Personal tools

Issue Alert - 07-04-11

Document Actions
Date:

Apr 16, 2007

Program Area:

Medicaid (MA)

Issue Summary:

The Department of Human Services (DHS) has issued an interim policy bulletin with income limits effective April 1, 2007

Persons Affected:

Medicaid applicants and recipients whose eligibility is based on limits or allowances that are based on the federal poverty levels

For More Information:

Center for Civil Justice 320 S. Washington, 2nd Floor Saginaw, MI 48607 (989) 755-3120, (800)724-7441 Fax: (989) 755-3558 E-mail: info@ccj-mi.org

Michigan Poverty Law Program 611 Church Street, Suite 4A Ann Arbor, MI 48104-3000 (734) 998-6100 (734) 998-9125 Fax


Background

Many Medicaid income limits and allowances are based on the federal poverty guidelines that are published in the federal register in January or February each year.  The Department of Human Services (DHS) issues new limits and allowances effective January 1 that are based on estimates of the anticipated federal poverty guidelines.

What's Happening?

Effective April 1, 2007, DHS has issued revised income limits and allowances for the Medicaid program that reflect the actual federal poverty guidelines issued by the federal government in January 2007.   The new limits and allowances are announced in Interim Program Policy Bulletin 2007-006, which is available online.  DHS bulletins and policy manuals are available online at http://www.mfia.state.mi.us/olmweb/ex/html/ or by using the quick link at the Michigan Poverty Law Program (MPLP) website, http://mplp.org/.  For the bulletin, click on “Bulletin Log” under the Financial Assistance heading. 

The income limits effective April 1, 2007 are lower than the limits that were based on estimates in January 2007.  However, clients who were approved under the January 2007 limits should not be terminated based on the new limits.  Their eligibility will be redetermined after 12 months or, for non-Healthy Kids categories, when they report changes.

Referral to the Prosecuting Attorney for pursuit of spousal support (PEM 256) will not be made if, for Medicaid applicants,

a.                           the known assets of the absent spouse are less than $101,880 and his/her gross annual income is less than $30,564

the community spouse has more than $2,537 per month ($30,564 per year) income or $101,880 assets due to a court order or a hearing decision under the spousal impoverishment provisions

a.                           The protected spousal amount (PEM 402) is $20,376 and the post-eligibility patient-pay amount monthly basic allowance (PEM 546) is $1,712. 

 The monthly income limits that have been changed include:

Group Size

 

ADCare and full QMB

100% of FPL

Healthy Kids 1-18

 

150% of FPL

Healthy Kids < 1 and Pregnant Women

185% FPL

MIChild

 

200% FPL

1

851

1,277

1,575

1,702

2

1,141

1,712

2,111

2,282

3

1,431

2,147

2,648

2,862

4

1,721

2,582

3,184

3,442

5

2,011

3,017

3,721

4,022

6

2,301

3,452

4,257

4,602

7+ each member add

200

435

536

580

What Should Advocates Do?

Be sure to refer to the Interim bulletin until the manual items are updated in July 2007.

What Should Clients Do?

Seek legal advice if you receive notice your Medicaid is being terminated because of changes in the income levels.

Finding Help

Most legal aid and legal services offices handle these types of cases, and they do not charge a fee. You can locate various sources of legal and related services, including the free legal aid office that serves your county, at MichiganLegalAid.org. You can also look in the yellow pages under "attorneys" or call the toll-free lawyer referral number, (800) 968-0738.