asset assessments
DESCRIPTION
Asset Assessments. Judie Hughes DHS Health Care Training. Topics. Purpose and Benefits Definitions Forms Submissions Process Division of Assets. Purpose. Avoid spousal impoverishment Determine counted assets for the spouse requesting MA-LTC. Benefits. - PowerPoint PPT PresentationTRANSCRIPT
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Asset Assessments
Judie Hughes
DHS Health Care Training
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Topics
Purpose and BenefitsDefinitionsFormsSubmissionsProcessDivision of Assets
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Purpose
Avoid spousal impoverishmentDetermine counted assets for the
spouse requesting MA-LTC
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Benefits
Protects assets for spouse not requesting MA-LTC
Reduces amount of counted assets for the spouse requesting MA-LTC
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Process Overview
1. Identify and verify marital assets
2. Determine protected and counted asset totals for both spouses
3. Divide assets
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Community Spouse
Legal spouse of a LTC spouse
Not residing in LTCF or receiving services through a waiver
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LTC Spouse
Legal spouse of a community spouse
Meets continuous LTC/EW period
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Continuous LTC/EW Period
30-consecutive days through:
Residence in LTCF Receipt of services covered by EW
or AC after an LTCC
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LTC Facility
Medical hospital Nursing facility ICF/MR MA-covered be in RTC
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Name that Spouse Example 1
LTC Spouse:
Community Spouse:
Betty
Barney
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Name that Spouse Example 2
LTC Spouse:
Community Spouse:
Neither
Neither
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Name that Spouse Example 3
LTC Spouse:
Community Spouse:
Mindy
Mork
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Name that Spouse Example 4
LTC Spouse:
Community Spouse:
Neither
Neither
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Name that Spouse Example 5
LTC Spouse:
Community Spouse:
Raymond
Debra
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Name that Spouse Example 6
LTC Spouse:
Community Spouse:
Neither
Neither
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Community Spouse Asset Allowance (CSAA)
Calculated share of assets attributable to the community spouse.
Used to determine LTC spouse total counted assets.
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Forms
DHS-2908 DHS-3340 DHS-3340A DHS-1503 DHS-5181
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Submissions
Required when an LTC spouse requests MA-LTC
Optional at time of first continuous LTC/EW
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Review
Protects marital assets Reduces counted assets Continuous LTC/EW period Required at application Optional for an estimate
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Processing Step 1
Determine the asset assessment effective date.
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Effective Date Example 1
Rick entered LTCF September 3. Continues to reside in LTCF. Requests MA-LTC October 5. Luann in home – no services.
September 3
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Effective Date Example 2
Mike entered hospital June 3. Transferred to current LTCF July 2. Requests MA-LTC October 2. Holly in home – no services.
June 3
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Effective Date Example 3
Bob services in home July 1. Insurance paid – screened June 29. Requests MA-LTC September 16. LTCC September 15 Jackie in home – no services.
September 15
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Effective Date Example 4
Jim entered hospital June 3. LTCC June 25 AC services June 28 after discharge Jim requests MA-LTC August 20 Nancy in home – no services.
June 3
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Effective Date Example 5
Patrick entered LTCF April 3. Discharged April 30. Enters current LTCF July 15 Requests MA-LTC August 20 Jan in home – no services.
July 15
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Effective Date Example 6
Hugo entered LTCF January 19. Dottie LTCF July 1 – August 15. Hugo requests MA-LTC
September 10.
None
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Case Scenario
LTC Spouse?
Community Spouse?
Required?
Ida Effective Date?
Ida
Hardy
NoAugust 15, 1999
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Processing Step 2
Request completion of the
DHS-3340.
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Case Scenario
Hardy and Ida submitted a completed DHS-3440 on
November 15, 1999.
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Processing Step 3
Evaluate marital assets following asset assessment rules.
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Processing Step 4
Determine the total counted
marital assets.
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Case Scenario
Total marital assets = $349,400
Total excluded assets = $166,500
Total counted assets = $182,900
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Processing Step 5
Determine the community spouse asset allowance.
a. Divide total countable assets by 2.
b. Determine minimum and maximum asset allowance figures.
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Processing Step 5
c. If half of total countable assets are: ≤ minimum – CSAA is minimum ≥ maximum – CSAA is maximum In between – CSAA is actual amount
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Case Scenario
What is Hardy’s CSAA?a. Half of total countable assets
$182,900 ÷ 2 = $91,450b. $23,744(min) and $81,960(max)c. CSAA = $81,960
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Processing Step 6
Enter the asset assessment results into MAXIS ASET.
TE02.13.57
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Processing Step 7
Complete and send the DHS-3340A.
Send additional notice with instructions if processing at
MA-LTC approval
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Processing Step 8
At MA-LTC determine counted assets attributable
to the LTC spouse.
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Processing Step 8
a. Determining the current CSAA.
Compare half of total counted assets owned on the effective date to the current minimum and maximum asset allowance.
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Case Scenario
What is Hardy’s updated CSAA? Half of total countable assets
$182,900 ÷ 2 = $91,450 $29,389(min) and $104,400(max) Actual CSAA = $91,450
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Processing Step 8
b. Evaluate current marital assets using MA eligibility rules.
c. Total counted marital assets.
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Processing Step 8
d. Calculate LTC spouse counted assets. If counted assets:
≤ CSAA =$0 counted assets for LTC spouse
> CSSA - Total counted assets - CSSA = LTC spouse counted assets
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Case Scenario
Counted assets = $91,800
CSAA = $91,450
Ida’s counted assets = $350
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Processing Step 9
Set DAIL/WRIT for 60 days prior to the first annual renewal month.
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Don’t forget…
Case note!
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Verification
At initial submission At time of request for MA-LTC At the first annual renewal
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Division of Assets
Divide so each asset is in one spouse’s name
No transfer penalty Verify legal transfer made
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Case Scenario
Assets reduced. Ida approved for MA-LTC. Notice sent 60-days before
renewal. Renewal submitted
Verify Ida-owned assets Verify legal transfer of other assets.
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Wrap - Up
Purpose and BenefitsDefinitionsFormsSubmissionsProcessDivision of Assets
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Other Asset Assessment Info
HCPM 19.45
HCPM 19.45.05
HCPM 19.45.10
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Thanks!