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Medical Services – Glossary

MS Manual 09/01/26 Living Arrangements – Living in Own Household - Consider an individual or couple to be living in own household if they pay all household expenses (i.e., have ownership interest, renting, etc.) or if living in household of another, they pay an equal share per member of total household expenses. Living in Household of Another – Consider an individual or couple to be living in household of another if they pay less than an equal share per member of total household expenses. Living in Institution/Facility – Consider an individual or couple living in Institution/Facility if they are in an Institution/Facility that is eligible to receive Title XIX reimbursement. Members Resume Living Together – If spouses who previously lived together as a married couple resume living together, review the facts of the case to make a new marital relationship determination, if necessary. Locomotion – The act ofmoving from one location to another, regardless of whether the movement is accomplished with aids or devices. Lump Sum – A one-time cash payment. Marital Status – Consider a couple to be married if they are: • Legally married under State law, or • Either determined to be the spouse of a Title II (Social Security) recipient or • Living together and holding out to the community in which they live as a married couple (this does not apply to LTSS cases). Medical Institution (LTSS) – An institution (hospital) where care equivalent to that in a nursing facility is provided. Days in a medical institution may be considered a part of the continuous period of institutionalization when an individual enters a nursing facility directly from the medical institution. If confined to a medical institution only, consider Medically Needy coverage. The spousal rules will not apply.

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