiver for Children with Severe Emotional Disturbance (HCBS/SED)

8220

Assistance Planning

8230

Establishing Base Periods

8231

Eligibility Periods

8232

Prior Medical Eligibility

8240

Treatment of Resources and Income

8241

Initial Resource Test

8242

Other Resource Provisions

8243

Income Provisions

8244

Spousal Impoverishment Provisions

8244.1

Spousal Resource Provisions

8244.2

Spousal Income Provisions

8250

Determination of Countable Income

8260

Income Standards

8270

Financial Eligibility

8270.1

Allowable Medical Expenses

8270.2

Application of Client Obligation

8270.3

Retroactive Client Obligation Changes

8271

Reserved

8272

Continuing Financial Eligibility

8272.1

Medically Needy to HCBS

8272.2

HCBS to Medically Needy

8272.3

Long Term Care to HCBS

8272.4

HCBS to Long Term Care

8300

PROGRAM OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE)

8310

General Eligibility

8320

Financial Eligibility

8330

Effective Date of Coverage

8340

Changes in Eligibility