SELECTED OFFICIAL TRANSMITTALS AND LETTERS OF ADVICE

FROM THE SOCIAL SECURITY ADMINISTRATION AND/OR
THE CENTERS FOR MEDICARE AND MEDICAID SERVICES / HCFA

Note: Some are large files and don't always open. If that occurs, close as many other applications as possible and free up as much memory as possible. Some open better in EARLIER versions of Adobe Acrobat.
I can supply Adobe Reader 3.0 on request.

SOCIAL SECURITY

SSA Transmittal 13 -- new SSI Transfer Rules (WP8)
SSA Transmittal 35 - new POMS Trust Provisions (Word97)
SSA 5/26/00 Memo on OBRA '93 Trusts and SSI
SSA Transmittal EM-01085 (May 2001) clarifying rules on payment from OBRA '93 Trusts of administration expenses pdf

HCFA / CENTERS FOR MEDICARE AND MEDICAID

HCFA letters re post-eligibility transfers, Ronald Preston of HCFA Boston to Atty. Brian Barreira April 5, 2000 (JPG)
HCFA letter re: annuities (PDF) from Linda Minamota, HCFA Region IX, to Nevada State Welfare Division, August 31, 2001, rejecting Nevada position that purchase of actuarially sound annuity for spouse with income over MMNA is disqualifying transfer)
DHHS letter re: ILLEGALITY of requiring nursing home applicants to disclose financial information in excess of what is necessary to determine eligibility for Medicaid - (PDF) from Kathleen But, DHHS, to Dr. Richard Yerian, Michigan Dept. of Public Health, September 1, 1992
HCFA letter re: transfers to 1396p(d)(4)(C) trusts PERMITTED for those 65 and older (from Thomas Hamilton, DHHS/HCFA Baltimore, to Clifton Kruse, August 9, 2001, supplied courtesy of Clifton Kruse)
CMS Letter from Thomas Hamilton to Robert J. Richardson (PA) 10/21/2002 (PDF) re: NJ annuity / sole benefit trust requirements (no authority under federal law; confirms Nevada letter). The link is to Harry Margolis' site; please advise if the link ceases to be good.
HCFA "Streimer" letter from Robert A. Streimer to Dana E. Rozansky clarifying treatment of transfers to/from trusts (February 25, 1998) reprinted from The Elder Law Report 4/98
CMS Transmittal 862 setting out Medicare appeals procedures