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Eligibility Policy Manual
706.25 Home
Property
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Home means any property in which an individual has an ownership interest and which
serves as the individual' s principal place of residence.
Home property includes the shelter in which the individual resides, the land
on which the shelter is located and related outbuildings. A home may consist of real or personal
property, fixed or mobile, located on land or water.
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The home property includes any land which is adjacent or
contiguous to the home and any other buildings located on the land (MS
706.25.C.1).
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a.
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To be adjacent or contiguous to the
home, the real property must adjoin the plot on which the home is located and
not be separated from it by intervening real property owned by others.
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b.
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In considering if real property is
adjacent or contiguous to the home property, do not consider easements or
public rights of way (e.g., streets, roads, utility lines, etc.), which run
through or by the land and separate land from the home plot.
Watercourses, such as streams and
rivers, do not separate land. Land
parcels which are adjoined side-by-side, corner-to-corner,
or in any other fashion are considered adjacent or contiguous to each other.
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c.
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If the individual resides on land
on which a shelter exists, it is not necessary for the person to own the
shelter to consider the land part of the home property.
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EXAMPLE: If the customer resides on his land in someone else's
trailer, the land meets the definition of home property and is excluded.
NOTE: Even though home property is always excluded
as a resource, a person can still be ineligible for long term services if
the equity value of the home exceeds $500,000, regardless of the amount by
which home equity exceeds $500,000. This provision applies to individuals
who are determined eligible for ALTCS based on an application filed on or
after July 1, 2006. (MS 706.25.B.4)
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2.
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Principal Place of Residence
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The principal place of residence is the dwelling
established as the individual' s home. Only one home established as the principal place of residence is
excluded as home property. See MS 706.25.C.6. for instructions when the individual owns more than one
residence.
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When used in this section, institutionalized means:
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a.
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Residing in a medical institution;
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b.
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Medically eligible for ALTCS and
residing in an alternative residential HCBS setting; or
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c.
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Medically eligible for ALTCS and
residing with another person (friend, family member, etc.) who assists the
customer with activities of daily living, without which, the customer would
have to reside in a NF or alternative residential setting.
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For verification requirements, see
MS 706.25.C.2.
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4.
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Dependent Relative of the Customer
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a.
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Dependency may be of any kind
(e.g., financial, medical, etc.). Accept the customer's or dependent relative's allegation without
further verification unless there is reason to question it.
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b.
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Relative means son, daughter,
grandson, granddaughter, stepson, stepdaughter, in-laws, mother,
father, stepmother, stepfather, grandmother, grandfather, aunt, uncle,
sister, brother, stepbrother, stepsister, half-sister, half-brother,
niece, nephew, or cousin.
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For verification requirements, see
MS 706.25.C.6.
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1.
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Conditional Home Property Exclusion
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a.
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Only one residence can be excluded
as home property. (MS 706.25.C.2).
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b.
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When determining eligibility for
medical assistance, the available equity in the home property is excluded as
a resource when:
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i.
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The customer or spouse resides in
the home property;
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ii.
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The customer has resided in the
home property, is absent due to institutionalization, but expresses the intent
to return;
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iii.
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The customer is absent from the
home property due to institutionalization but the customer' s spouse or
dependent relative resides in the property as his or her principle place of
residence. In this situation, the exclusion
applies even when the customer does not express an intent to return or when
the customer did not previously reside in the property.
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c.
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If none of the conditional
exclusions apply, count the property as a resource.
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d.
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If all of the conditions for the
exclusion end, the property becomes a countable resource the following month.
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2.
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Intent to Return to the Home
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Accept the customer' s statement of intent to return unless
the statement or actions are contradictory; for example, the home has been
listed for sale. If the statement is
contradictory, obtain clarification. For verification requirements, see MS
706.25.C.3. If the actions are contradictory, do not
apply the conditional home property exclusion. When not excluded as home
property, the property may be conditionally excluded under Good Faith Effort
To Sell (MS 703.10.).
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3.
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Home Property Located Out of State
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Home property can be located outside of Arizona. A customer can intend to return to home
property in another state or country and still be considered an Arizona
resident as long as the customer also intends to remain in Arizona for an
indefinite time (see MS
529.00).
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4. |
Equity Value Exceeds
$500,000 |
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a. |
For
customers who apply for
ALTCS benefits on or
after July 1, 2006, the
customer is ineligible
for long term care
services if the
customer's equity
interest in the home
property exceeds
$500,000. For those who
apply after July 1,
2006, the home equity
provision applies to the
first determination of
eligibility and to
future renewals. The
home equity provision
does not apply to
individuals who applied
and were determined
eligible before July 1,
2006 and have no break
in long term care
eligibility after July
1, 2006. |
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Even though exceeding
the equity value results
in the ineligibility for
long term care services,
the customer may receive
medical services under
ALTCS Acute Care if
otherwise eligible. |
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b. |
Ineligibility for long
term care services based
on equity value of the
home does not apply to a
customer if one of the
following individuals
reside in the customer's
home: |
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i. |
The
customer's spouse; or |
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ii. |
The child of the
customer meeting one of
the following
conditions:
脗路
Under the age of 21 years
脗路 Of any age
who is blind or
permanently and totally
disabled (as defined or
determined by DDSA) |
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i. |
Ineligibility for long
term care services based
on equity value of home
can be waived if the
customer can demonstrate
undue hardship. All of
the following must be
met to establish undue
hardship: |
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脗路
The customer must be otherwise eligible for ALTCS
benefits;
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The customer must be unable to obtain medical
care without receipt of
ALTCS;
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The customer is incapacitated, as determined by a
physician;
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The customer is unable to participate in the sale
or encumbrance of the
property; and
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There is no one who has the legal authority to
sell or encumber the
property on the person's
behalf.
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ii. |
If
it appears that the
conditions specified in
c.i. apply to a
customer's situation,
send a Policy
Clarification Request
form (DE-637) to the
Policy Unit requesting
an undue hardship. |
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Include the following
specific information:
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The month for which the customer is financially
eligible for ALTCS;
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The PAS decision;
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The customer's medical insurance coverage;
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The customer's medical condition and medical
needs; and
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Any special circumstances that should be
considered.
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Central Office will
determine whether a
denial of eligibility
for long term care
services is considered
an undue hardship. |
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5.
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Home Property that is Producing Income
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When home property is also income-producing, the entire
value of the home property is excludable regardless of its value, rate of
return or current use (e.g., do not consider the property as essential to
self-support in accordance with MS
706.42.A.3).
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6.
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Life Estate Interest in Home Property
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a.
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When a Life Estate can be Excluded
as Home Property
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A life estate interest in property
which is conditionally excluded in accordance with MS 706.25.B.1 is also
excluded.
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EXAMPLE: Mr. and Mrs. G own a life estate interest in
property. Mr. G is residing in a NF
and Mrs. G uses the life estate property as her principle place of
residence. The life estate meets the
condition in B.1.b.iii. of this section for the home property exclusion.
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b.
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When a Life Estate Cannot be
Excluded as Home Property
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The home property exclusion
described at MS 706.25.B.1 cannot be applied to a life estate interest in
property that does not meet any of the conditions listed in MS 706.25.B.1.
This includes property in which an ownership interest was not held prior to
institutionalization unless the spouse currently resides in the property.
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EXAMPLES: Mr. A resided in an apartment for a
number of years. After Mr. A was
placed in a nursing facility, he used $20,000 of his savings to buy a life
estate interest in his son' s home. Since the son' s home was not the customer' s home property prior to
institutionalization, the life estate is not entitled to the home property
exclusion. This life estate is a countable resource because Mr. A. did not
have an ownership interest in the home nor was it his principle place of residence
prior to his institutionalization.
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Mrs. B was living with her
daughter, in her daughter' s home. Her
health deteriorated and it became necessary for Mrs. B to move to a nursing
facility in March. Mrs. B had $20,000
in savings. In May, she used $19,000
of her savings to buy a life estate interest in her daughter' s home. Although Mrs. B previously lived in the
home, the life estate does not qualify for the home property exclusion
because Mrs. A did not have an ownership interest in her daughter' s home
prior to her institutionalization.
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c.
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Evaluation of the Creation or
Purchase of Life Estates as Transfers
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i.
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When a life estate is created, it
must be evaluated to determine if the granting of the remainder interest in
the property to a third party constitutes a transfer with uncompensated value
(Chapter 900).
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ii.
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The value of a life estate (MS
706.44.F.) must be compared to the purchase price to determine if adequate
compensation was received.
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7.
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Sale of Home Property When the Customer is Not
Institutionalized
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A customer who is not institutionalized is allowed to sell
his or her principal place of residence and retain the home property
exclusion if the conditions in this section are met.
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a.
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The proceeds from the sale of the
home are the net payments received by the seller after payment of all
encumbrances and sales expenses.
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b.
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The proceeds from the sale of home
property must be used (i.e., obligated by contract or actually paid) for the
purchase of another principal place of residence for the customer and for the
costs incidental to occupying the new home.
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i.
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The purchase costs include:
Down payment;
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iii.
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Loan processing fees and points;
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v.
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Necessary repairs to or
replacements of the new home's structure or fixtures (e.g., roof, furnace,
plumbing, built-in appliances) that are identified and documented prior to
occupancy;
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vii.
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Other costs which are identified
and documented prior to occupancy and which stem directly from the purchase
or occupancy of the new home.
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c.
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The proceeds from the sale of a
home are excluded until the last day of the third full month following the
month of receipt.
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If the customer received the
proceeds from the sale of home property under an installment contract, the
contract is an excluded resource for as long as the customer does both of the
following:
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脗路 Plans to use the entire down payment and the entire
principal portion of a given installment payment to buy another excluded home;
and
脗路 Does so within three full calendar months of
receiving any down payment or installment payment.
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EXAMPLE: An installment contract has a principal balance of $5,000
as of July 1st. On July 10th the buyer makes a principal payment of
$200. As of October 31st, the
customer has used only $150 of the July payment in connection with the
purchase of a new home.
The unused $50 principal payment and the value (principal
balance) of the installment contract ($4,800) are countable resources
effective November.
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d.
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If the proceeds from the sale of
the original home are in excess of the costs of the purchase and occupancy of
the substitute home, the excess amount of the proceeds or excess value of an
installment contract is a countable resource.
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e.
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If the home is not replaced within
the three-month period, proceeds from the sale of home property, are
counted whether received as a lump sum or by installment contract, as of the
month of receipt.
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f.
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Any interest earned on the proceeds
from the sale is counted as income in the month of receipt.
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g.
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Verify the proceeds from the sale
and the individual' s intentions to replace the home in accordance with MS
706.25.C.7.
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8.
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Sale of Home Property When the Customer is
Institutionalized
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The proceeds from the sale of home property and home
replacement after the customer is institutionalized are not excluded unless
the property that was sold was excluded because it was the principle place of
residence for the spouse or a dependent relative and the proceeds are used to
purchase a new home in accordance with section 6, where the spouse or
dependent relative use the principal place of residence.
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Verify the type of ownership and the ownership interest in
property used as the principal place of residence in accordance with MS
705.00.
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The
value of home property
does not have to be
verified if
conditionally excluded.
However, the type of
ownership and the
ownership interest must
still be verified (MS
706.25.C.1).
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a.
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Applications before July 1,
2006
The value of home
property does not
have to be verified
if conditionally
excluded and the
ALTCS application is
before July 1, 2006.
However, the type of
ownership and the
ownership interest
must still be
verified (MS
706.25.C.1).
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b.
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Applications received on or after July 1, 2006
For ALTCS applications on or
after July 1, 2006, (including
renewals for applications
received on or after July 1,
2006) take the following
actions:
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1 |
Verify the current
market value (CMV) of
the home using the
County Assessor's value. |
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IF the CMV is... |
THEN... |
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Equal to or less than
$500,000 |
The customer is eligible
for long term care
services based on the
equity value of the
home.
No other verification is
required for the home
property except for the
type of ownership and
the ownership interest
(MS 706.25.C.1)
Continue processing the
case.
Stop |
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Greater than $500,000 |
Continue to Step 2 |
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2 |
Verify encumbrances on
the home such as
home. |
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3 |
Subtract the
encumbrances from the
CMV value of the home to
determine the equity
value. (CMV-
encumbrance = equity
value)
NOTE: If the overall equity
interest in the home is
shared by co-owners, the
customer's equity
interest is determined
by dividing the total
equity interest by the
number of shared owners
proportional to their
interest in the
property. |
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IF the equity value
is... |
THEN... |
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Equal or less than
$500,000 |
The customer is eligible
for long term care
services based on the
equity value of the
home.
No other verification is
required for the home
except for the type of
ownership and the
ownership interest if
not already verified (MS
706.25.C.1)
Continue processing the
case.
Stop |
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Greater than $500,000
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The customer is
ineligible for long term
care services based on
the equity value of the
home.
Continue to Step 4 |
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4 |
Determine if the
customer is otherwise
eligible for ALTCS
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IF the customer is... |
THEN... |
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Not otherwise eligible
for ALTCS |
Deny or discontinue the
customer's case using
the appropriate denial
or discontinuance
reason. |
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Otherwise eligible for
ALTCS |
Approve the customer's
case for ALTCS acute
care as follows:
- Disposition the case as
an approval.
- Inactivate
system generated notice
and send an acute care
manual notice (Acute
Care Approval Notice,
DE-506) explaining that
the customer is eligible
for acute care medical
services only because
the equity value of the
home exceeds $500,000
- Contact
the Technical Service
Center to post
eligibility for acute
care services.
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NOTE: If any of the individuals listed
in 706.25.B.4 reside in the home
property, the CMV or equity
value of home does not need to
be verified. However, the type
of ownership and the ownership
interest must still be verified
(MS 706.25.C.1).
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3.
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Adjacent or Continuous Lots
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When there is any indication that a portion of the home
property is not adjacent or contiguous with the home plot, obtain
documentation of the home property. Document the case record with the pertinent information from the tax
assessment, title, deed, or other document.
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a.
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If the customer cannot provide this
evidence or the evidence is insufficient, contact the local tax jurisdiction
regarding the property boundaries and record the information in the case
record.
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b.
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If the property on which the home
is located is recorded as a single holding and treated as a single holding
for tax assessment purposes, assume it is a single piece of property in which
the home plot is adjoined by the rest of the land.
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c.
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If two or more holdings are
reported to be adjacent or contiguous property and are treated as two or more
holdings for recording and tax assessment purposes, obtain documentation that
they are adjacent.
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Additionally, a description showing
the location of the boundaries and the shelter used as the home (principal
place of residence) in relation to the boundaries is required.
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d.
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The land owned by the customer that
does not adjoin the home plot cannot be included in the home exclusion.
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4.
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Institutionalized Customer
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When the customer is in a medical institution, contact the
institution to verify institutionalization.
When the customer resides in the community, verify medical
eligibility by the PAS.
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Have the customer complete a Statement of Facts (DE-118)
or provide a written statement to document his or her intent to return home.
The customer' s statement of intent is accepted without
challenge unless the statement is self-contradictory. When the statement is self-contradictory
and does not make the customer' s intent clear, obtain clarification from
secondary sources, such as a physician, close relative, or person in a
position to know. Such clarification
from secondary sources, even though the customer is capable, is undertaken
only if the customer' s statement of intent is self-contradictory.
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If multiple residences are owned, evidence must be
provided to establish the principal place of residence such as:
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a.
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Voter's registration address;
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