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DMA ADMINISTRATIVE LETTER NO. 10-14, Social Security and VA Cost-of-Living Adjustment (COLA)

DATE: DECEMBER 1, 2014

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

A. RSDI/SSI

B. SSI Federal Benefit Rates (FBR)

C. Medicare - Deductibles, Coinsurance and Premiums effective 1/1/2015

II. VA CHANGES DUE TO COST OF LIVING INCREASE

A. Background

B. Implementation Instructions

C. Notice

III. CASES NOT AFFECTED BY THE RSDI COLA

A. MQB and MAABD Categorically Needy (PLA including CAP)

B. MAF-C/G and HSF-N/G

C. BCCM (MAF Classifications T, U, V, or W)

D. MIC, MPW, MRF, MSB, IAS and MAF-C

E. NC Health Choice (MIC Classification J, K, L, A or S)

F. SSI Cases

IV. CASES AFFECTED BY THE AUTOMATED RECALCULATION OF RSDI

A. The following cases will have an automated RSDI recalculation:

V. AUTOMATED RECALCULATION

C. Reports From Automated Updates

VI. PROCESSING INSTRUCTIONS FOR ONGOING CASES IN THE AUTOMATED UPDATE

A. SOLQ

B. Computation of Deductible

October – March

$1080

RSDI

$1080

Old RSDI

-20

Exemption

+1.7%

COLA Increase

1060

-242

 

$1098.36

New amt. prior to Rounding

818

x6

Months in C.P.

   

$4,908

Deductible for 6 months C.P.

   

October – December

January – March

 

$1080

RSDI

$1098

New RSDI

-20

Exemption

-20

Exemption

1060

 

1078

 

-242

Income Level for One

-242

Income Level

818

818

 

836

836

 

x3

Months in C.P.

x3

Months

$2,454

Deductible for 3 months

$2,508

Deductible for 3 months

C. Computation for Long-Term Care Cases (Non-SSI)

D. Notices for Changes in Deductible or Non-Automated Changes in PML

E. Instructions Specific to MAABD-Q or B (Dually Eligible) Cases

H. SSI Terminations

VII. PENDING APPLICATIONS IN EIS (NC FAST to add procedure)

A. MQB and MAABD Categorically Needy Applications (PLA including CAP)

B. MIC-N or G and HSF-N or G Applications

C. MAF-C Applications

D. MAABD-M or B (PLA), MAF-M, P, D, or N, HSF-M or P Applications

E. Long Term Care Applications

December PML

January PML

February PML

 

$980.00

$996.00

$996.00

-30.00 pers. needs

-30.00 pers. needs

-30.00 pers. needs

950.00

966.00

966.00

-104.90 Part B

-104.90 Part B

-104.90 Part B

845.10

861.10

861.10

     

$845.00 PML

$861.00 PML

$861.00 PML

This Administrative Letter obsoletes DMA Administrative Letter 10-13 dated December 01, 2013.

Policy will be updated to reflect changes.

If you have any questions regarding this material, please contact the Operational Support Team (OST) at ost.policy.questions@dhhs.nc.gov.

Robin Gary Cummings, M.D.

Deputy Secretary for Health Services

Director, Division of Medical Assistance

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

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