Sorry, you need to enable JavaScript to visit this website.
 

ESS Program Policy Manual

Table of Contents

Files
Introduction
200 General Program Information
400 Administrative Policy
600 Application Processing
800 Ongoing Case Processing
1400 Technical Requirements (CIC/RAP)
1400 Technical Requirements (FS/TCA)
>1400 Technical Requirements (MFAM/MSSI)
1600 Assets (CIC/RAP)
1600 Assets (FS/TCA)
1600 Assets (MFAM/MSSI)
1800 Income (CIC/RAP)
1800 Income (FS/TCA)
1800 Income (MFAM/MSSI)
2000 Coverage Groups
2200 Standard Filing Unit
2400 Budgeting Income
2600 Calculation of Benefits
3000 Data Exchange
3200 Benefit Issuance
3400 Notices and Forms
3600 Benefit Recovery/ACCESS Integrity
4600 Glossary

Appendix A - Income Level Charts and Other Information

Files
Appendix A-1 Food Assistance Income Eligibility Standards and Deductions
Appendix A-5 Temporary Cash Assistance Income Standards
Appendix A-6 Prorating Chart for TCA and RAP
Appendix A-7 Family-Related Medicaid Income Limit Chart
Appendix A-8 Transfer Penalty Determination Process
Appendix A-9 SSI-Related Programs - Financial Eligibility Standards
Appendix A-9.1 Medicare Savings Programs and Low-Income Subsidy Coverage Groups Financial Standards
Appendix A-10 Federal Benefit Rates
Appendix A-11 Title II Cost of Living Increases
Appendix A-12 State Funded Programs Eligibility Standards
Appendix A-13 Active Medicaid Program Codes
Appendix A-14 Life Expectancy Table
Appendix A-16 Certification of Prior Residence
Appendix A-17 Life Estate and Remainder Interest Table
Appendix A-22 Qualified Medicaid Trust Guidelines and Forms
Appendix A-22.1 Guidelines for Reviewing Income Trusts
Appendix A-22.3 Guidelines for Reviewing Trusts for the Disabled
Appendix A-22.4 Trusts for the Disabled Review Form
Appendix A-22.5 Income Trust Review Form
Appendix A-22.6 Pooled Trusts for the Disabled Review Form
Appendix A-33 Chart for Determination of 40 Qualifying Quarters
Appendix A-34 Guideline for Evaluating Annuities
Appendix A-35 Average Monthly Private Pay Nursing Home Rate
Appendix A-36 Reasonable Compatibility Job Aid
Appendix A-37 Annual Pretax Income Exclusion Limit

 

Summary of Changes

20242023 - 20222021 - 2019
January - March 2024January - March 2023October - December 2021
April - June 2024July - September 2022July - September 2021
July - September 2024April - June 2022April - June 2021
 January - March 2022January - March 2021
  October - December 2020
  July - September 2020
  January - March 2020
  October - December 2019
  July - September 2019
  April - June 2019
  January - March 2019
2018 - 20162015 - 2013
April - June 2018December 2015
October 2018April 2015
April - June 2018 
April 2018 
January - May 2017 
January 2017 
December 2016 
June 2016 
May 2016