Page 253

For groups subject to an asset test, asset eligibility exists when the group's countable assets are below the applicable MA asset limit for at least one day during the month being tested. TANF Determine asset eligibility using the group's assets for the payment month. The group is ineligible if its assets exceed the applicable limit during any day of the month (see Exhibit VI-1: Asset Limits).

Example A group receiving TANF exceeded the asset limit on July 8 and reported it on July 15. The group verifies it no longer had excess assets on July 19. Recoup July TANF benefits. Continue August benefits because the group's assets are within the asset limit for that month. If the group had also been receiving MA, there would have been no break in MA coverage for the group. GC See TANF. FS Groups which are categorically eligible do not have to meet the asset limits listed in Exhibit VI-1: Asset Limits. A group is categorically eligible (see Section 12.3: Who is Categorically Eligible in Part IV) if: • all eligible FS group members receive or are authorized to receive TANF and/or SSI benefits, and • no group member is disqualified for FS because of an IPV. For all other applicant groups, use the asset group's countable assets on the interview date to determine the initial eligibility of the group. For on-going cases, if the asset limit is exceeded at any point during the month, the group is ineligible for that month (see Sections 6.3-6.4.4 in Part VIII for rules for when an overpayment should be charged and benefits recouped). The group may reapply and be determined eligible if the assets are again below the limit.

DETERMINING RETROACTIVE ELIGIBILITY 3.5 MA AR: When a person applies for Medicaid, s/he can also apply for three months of retroactive eligibility. In order to determine retroactive eligibility, consider the applicant's resources during each month of the three-month period and compare it to the appropriate standard in Exhibit VI-1: Asset Limits. AX: N/A. SR: See AR. QM: QMBs, Q1-1s and Q1-2s are not eligible for retroactive eligibility. For SLIMBs and QDWIs, see AR. MC: N/A TANF N/A GC N/A FS N/A