SUBJECT: |
FORMS MANUAL REVISION #4
IM-55C TRANSITIONAL MEDICAL ASSISTANCE (TMA) QUARTERLY REPORT FORM (#3) |
DISCUSSION: |
We have revised the third quarterly TMA report ( IM-55C ) by adding a question that allows recipients to enter information regarding changes in unearned income that may have occurred since the last date of Medical Assistance for Families (MAF) eligibility. IM-55A and IM-55B were not revised to reflect this change because unearned income is excluded when evaluating continued TMA eligibility at 185%. This question was added to the last quarterly report because non-exempt unearned income is budgeted when completing the 100% FPL budget for the last quarterly report. If no changes are noted on IM-55C and staff is unaware of any changes, continue to budget the unearned income that was budgeted at the time MAF eligibility ended when completing the 100% FPL budget. |
NECESSARY ACTION: |
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