ACL 01-10: CMSP eligibility manual update (3/11/10)

This letter details several changes to the CMSP eligibility manual that went into effect 4/1/10:
• Conforms the CMSP definition of long term care with the Medi-Cal definition.
• Removes GA/ GR from the same category as other public assistance programs- now those who receive GA/ GR are not excluded from the budget unit.
• Makes failure to cooperate with SSA a reason for denial or discontinuance. This denial is rescinded if an appeal is made to SSA within 30 days.
• Social Security overpayment reductions will be excluded in income/ share of cost calculations.
The letter includes the updated manual sections. [Download]

ACWDL 10-08: 2010 Statewide average private pay rate (APPR) for nursing facility services (4/30/10)

The 2010 statewide APPR for nursing facility services is $6311. The APPR is used to calculate the period of ineligibility for disqualifying transfers of nonexempt property for less than fair market value. Periods of ineligibility that began prior to 2010 are not updated with this new figure. The letter includes a chart of APPRs from 1990 to 2009, to calculate disqualifying transfers made by previously institutionalized beneficiaries. [Download]