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Eligibility Policy and Procedures Manual

Eligibility Policy and Procedures Manual

Chapter 100: General Provisions

Chapter 100 – General Provisions
Section 100.01 – History and Legal Base
Section 100.02 – Agency Duties

Section 100.02.01 – Duties of the Division of Medicaid (DOM)
Section 100.02.02 – Duties of the Department of Human Services (DHS)

Section 100.03 – Rights of Applicants and Recipients

Section 100.03.01 – Opportunity to Apply
Section 100.03.02 – Civil Rights and Non-Discrimination
Section 100.03.03 – Access to Information
Section 100.03.04 – Confidentiality of Information

Section 100.03.04A – Release of Information Without Client Consent
Section 100.03.04B – Release of Program Information
Section 100.03.04C – Safeguarding Confidential Information
Section 100.03.04D – Safeguard Awareness Training

Section 100.03.05 – Right to Appeal Fair Hearing

Section 100.03.05B – Continuation of Benefits
Section 100.03.05C – Regional Office Responsibilities in the Hearing Process

Section 100.03.05C1 – Supervisory Review
Section 100.03.05C2 – Preparation of the Hearing Record
Section 100.03.05C3 – Holding the Local Hearing
Section 100.03.05C4 – Issuing the Local Hearing Decision
Section 100.03.05C5 – Taking Action on the Case
Section 100.03.05C6 – State Hearing Requested After Adverse Local Decision

Section 100.03.06 – State Hearings

Section 100.03.06A – Review by State Hearing Officer
Section 100.03.06B – Holding the State Hearing
Section 100.03.06C – Recessing or Continuing a State Hearing
Section 100.03.06D – Changes Which Occur During the Hearing Process
Section 100.03.06E – Review by DDS Staff
Section 100.03.06F – Recommendation of the State Hearing Officer
Section 100.03.06G – Decision of the Agency
Section 100.03.06H – Chip Agency Errors

Section 100.04 – Improper Payments

Section 100.04.01 – Improper Payment Report
Section 100.04.02 – Claims Against Estates

Section 100.05 – Quality Control

Section 100.05.01 – MEQC Disagreement Resolution Process

Chapter 101: Application and Redetermination Processes

Chapter 101 – Application and Redetermination Processes
Section 101.01 – Introduction
Section 101.02 – General Information

Section 101.02.01 – Access to the Application Process
Section 101.02.02 – Special Assistance
Section 101.02.03 – Reasonable Efforts to Assist All Applicants

Section 101.03 – Definitions

Section 101.03.01 – Applicant
Section 101.03.02 – Recipient / Beneficiary
Section 101.03.03 – Incapacitated Individual
Section 101.03.04 – Incompetent Individual
Section 101.03.05 – Individual with Limited English Proficiency
Section 101.03.06 – Sensory Impaired Individual
Section 101.03.07 – Legal Guardian or Conservator
Section 101.03.08 – Authorized Representative
Section 101.03.09 – Designated Representative

Section 101.03.09A – Documenting Representative Status (ABD)
Section 101.03.09B – Documenting Representative Status (FCC)

Section 101.03.10 – Application
Section 101.03.11 – Application Form
Section 101.03.12 – Request for Informal Medicaid Eligibility Opinion
Section 101.03.13 – ABD Resource Assessment

Section 101.04 – Filing the Application

Section 101.04.01 – Right to Apply
Section 101.04.02 – Assistance with Application
Section 101.04.03 – Application File Date
Section 101.04.04 – Protected Application Dates for Medicaid Applicants
Section 101.04.05 – Who Can File the Application
Section 101.04.06 – Applications Received from MS Residents Out-of-State
Section 101.04.07 – Out of State Applicants
Section 101.04.08 – Applications Completed by Telephone Interview
Section 101.04.09 – Residence Change During Application Process
Section 101.04.10 – Where to File

Section 101.04.10A – Application Filed with Correct RO
Section 101.04.10B – Application Filed in Person – Incorrect RO
Section 101.04.10C – Application Filed by Mail – Incorrect RO

Section 101.04.11 – Applications Registered to the Incorrect RO
Section 101.04.12 – Applications Not Forwarded Timely to Correct RO

Section 101.05 – Interview

Section 101.05.01 – Interview Questions
Section 101.05.02 – Concluding the Interview

Section 101.06 – Standards of Promptness

Section 101.06.01 – Regional Office Responsibilities
Section 101.06.02 – Exception to Timely Processing
Section 101.06.03 – Standards of Promptness (ABD)

Section 101.06.03A – Standards of Promptness (FCC)

Section 101.07 – Disposition of Applications

Section 101.07.01 – Making an Eligibility Decision
Section 101.07.02 – Supervisory Review
Section 101.07.03 – Concept of the Prudent Man
Section 101.07.04 – Use of Collateral Contacts
Section 101.07.05 – Application Actions
Section 101.07.06 – Requesting Information from the Applicant
Section 101.07.07 – Information Request (ABD)

Section 101.07.07A – Request for Additional Time
Section 101.07.07B – Failure to Provide Requested Information
Section 101.07.07C – Compliance After Denial
Section 101.07.07D – Applicants Subject to 90 – Day Processing

Section 101.07.08 – Information Request (FCC)

Section 101.07.08A – Request for Additional Time
Section 101.07.08B – Failure to Provide Requested Information
Section 101.07.08C – Compliance After Denial

Section 101.08 – Eligibility Dates

Section 101.08.01 – Beginning Dates of Medicaid Eligibility
Section 101.08.02 – Beginning Dates of CHIP Eligibility
Section 101.08.03 – Termination Dates
Section 101.08.04 – Retroactive Medicaid Eligibility

Section 101.08.04A – Deceased Applicants
Section 101.08.04B – SSI Eligibles
Section 101.08.04C – Determining Retroactive Medicaid Eligibility (ABD)
Section 101.08.04D – Determining Retroactive Medicaid Eligibility (FCC)

Section 101.09 – Processing Applications of Employees and Family Members
Section 101.10 – Continuous Eligibility for Children

Section 101.10.01 – Early Termination Reasons for Children
Section 101.10.02 – Deemed Eligible Infants
Section 101.10.03 – Adults

Section 101.11 – The Redetermination Process

Section 101.11.01 – Regular Redeterminations
Section 101.11.02 – Assignment of Review Due Dates
Section 101.11.03 – Timely Processing
Section 101.11.04 – Timely Authorization
Section 101.11.05 – Exparte Reviews

Section 101.11.05A – SSI Redeterminations

Section 101.11.06 – Methods for Conducting a Regular Review
Section 101.11.07 – Regular Redetermination Process (ABD)

Section 101.11.07A – Redetermination Reports (ABD)
Section 101.11.07B – Requesting Information (ABD)
Section 101.11.07C – Follow-Up Contact (ABD)
Section 101.11.07D – Disposition (ABD)
Section 101.11.07E – Compliance After Closure

Section 101.11.08 – Regular Redetermination Process (FCC)

Section 101.11.08A – Frequency of Reviews (FCC)
Section 101.11.08B – Processing Children Currently Due for Review
Section 101.11.08C – Processing Children Not Currently Due for Review
Section 101.11.08D – Assignment of Review Due Dates
Section 101.11.08E – Notice of Upcoming Review (FCC)
Section 101.11.08F – Redetermination Reports (FCC)
Section 101.11.08G – Scheduling the Interview and Requesting Information
Section 101.11.08H – Section 101.11.08H – Disposition (FCC)
Section 101.11.08I – Requested Information Provided after Closure (FCC)

Section 101.12 – Special Reviews

Section 101.12.01 – Recipient Reporting Requirements

Section 101.12.01A – Change Reporting Requirements (ABD)
Section 101.12.01B – Change Reporting Requirements (FCC)
Section 101.12.02 – Taking Action on Reported Changes

Section 101.13 – Notification

Section 101.13.01 – Advance Notice
Section 101.13.02 – Exceptions to Advance Notice

Section 101.14 – Reinstatements

Section 101.14.01 – Corrective Action

Section 101.15 – Other changes (ABD)

Section 101.15.01 – Changes in Medicaid Income
Section 101.15.02 – Changes to Reduced Services Groups

Section 101.16 – Other Changes (FCC)

Section 101.16.01 – Transitioning the Pregnant CHIP Child to 88 Medicaid

Chapter 102: Non-Financial Requirements

Chapter 102 – Non-Financial Requirements
Section 102.01 – Introduction

Section 102.01.01 – Verification of Non-Financial Requirements

Section 102.02 – Identity
Section 102.03 – State Residency

Section 102.03.01 – Residency Requirements
Section 102.03.02 – Specific Residency Prohibitions
Section 102.03.03 – Temporary Absence from the State
Section 102.03.04 – Individuals Receiving a State Supplementary Payment
Section 102.03.05 – Individuals Receiving a Title IV-E Payment
Section 102.03.06 – Determination of Residency (Under Age 21)
Section 102.03.07 – Determination of Residency (Age 21 and Older)
Section 102.03.08 – State Placement in an Out-of-State Institution
Section 102.03.09 – Out-of-State Placements
Section 102.03.10 – Residency Issues
Section 102.03.11 – Out-of-State Recipient Moving to MS
Section 102.03.12 – MS Recipient Moving to Another State
Section 102.03.13 – Migrant and Seasonal Farm Workers
Section 102.03.14 – Homeless Individuals
Section 102.03.15 – Verification of State Residency

Section 102.04 – United States Citizens

Section 102.04.01 – Citizenship
Section 102.04.02 – Identity
Section 102.04.03 – Verification of Citizenship and Identity
Section 102.04.04 – Exemptions from Requirements
Section 102.04.05 – Evidences of U.S. Citizenship
Section 102.04.06 – Evidences of Identity

Section 102.05 – Aliens

Section 102.05.01 – Grandfathered Aliens
Section 102.05.02 – Classifications of Qualified Aliens
Section 102.05.03 – 5-Year Disqualification Period
Section 102.05.04 – 40 Qualifying Quarters
Section 102.05.05 – Alien Classifications Subject to 5-Year Ban
Section 102.05.06 – Alien Classifications Exempt from 5-Year Ban
Section 102.05.07 – Continuously Present in the U.S.
Section 102.05.08 – Victims of Severe Forms of Trafficking
Section 102.05.09 – Battered Aliens
Section 102.05.10 – Veteran or Active Duty Military
Section 102.05.11 – Non-Qualified Aliens
Section 102.05.12 – Criteria for Approval of Emergency Services
Section 102.05.13 – Budgeting Citizen Children of Non-Qualified Aliens
Section 102.05.14 – Public Charge
Section 102.05.15 – Alien Status Chart

Section 102.06 – Social Security Number (SSN)

Section 102.06.01 – Exceptions to the Enumeration Requirement for Applicants
Section 102.06.02 – Non-Applicants and Enumeration
Section 102.06.03 – Use of SSNs
Section 102.06.04 – Application for a Social Security Number
Section 102.06.05 – Verification of the SSN

Section 102.07 – Categorical Relationship
Section 102.08 – General Eligibility Requirements

Section 102.08.01 – Verification of Age
Section 102.08.02 – Marital Relationships (ABD)

Section 102.08.02A – Marital Relationships (FCC)

Section 102.08.03 – Definition of a Child (ABD)

Section 102.08.03A – Definition of a Child (FCC)

Section 102.08.04 – Utilization of Other Benefits – General

Section 102.08.04A – Utilization of Other Benefits – (ABD)
Section 102.08.04B – Utilization of Other Benefits – (FCC)

Section 102.08.05 – Assignment of Third Party Rights (General)

Section 102.08.05A – CHIP and Other Insurance

Section 102.08.06 – Child Support Requirements – General

Section 102.08.06A – Child Support Requirements (ABD)
Section 102.08.06B – Child Support Requirements (FCC)

Section 102.09 – ABD Non-Financial Requirements

Section 102.09.01 – Definitions
Section 102.09.02 – Disability Determination Process
Section 102.09.03 – Exceptions to Obtaining DDS Approvals
Section 102.09.04 – Obtaining DDS Disability Decisions
Section 102.09.05 – Temporary SSI Closures
Section 102.09.06 – Estate Recovery Requirements

Section 102.10 – FCC Non-Financial Requirements

Section 102.10.01 – Deprivation
Section 102.10.02 – Temporary Absence from the Home
Section 102.10.03 – Relationship

Section 102.10.03A – FPL Programs
Section 102.10.03B – Medical Assistance Program

Section 102.11 – Residents of an Institution

Section 102.11.01 – Institutions
Section 102.11.02 – Inmate Status
Section 102.11.03 – Verification of Inmate Status
Section 102.11.04 – Inmate Application Process

Chapter 200: Income: Aged, Blind and Disabled (ABD) Categories

Chapter 200 – Income: Aged, Blind and Disabled (ABD) Categories
Section 200.01 – Introduction

Section 200.01.01 – SSI Income Rules
Section 200.01.02 – Liberalized Income Rules

Section 200.02 – What is Income

Section 200.02.01 – Relationship of Income to Resources
Section 200.02.02 – Types of Income
Section 200.02.03 – Forms of Income
Section 200.02.04 – Effect of Garnishment or Seizure
Section 200.02.05 – When Income is Counted
Section 200.02.06 – Income Determinations Involving Agents
Section 200.02.07 – Income Derived from Joint Bank Accounts

Section 200.03 – What is Not Income

Section 200.03.01 – Medical and Social services, Related Cash and In-Kind Items
Section 200.03.02 – Personal Services
Section 200.03.03 – Conversion or Sale of a Resource
Section 200.03.04 – Rebates and Refunds
Section 200.03.05 – Income Tax Refunds
Section 200.03.06 – Credit Life or Credit Disability Insurance Payments
Section 200.03.07 – Other Insurance Benefits
Section 200.03.08 – Bills Paid by a Third Party
Section 200.03.09 – Replacement of Income Already Received
Section 200.03.10 – Return of Erroneous Payments
Section 200.03.11 – Weatherization Assistance
Section 200.03.12 – Receipt of Certain Non-Cash Items
Section 200.03.13 – Wage-Related Payments
Section 200.03.14 – Proceeds of a Loan
Section 200.03.15 – Promissory Notes and Property Agreements
Section 200.03.16 – Fund Raising Proceeds

Section 200.04 – Exclusions for Earned and Unearned Income

Section 200.04.01 – $50/$20 Per Month General Exclusion

Section 200.04.01A – Liberalized Policy
Section 200.04.01B – SSI Policy
Section 200.04.01C – Application of the General Exclusion
Section 200.04.01D – General Principles

Section 200.04.02 – Infrequent and Irregular Income Exclusion
Section 200.04.03 – Plan for Achieving Self-Support (PASS) Exclusion

Section 200.05 – Earned Income Exclusions

Section 200.05.01 – Earned Income Tax Credit (EITC) and Child Tax Credit (CTC)
Section 200.05.02 – Student Earned Income Exclusion (SEIE)
Section 200.05.03 – $65 Plus One-Half Remainder Earned Income Exclusion
Section 200.05.04 – Impairment-Related Work Expenses (IRWE) Exclusion
Section 200.05.05 – Blind Work Expenses (BWE) Exclusion

Section 200.06 – Unearned Income – General

Section 200.06.01 – When to Count Unearned Income
Section 200.06.02 – Unearned Income Exclusion
Section 200.06.03 – Expenses of Obtaining Income
Section 200.06.04 – Overpayment Recovery
Section 200.06.05 – Garnishment or Other Withholding
Section 200.06.06 – Payments in Foreign Currency
Section 200.06.07 – Deemed Income
Section 200.06.08 – Income Based on Need (IBON)
Section 200.06.09 – Assistance Based on Need (ABON)

Section 200.07 – Sources and Treatment of UnEarned Income

Section 200.07.01 – Annuities, Pensions, Retirement and Disability Payments
Section 200.07.02 – Title II/Retirement, Survivors and Disability Insurance (RSDI)

Section 200.07.02A – When to Count Retroactive RSDI Benefits

Section 200.07.03 – Mandatory State Supplement (MSS)
Section 200.07.04 – Black Lung Benefits (BL)
Section 200.07.05 – Civil Service and Federal Employee Retirement System Payments
Section 200.07.06 – Other Government Pensions and Retirement Payments

Section 200.07.06A – State Retirement 13th Check

Section 200.07.07 – Railroad Retirement Benefits

Section 200.07.07A – Life and Survivor Annuities
Section 200.07.07B – Social Security Benefits Certified By RRB
Section 200.07.07C – Unemployment, Sickness and Strike Benefits
Section 200.07.07D – Determining the Amount of the RRB Payment

Section 200.07.07 – EVerification of RRB Benefits
Section 200.07.08 – Military Pensions

Section 200.07.08A – Categories of Beneficiaries
Section 200.07.08B – Types of Annuitants
Section 200.07.08C – Treatment and Verification of Military Pensions

Section 200.07.09 – Department of Veterans Affairs Payments (VA Benefits)

Section 200.07.09A – VA Pension Payments
Section 200.07.09B – VA Compensation Payments
Section 200.07.09C – VA Educational Benefits
Section 200.07.09D – Augmented Benefits
Section 200.07.09E – VA Benefits and Institutional Rules
Section 200.07.09F – VA Clothing Allowance
Section 200.07.09G – Payments to Veterans’ Children with Certain Birth Defects
Section 200.07.09H – Deeming Rules for VA Pension and Compensation Payments
Section 200.07.09I – VA Caregiver Payments
Section 200.07.09J – VA Benefit Allocated to a Spouse Receiving IBON
Section 200.07.09K – Determining the Amount of VA Payments
Section 200.07.09L – Verification of VA Payments

Section 200.07.10 – Unemployment Insurance Benefits
Section 200.07.12 – Temporary Assistance for Needy Families (TANF)
Section 200.07.13 – Bureau of Indian Affairs (BIA) General Assistance (GA)
Section 200.07.14 – Foster Care and Adoption Assistance

Section 200.07.14A – Foster Care Payments Under Title IV-E
Section 200.07.14B – Adoption Assistance Under Title IV-E
Section 200.07.14C – Other Types of Assistance

Section 200.07.15 – Support Payments – Spousal Support, Alimony
Section 200.07.16 – Support Payments – Child Support

Section 200.07.16A – Treatment of Child Support Payments

Section 200.07.17 – Rental Income
Section 200.07.18 – Dividends and Interest
Section 200.07.19 – Royalties
Section 200.07.20 – Awards
Section 200.07.21 – Gifts
Section 200.07.22 – Gifts of Travel Tickets
Section 200.07.23 – Prizes
Section 200.07.24 – Gift Cards and Gift Certificates
Section 200.07.25 – Work-Related Unearned Income
Section 200.07.26 – Sick Pay as Unearned Income
Section 200.07.27 – Death Benefits
Section 200.07.28 – Inheritance
Section 200.07.29 – Choctaw Tribal Bonus
Section 200.07.30 – Educational Assistance
Section 200.07.31 – Grants, Scholarships, Fellowships and Gifts

Section 200.07.31A – Assistance Under Title IV of HEA or Bureau of Indian Affairs (BIA)
Section 200.07.31B – Other Grants, Scholarships, Fellowships and Gifts
Section 200.07.31C – Determining Countable and Excludable Amounts of Assistance

Section 200.07.32 – Disaster Assistance (Presidentially-Declared Disaster)
Section 200.07.33 – Federal Emergency Management Agency (FEMA) Emergency Food
Section 200.07.34 – Federal Housing Assistance
Section 200.07.35 – Low Income Energy Assistance
Section 200.07.36 – Home Energy Assistance and Support and Maintenance Assistance (HEA/SMA)
Section 200.07.37 – Relocation Assistance
Section 200.07.38 – Refugee Cash Assistance (RCA), Cuban and Haitian Entrant Cash Assistance (CHECA)
Section 200.07.39 – Refugee Reception and Placement Grants
Section 200.07.40 – Community Service Block Grants
Section 200.07.41 – Work Relief (WORKFARE) Programs
Section 200.07.42 – Programs for Older Americans
Section 200.07.43 – Workforce Investment Act (WIA)
Section 200.07.44 – Job Corps
Section 200.07.45 – AmeriCorps and National Civilian community Corps (NCCC) Payments
Section 200.07.46 – Payment for Clinical Trial Participation

Section 200.08 – Chart of Other Unearned Income Exclusions
Section 200.09 – Sources And Treatment of Earned Income

Section 200.09.01 – Sick Pay
Section 200.09.02 – Wages
Section 200.09.03 – Cafeteria Plans
Section 200.09.04 – Wage Advances and Deferred Wages
Section 200.09.05 – Verification of Wages
Section 200.09.06 – Converting Weekly/Biweekly Wages
Section 200.09.07 – Estimating Future Wages
Section 200.09.08 – Net Earnings from Self Employment (NESE)

Section 200.09.08A – Verification of NESE
Section 200.09.08B – Estimating NESE for the Current Taxable Year

Section 200.09.09 – Payments for Services Performed in a Sheltered Workshop or Work Activities Center
Section 200.09.10 – Royalties and Honoraria
Section 200.09.11 – Uniformed Services – Pay and Allowances
Section 200.09.12 – Income of Members of Religious Orders

Section 200.10 – Income Verification
Section 200.11 – Income Computations

Section 200.11.01 – Countable Income
Section 200.11.02 – Need Standards
Section 200.11.03 – Income Break-Even Points
Section 200.11.04 – Deemed Income

Section 200.11.04A – Allocations
Section 200.11.04B – Definition of Eligible Child for Deeming
Section 200.11.04C – Definition of Ineligible child for Deeming
Section 200.11.04D – Definition of Parent for Deeming
Section 200.11.04E – Income Excluded from Deeming
Section 200.11.04F – Changes in Deeming Status for Couples
Section 200.11.04G – Changes in Deeming Status for Parents/Children

Section 200.11.05 – In-Kind Income

Section 200.11.05A – In-Kind Items Provided s Remuneration for Employment

Chapter 302: Non-Countable Resources

Chapter 302 – Non-Countable Resources
Section 302.01 – Retirement Funds
Section 302.02 – Loans, Promissory Notes, & Property Agreements

Section 302.02.01 – General
Section 302.02.02 – Treatment of Loans, Promissory Notes & Property Agreements

Section 302.03 – Inheritances and Unprobated Estates

Section 302.03.01 – Treatment Under SSI Resource Policy
Section 302.03.02 – Treatment Under Liberalized Resource Policy

Section 302.04 – Real Property Exclusions

Section 302.04.01 – Home Property
Section 302.04.02 – Home Replacement Funds
Section 302.04.03 – Jointly Owned Property Whose-Sale Would Cause Undue Hardship
Section 302.04.04 – Exclusion of Real Property Due to Reasonable Efforts to Sell

Section 302.05 – Interests of Individual Indians in Trust or Restricted Lands
Section 302.06 – Personal Property

Section 302.06.01 – Automobiles
Section 302.06.02 – Life Insurance

Section 302.06.02A – Owner vs. Beneficiary of Life Insurance
Section 302.06.02B – Treatment of Life Insurance Under SSI Resource Policy
Section 302.06.02C – Treatment of Life Insurance Under Liberalized Resource Policy
Section 302.06.02D – Accelerated Life Insurance Payments
Section 302.06.02E – Life Insurance Endowment Policies

Section 302.06.03 – Household Goods and Personal Effects

Section 302.06.03A – Other Personal Property
Section 302.06.03B – Treatment Under SSI Resource Policy
Section 302.06.03C – Treatment Under Liberalized Resource Policy

Section 302.06.04 – Death Benefits for Last Illness and Burial Expenses

Section 302.06.04A – Treatment Under SSI and Liberalized Resource Policy

Section 302.06.05 – Burial-Related Resources

Section 302.06.05A – Burial Spaces

Section 302.06.05A1 – Treatment of Burial Spaces Under SSI and Liberalized Resource Policy

Section 302.06.05B – Burial Funds

Section 302.06.05B1 – Exclusion of Burial Funds Under SSI Policy
Section 302.06.05B2 – Exclusion of Burial Funds Under Liberalized Policy
Section 302.06.05B3 – Treatment of Burial Funds Under SSI and Liberalized Policy

Section 302.06.05C – Pre-Need Burial Contracts

Section 302.06.05C1 – Revocable Pre-Need Burial Contracts
Section 302.06.05C2 – Irrevocable Pre-Need Burial Contracts

Section 302.06.05D – Life Insurance Funded Burial Contracts

Section 302.07 – Exclusion of Property Essential for Self-Support

Section 302.07.01 – Current Use Requirement
Section 302.07.02 – Property Essential for Self-Support – Excluded Regardless of Value or Rate of Return

Section 302.07.02A – Property Used in a Trade or Business
Section 302.07.02B – Government Permits
Section 302.07.02C – Personal Property Used by an Employee for Work

Section 302.07.03 – Property Used to Produce Goods or Services – Up to $6000 Equity Excluded Regardless of Rate of Return (SSI)
Section 302.07.04 – Non-Business, Income-Producing Property – Up to $6000 Excluded if Rate of Return is 6% (SSI)
Section 302.07.05 – Essential Property Exclusion – Liberalized Policy

Section 302.08 – Resources Set Aside as Part of a Plan to Achieve Self-Support (PASS)
Section 302.09 – Retained Cash Payments

Section 302.09.01 – Retroactive Supplemental Security Income (SSI) and Retirement, Survivors and Disability Insurance (RSDI)
Section 302.09.02 – Dedicated Accounts for Past-Due Benefits Due to Individuals Under Age 18 Who Have a Representative Payee
Section 302.09.03 – Cash or In-Kind Items Received for the Repair or Replacement of
Lost, Damaged or Stolen Excluded Resources

Section 302.09.04 – Disaster Assistance
Section 302.09.05 – Presidentially-Declared Major Disasters
Section 302.09.06 – Netherland WUV Payments to Victims of Persecution
Section 302.09.07 – German Reparations Payments
Section 302.09.08 – Austrian Social Insurance Payments
Section 302.09.09 – Benefits Excluded from Both Income and Resources by a Federal Statue Other Than Title XVI

Section 302.09.09A – Agent Orange Settlement Payments
Section 302.09.09B – Victims Compensation
Section 302.09.09C – Relocation Assistance Payments
Section 302.09.09D – Tax Advances/Refunds Related to Earned Income Tax Credits (EITC) Child Tax Credits (CTC)
Section 302.09.09E – Radiation Exposure Compensation Trust Fund Payments
Section 302.09.09F – Gifts of Domestic Airline Tickets

Section 302.09.10 – Identifying Excluded Funds That Have Been Co-Mingled With Non-Excluded Funds

Chapter 303: Countable Resources

Chapter 303 – Countable Resources
Section 303.01 – Countable Resources

Section 303.01.01 – Cash
Section 303.01.02 – Checking/Savings Accounts
Section 303.01.03 – Funds Held in Another Individual’s Account
Section 303.01.04 – Time Deposits
Section 303.01.05 – Conservator Accounts
Section 303.01.06 – Patient Accounts
Section 303.01.07 – Charitable Funds Bank Accounts
Section 303.01.08 – Contents of Safety Deposit Box
Section 303.01.09 – Non-Home Real Property
Section 303.01.10 – 529Plan

Section 303.02 – Stocks
Section 303.03 – Mutual Fund Shares
Section 303.04 – US Savings Bonds
Section 303.05 – Municipal, Corporate and Government Bonds

Section 303.05.01 – Corporate Bonds
Section 303.05.02 – Municipal Bonds
Section 303.05.03 – Government Bonds/US Securities

Section 303.06 – Cash to Purchase Medical or Social Services
Section 303.07 – Retroactive In-Home Supportive Services
Section 303.08 – Uniform Gifts to Minors Act

Section 303.08.01 – Custodian
Section 303.08.02 – Donor
Section 303.08.03 – Minor Donee
Section 303.08.04 – Donee at Age 21
Section 303.08.05 – Creation and Transfer of “Custodial” Property in MS

Section 303.01.02A – Joint Checking/Savings Accounts
Section 303.01.02B – Rebuttal of Joint Checking/Savings Account

Section 303.09 – Entrance Fees to a Continuing Care Retirement Community

Section 303.09.01 – Spousal Impoverishment Rules Apply
Section 303.09.02 – Non Refundable Entrance Fee
Section 303.09.03 – Refundable Entrance Fee

Chapter 306: Transfer of Assets Policy - OBRA 93 and DRA Policy

Chapter 306 – Transfer of Assets Policy – OBRA 93 and DRA Policy

Section 306.01 – Transfer of Assets Policy – OBRA 93 and DRA Policy

Section 306.01.01 – Definitions Applicable to Transfers of Assets

Section 306.02 – Transfer Penalty Definitions
Section 306.03 – Effective Date of OBRA 93 Transfer Policy
Section 306.04 – Look Back Period
Section 306.05 – Applying the Transfer Penalty

Section 306.05.01 – Multiple Periods of Institutionalization and Multiple Applications
Section 306.05.02 – Effective Date of Penalty
Section 306.05.03 – Penalty Period
Section 306.05.04 – DRA Provision – Partial Month Penalty
Section 306.05.05 – Determining the Correct Transfer of Assets Divisor to use for Long Term Care Services in a Nursing Facility
Section 306.05.06 – Applying Transfer of Assets Penalty Periods to HCBS Waiver Applications and Active Cases
Section 306.05.07 – Determining the Penalty When Penalty Periods Overlap
Section 306.05.08 – Determining the Penalty When Penalty Periods do not Overlap

Section 306.06 – Types of Transfers of Assets

Section 306.06.01 – Treatment of Income as an Asset
Section 306.06.02 – Conveyance for Less than Fair Market Value
Section 306.06.03 – Waiving an Inheritance or Other Entitled Benefit
Section 306.06.04 – Annuities When Expected Returns are Less than Cost of Annuity
Section 306.06.05 – Irrevocable Burial Contracts Under Certain Circumstances
Section 306.06.06 – Transfers by a Spouse
Section 306.06.07 – Transfers of Jointly Held Assets
Section 306.06.08 – Personal Service Contracts
Section 306.06.09 – Purchase of a Life Estate in Another Individual’s Home
Section 306.06.10 – Promissory Notes, Loans or Mortgages

Section 306.07 – Exceptions to Transfers of Assets

Section 306.07.01 – Home Property
Section 306.07.02 – Non-Home Property
Section 306.07.03 – Undue Hardship
Section 306.07.04 – Undue Hardship Waiver Requested by Facility
Section 306.07.05 – Exception for Transfers to Community Spouse or Third Party

Section 306.08 – Transfer of Assets Notification
Section 306.09 – Rebuttal Process
Section 306.10 – Return of a Transferred Resource
Section 306.11 – Recalculation of a Penalty Period
Section 306.12 – Transfer Penalty Involving SSI Months