Source: http://register.dls.virginia.gov/details.aspx?id=2581
Timestamp: 2019-08-18 20:20:09
Document Index: 520902264

Matched Legal Cases: ['§1902', '§1902', '§7702', '§1917', '§1396', '§1917', '§1902', '§1902', '§1902', '§1902']

Vol. 25 Iss. 1 (Emergency Regulation) 12VAC30-40, Eligibility Conditions And Requirements September 15, 2008
Title of Regulation: 12VAC30-40. Eligibility Conditions and Requirements (amending 12VAC30-40-290).
Agency Contact: Cindy Olson, Project Manager, Department of Medical Assistance Services, 600 East Broad Street, Suite 1300, Richmond, VA 23219, telephone (804) 225-4282, FAX (804) 786-1680, or email cindy.olson@dmas.virginia.gov.
Item 306 NN of the 2008 Appropriation Act (Chapter 879 of the 2008 Acts of Assembly) directs the Department of Medical Assistance Services (DMAS) to count life estates as a resource in determining Medicaid eligibility for covered groups for which a resource determination is required, including individuals requesting Medicaid payment for long-term care services. This action is intended to satisfy that mandate.
This regulatory action is intended to change the way life estates are evaluated in the Medicaid eligibility determination process per the requirement of the 2008 Appropriation Act. Upon implementation of this change, life estates will be evaluated as a resource for those Medicaid groups that have a resource requirement. This change will require the amendment of regulations addressing Medicaid eligibility.
This change is needed to eliminate the opportunity to shelter assets equal to the value of a life estate for individuals who are subject to a resource test for Medicaid eligibility.
12VAC30-40-290. More liberal methods of treating resources under §1902(r)(2) of the Act: §1902(f) states.
C. Life rights. Life rights to real property established prior to August 28, 2008, are not counted as a resource. The purchase of a life right in another individual's home is subject to transfer of asset rules. See 12VAC30-40-300. Life rights to real property established on or after August 28, 2008 are evaluated as a resource in determining Medicaid eligibility in covered groups for which a resource determination is required, in the same manner as home or real property, as applicable.
G. Long-term care partnership insurance policy (partnership policy). Resources equal to the amount of benefits paid on the insured’s behalf by the long-term care insurer through a Virginia issued long-term care partnership insurance policy shall be disregarded. A long-term care partnership insurance policy shall meet the following requirements:
1. The policy is a qualified long-term care partnership insurance policy as defined in §7702B(b) of the Internal Revenue Code of 1986.
2. The policy meets the requirements of the National Association of Insurance Commissioners (NAIC) Long-Term Care Insurance Model Regulation and Long-Term Care Insurance Model Act as those requirements are set forth in §1917(b)(5)(A) of the Social Security Act (42 USC §1396p).
5. The policy meets the inflation protection requirements set forth in §1917(b)(1)(C)(iii)(IV) of the Social Security Act.
I. Resource exemption for Aid to Dependent Children categorically and medically needy (the Act §§1902(a)(10)(A)(i)(III), (IV), (VI), (VII); §§1902(a)(10)(A)(ii)(VIII), (IX); §1902(a)(10)(C)(i)(III)). For ADC-related cases, both categorically and medically needy, any individual or family applying for or receiving assistance may have or establish one interest-bearing savings or investment account per assistance unit not to exceed $5,000 if the applicant, applicants, recipient or recipients designate that the account is reserved for purposes related to self-sufficiency. Any funds deposited in the account shall be exempt when determining eligibility for medical assistance for so long as the funds and interest remain on deposit in the account. Any amounts withdrawn and used for purposes related to self-sufficiency shall be exempt. For purposes of this section, purposes related to self-sufficiency shall include, but are not limited to, (i) paying for tuition, books, and incidental expenses at any elementary, secondary, or vocational school, or any college or university; (ii) for making down payment on a primary residence; or (iii) for establishment of a commercial operation that is owned by a member of the medical assistance unit.
J. Disregard of resources. The Commonwealth of Virginia will disregard all resources for qualified children covered under §§1902(a)(10)(A)(i)(I), 1902(a)(10)(A)(i)(III), 1902(a)(10)(A)(ii)(VIII), and 1905(n) of the Social Security Act.
VA.R. Doc. No. R09-1326; Filed August 27, 2008, 11:36 a.m.