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DMA ADMINISTRATIVE LETTER NO. 06-04, Social Security and VA Cost-of-Living Adjustment (COLA)

DATE: NOVEMBER 7, 2003

Subject: Social Security Cost-Of-Living Adjustment (COLA) and VA Cost of Living Increase

Distribution: County Directors of Social Services

I. SOCIAL SECURITY CHANGES DUE TO COLA ADJUSTMENT

II. VA CHANGES DUE TO COST OF LIVING INCREASE

III. RECIPIENT NOTICE OF COLA

 

NOTICE TO MEDICAID RECIPIENTS

 

    If you receive a Social Security check or VA benefit, your check may go up in January 2004. This increase could affect your Medicaid by giving you a deductible, a patient monthly liability, or by increasing the deductible or patient monthly liability you now have. Medicaid regulations require that income from Social Security and VA benefits be counted when determining Medicaid eligibility (MA-2250 and MA-3300 in the Medicaid Eligibility Manuals).

    Social Services in your county will notify you, by January 1, of the exact change, if any, this action will have on your Medicaid. Be on the lookout for your notice. You may appeal the way Social Services determined your deductible, patient monthly liability, or other change in your eligibility within 60 days from the date of the notice.

December 2003

    Division of Medical Assistance

IV. CASES NOT AFFECTED BY THE RSDI COLA

V. CASES AFFECTED BY THE AUTOMATED RECALCULATION OF RSDI

VI. AUTOMATED RECALCULATION

VII. PROCESSING INSTRUCTIONS FOR ONGOING CASES IN THE AUTOMATED UPDATE

EXAMPLE: M-AD Medically Needy single individual with RSDI only

The IMC must manually update the PML for other cases.

VIII. PENDING APPLICATIONS

b. If the new deductible can be met with the old bill balance remaining after meeting the original deductible, document the amount of the additional deductible and the old bill balance to show that the additional deductible is met. Authorize on the day the original deductible was met. A timely notice is not needed.

This Administrative Letter obsoletes DMA Administrative Letter 15-03 dated November 13, 2002, and DMA Administrative Letter 17-03 dated December 23, 2002.

If you have any questions regarding this information, please contact your Medicaid Program Representative.

(This material was researched and written by Susan Ryan, Policy Consultant, Medicaid Eligibility Unit.)

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  For questions or clarification on any of the policy contained in these manuals, please contact your local county office.


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