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DMA ADMINISTRATIVE LETTER NO. 12-08, Social Security and VA Cost-of-Living Adjustment (COLA)

DATE: NOVEMBER 20, 2008

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 2009. 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, Income, and MA-3300, Income, 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 2008

    Division of Medical Assistance

 

AVISO A LOS BENEFICIARIOS DE MEDICAID

 

    Si usted recibe un cheque del Seguro Social o algún beneficio como Veterano, puede ser que reciba un aumento a partir del mes de enero del 2009. Este aumento podría afectar su Medicaid creándole un deducible o una responsabilidad financiera mensual como paciente, o aumentando el deducible o la responsabilidad financiera mensual como paciente que usted tiene actualmente. Las regulaciones de Medicaid requieren que los ingresos del Seguro Social y los beneficios de Veteranos, sean tomados en cuenta cuando se determina la elegibilidad para Medicaid (MA-2250, Ingresos, y MA-3300, Ingresos, de los Manuales de Elegibilidad de Medicaid).

    El Departamento de Servicios Sociales de su condado le enviará un aviso a mástardar en enero 1, de como afectará este cambio (si es que hay alguno) a su Medicaid. Esté al pendiente para recibir ese aviso.

    Usted puede apelar dentro de un periodo de 60 días de la fecha del aviso, la forma en la que Servicios Sociales determina su deducible, su responsabilidad financiera mensual (como paciente), o algún otro cambio en su elegibilidad.

    Diciembre 2008

    División de Asistencia Médica

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

October – March

$880

RSDI

$880

Old RSDI

-20

Exemption

X1.058

COLA Increase

860

-242

 

931.04

New amt. prior to Rounding

618

x6

Months in c.p.

   

$3,708

Deductible for 6 months c.p.

   

October – December

January – March

 

$880

RSDI

$931

New RSDI

-20

Exemption

-20

Exemption

860

 

911

 

-242

Income Level for One

-242

Income Level

618

618

 

669

669

 

x3

Months in c.p.

x3

Months

$1,854

Deductible for 3 months

$2,007

Deductible for 3 months

VIII. PENDING APPLICATIONS

December PML

January PML

February PML

 

$880.00

$931.00

$931.00

-30.00 pers. needs

-30.00 pers. needs

-30.00 pers. needs

850.00

901.00

901.00

-96.40 Part B

-96.40 Part B

-96.40 Part B

753.60

804.60

804.60

     

$753.60 PML

$804.60 PML

$804.60 PML

This Administrative Letter obsoletes DMA Administrative Letter 09-07 dated November 9, 2007.

If you have any questions regarding this information, please contact your Medicaid Program Representative. For any issues that are not able to be handled through that venue, Angela Floyd, Assistant Director for Recipient Services, will be your point of contact and can be reached at (919) 855-4000.

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

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