B. MA-2311, LIS Processing and Case Maintenance, has been revised to include the policy for redeterminations and changes in situations for LIS applications that were originally processed by the county. In addition, beginning January 1, 2007, the eligibility period for LIS applications taken and processed by the county has been changed to 12 calendar months from the month of application. Applications taken prior to January 1, 2007, continue to have an eligibility period through December 31, 2006.
DATE: AUGUST 25, 2006
Manual: Aged, Blind, and Disabled Medicaid
Change No: 21-06
To: County Directors of Social Services
Effective: September 1, 2006
In August 2006, CMS began determining which Medicare beneficiaries are entitled to LIS for the calendar year 2007
Medicare beneficiaries who lose Medicaid eligibility anytime after July 1, 2006, will remain eligible for the LIS for calendar year 2007.
These individuals will be notified by CMS of their loss of eligibility and that they may reapply for the LIS through the Social Security Administration or the local county department.
“If you receive Medicare, Medicare is responsible for your prescriptions.”
This policy is effective September 1, 2006. Apply this policy to all applications and all cases with a deductible or PML processed on or after September 1. Apply this policy to all redeterminations and change in situations started on or after September 1, if the county has a case in which it determined LIS eligibility.
If you have any questions regarding this information, please contact your Medicaid Program Representative.
L. Allen Dobson, Jr., M.D., Assistant Secretary
for Health Policy and Medical Assistance
(This material was researched and written by Christine Coffey, Policy Consultant, Medicaid Eligibility Unit.)
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.