MEMORANDUM
2004 Memorandums
IM-20      03/03/04
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 pdf file ) 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:
  • Review this memorandum with all appropriate staff.
CW