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MEDICAL SERVICES – APPENDIX N, FAMILY MEDICALLY NEEDY RESOURCE AND INCOME LEVELS 02-24-16 Page 8 of 19 5. Once the review is complete and any discrepancies have been corrected, the PEA will select the option of submitting the request to OPPD. 6. OPPD will review and submit the request to OCC if needed. OPPD will provide an opinion on the requests that do not require an opinion from OCC. 7. All opinions will be forwarded in an email message to the PEA and the county worker who requested the opinion. 8. The county worker will index the document in the client’s electronic record. The Medicaid Eligibility Unit will scan the opinion into the client’s electronic record on eDoctus. G. Sale of a Resource The sale of a resource, including disregarded resources, is considered a conversion of one type of resource (property) to another type (cash) except when the terms and conditions of the sale preclude the seller’s ability to obtain full payment on demand. When an individual sells either real or personal property, the caseworker will determine the amount the individual received for the property and any terms or conditions of the sale. The net proceeds from the sale (sale price less any outstanding liens or encumbrances and costs related to the sale) will be considered as follows: 1. If the homestead was sold, refer to section “The Homestead”. 2. If the individual received full payment for the property, apply the amount received to the resource limit. 3. If the individual entered into a legal agreement or contract with the buyer by which payment is made through installment payments, then the caseworker will determine whether the individual can require full payment on demand. If the entire balance is payable on demand, then the individual’s equity in such balance will be applied to the resource limit. If such amount, combined with other countable resources, does not exceed the resource limit and the case remains eligible, then only the interest portion of the installment payment will be considered as unearned income. The individual’s equity in the balance will continue to be applied to the resource limit. If the entire balance is not payable on demand, then the entire installment payment, less any amount for which the seller is obligated to pay on the sold property, will be considered as unearned income. H. Excess Real Property The equity value of any real property not used as a homestead (excess property) will be considered a resource in determining Medicaid eligibility.