1. Asset Reduction for Retroactive LTC Eligibility MFWCAA Conference October 2007

2. How Can Assets Be Reduced? Designate burial funds $1500 Limit Self, spouse, MA-eligible dependent children No burial space items Pay oldest medical bills in retro period Not incurred before retro period Not covered by TPL

3. Income or Asset? *Income in month received Bank balance Mar. 1 $4000 Direct deposit Mar. 1 900 Countable asset 4000 *Asset if retained Bank balance Apr. 1 $4600 Direct deposit Apr. 1 900 Countable asset 4600

4. Case 1 Entered LTC on April 5 Applied for MA on April 30 Retro request for March Income RSDI 595 gross Assets Checking Savings Annuity

5. March *Assets Savings 7153 Checking 2980 Annuity 5886 Total 16,019 *Medical Bills None

6. April Assets 16040 Reductions IFB 5000 Fuel bill 1050 Medical bill NH charge 1757 (paid in May)

7. May Assets 8460 Reductions 350 on miscellaneous bills LTC Spenddown 402 Medical bill NH charge 3750 (paid in June)

8. June Assets 8603 Reduction May NH 3750 Balance 4853 Asset Limit 3000 Excess 1853 June NH charges 3710 Eligibility exists for June by paying 1853 to the nursing home.

9. MAXIS FIAT denial for excess assets Mar-May Cannot enter STAT data for March Approve eligibility for June Record excess asset amount as TPL on STAT BILS Add case note and worker comment Request new budget period 6/07-12/07 on STAT BUDG Update review dates on STAT REVW

10. MMIS RSPD for June –TY =A, MTHD=I, CVD POP=M –Period begin= June 1, 2007 –Orig spenddown=2255 (LTC spenddown + excess asset) –Recipient Amt=2255 Update for July to show ongoing LTC spenddown

11. Case 2 Entered LTC on October 25 Applied on January 22 Retro request back to October Income RSDI + pension 1313 gross Assets –Checking –Savings –Irrevocable burial account

12. October Assets Savings 8008 Checking 2292 Total 10,300 Medical bills None. Paid by Medicare. Burial Fund Exclusion already used by IBA.

13. November Assets 10,757 Reductions –Grave marker 1279 –Attorney 600 –Clean out apt. 400 Medical bills Nursing home 4616 Medicare B & D 147 Med. Supplement 233

14. December Assets 8687 Reductions None Medical Bills Nursing Home 4616 Drug copays 111 Premiums 380

15. January Assets 9616 LTC Spenddown 1313 gross income -82 C & PN -380 premiums =851 Medical bill—nursing home 4616 Final reductions—paid 5838 to NH in March for November and part of December