Medical Applications & DDS Services

Information regarding applications for medical related to DDS services

Irrevocable Burial Contract – Policy Interpretation Change

There has been a policy INTERPRETATION change as to the amount that can be in the Irrevocable Burial Contract

UpdatedDetermining Eligibility of Eligible Individual with an Ineligible Spouse

How to determine eligibility for an Eligible Individual with an Ineligible Spouse then code FACS.

Nursing Facility Services for Non-ABD Related – Determining Resource Eligibility

THERE IS NO RESOURCE STANDARD TEST The following apply: 60 month look-back period on all assets Penalty for transfer of assets Rules on annuities, promissory notes, life estates and trusts are the same as for ABD related NOT subject to Medicaid lien on home property Subject to Medicaid Estate Recovery if age 55 older when […]

Nursing Facility Services for ABD Related – Determining Resource Eligibility

The resource standard for an individual is as shown on Appendix C-1 , Schedule VIII.D If applicant has a spouse, refer to article LTC: Spousal Impoverishment. Exempt Resources: Home Property (under certain circumstances) refer to article LTC: Home Property Overview. One Automobile, if it is used for transportation of the individual or member of the […]

ADvantage and Other Waivers – Determining Resource Eligibility

The resource standard for an individual is as shown on Appendix C-1, Schedule VIII.D If applicant has a spouse, see article entitled “Spousal Impoverishment” Exempt Resources: Home Property (as long as client continues to reside there and has equity interest less than the maximum home equity standard as shown on Appendix C-1, Schedule VIII.D.2) One […]

SSI-Criteria State Policy FAQs

Answers to frequently asked questions concerning ABD applicant’s income, resources, irrevocable prepaid burial policies, household composition, and other topics.