Page 164

CODE OF COLORADO REGULATIONS 10 CCR 2505-10 8.100 Medical Services Board

164 i) There is a statement from a physician, or case manager that declares if the client had not died, he/she would have been institutionalized for 30 consecutive full days, and; ii) The statement is verified by supporting documentation from the beginning of the institutionalized period, which is the first 15 days, or prior to the death of the client, whichever is earliest. iii) Once the 30 consecutive days of institutionalization requirement has been met, Medical Assistance benefits start as of the first day when institutionalization began if all other eligibility requirements were met as of that date. d. Are in a facility eligible for Medical Assistance Program reimbursement if the individual is in a hospital or Long-Term Care institution; and e. Have gross income that does not exceed 300% of the current individual SSI benefit level or; Are in a Long-Term Care institution (excluding hospital) whose gross income exceeds the 300% level and who establishes an income trust in accordance with the rules on income trusts in section 8.100.7 of this volume; i) This special income standard must be applied for: 1) A person 65 years of age or older, or disabled or blind receiving care in a hospital, nursing facility; or 2) A person who is not SSI eligible needing Long-Term Care from HCBS or PACE; or 3) A person 65 years of age or older receiving active treatment as an inpatient in a psychiatric facility eligible for Medical Assistance reimbursement; and f. Have resources that conform with the regulations regarding resource limits and exemptions set forth in section 8.100.5 of this volume; and