Medicaid and Auxiliary Grant Resources

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Medicaid Application and Other Forms Online
American Dependence upon Federal Transfer and Related Payments 18.3% of the personal income in the United States was derived from government benefits - Social Security, Medicare, food stamps, unemployment benefits, etc., in 2010.  This is the largest percentage since these statistics were initiated, 1929. (Credit: Dennis Cauchon, USA Today, April 27, 2011).
States' Ranking of Transfer Payments This link contains a ranking of states by transfer payment dollars (Medicare, Medicaid, Social Security, etc.) published in April, 2011.
Virginia Medicaid Manual

The Medicaid Eligibility Manual contains the policy and procedures used by eligibility workers to determine eligibility for the Medicaid and Family Access to Medical Insurance Security (FAMIS) programs. 

CHECK HERE FOR POLICY TRANSMITTAL UPDATES

The Medicaid Manual is available in toto at the link on the left  in Portable Document Format (PDF).  Here are some specific links to oft used manual policy citations: 

bullet APPLICATIONS AND FORMS
bullet M01 MEDICAID APPLICATION
bullet S08 ABD INCOME
bullet S11 ABD RESOURCES
bullet M14 LONG TERM CARE (INCLUDING SPOUSAL IMPOVERISHMENT)
Medicaid Application Official Medicaid Application. 
Undue Hardship Claim Form Asset Transfer Undue Hardship Claim
Pre-Screening Assessments Links to Virginia Long Term Care Uniform Assessment Instrument Forms
Life Tables Life Expectancy - Virginia Medicaid Table as of 1/1/2010
(See M1450, Appendix 2, "LIFE EXPECTANCY TABLE")

(Compare: United States SSA Table Life Expectancy.)
Entitlement Limits Medicaid and SSI Pubic Entitlement Tables, income and resource limitations.  Updated 1/1/2010.

Current Official Virginia Medicaid Position

 The official web page of the Virginia Department of Medical Assistance Services. Links to the FOE officer for DMAS. See the CMS "State Medicaid Manual" for the Federal perspective on what Medicaid policy should be.

Virginia DMAS Medicaid Plan

 Virginia  Administrative Code Regulations constituting the official Virginia Medical Assistance Plan.
Medicaid Resources

Current Medicaid Planning Outlines

Income and Resource Guidelines Links
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Centers for Medicare & Medicaid Services

Medicaid for Institutionalized Persons
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Shawn's 2006 Outline, including HIPAA

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Shawn's 2006 Outline, NO HIPAA

 

Spousal Impoverishment

bulletFederal Statute
bulletVirginia Rules

Transfer of Assets

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Federal Rules

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Virginia Rules

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Failure of Widow(er) To Claim The Elective Share Treated As A Transfer of Assets
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Va. Code Section 64.1-13 et seq.

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Miller v. Kansas Department of Social Services

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Annuities Regulations

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Transfers by Community Spouse After Initial Eligibility Established: HCFA Advisory Letter 

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Testamentary Trust Established by Spouse Does Not Violate the Medicaid TOA Rule

Estate Recovery

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Virginia Statute Regarding Liens

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Virginia Regulation Governing Estate Recovery

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Virginia Regulation Prohibiting Liens

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Think it can't happen to you?  Click here

Lien Reduction

bulletNegotiation Guidelines

 

Special Needs Trusts
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Virginia Department of Social Services Letter Regarding Pooled Income Trusts and Transfer of Assets Policy Related to FUNDING Such Trusts
Medicaid Bibliography Selected post OBRA 93 journal and review articles regarding special needs trusts, appeals, and transfer issues.
Auxiliary Grant The Virginia Auxiliary Grant supplements income for Supplemental Security Income (SSI) and some other aged, blind, or disabled individuals living licensed assisted living facilities, or certain adult foster care homes. The Grant is "to maintain a standard of living that meets a basic level of need."

This link contains the Virginia AG Manual and a listing of all facilities which accept the AG, arrayed by jurisdiction.  Detailed information about the facilities (licensure, inspection reports, etc.) is available here.