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State of Maryland Medical Assistance Manual Revised April 2014
Section 1000 Table of Contents Eligibility for Institutionalized Persons 1000.1 Introduction – Eligibility for Institutionalized Persons (a) The Meaning of Institutionalized (b)The Assistance Unit
(c) Non- Financial Eligibility Requirements
(d) Period Under Consideration
(e) Resources
(f) Spousal Impoverishment
(i) Determining Monthly Available Income
(1) Personal Needs Allowance (2) Residential Maintenance Allowance
(3) Spousal Allowance
(4) Family/Dependent Allowance (5) Medicare and Other Health Insurance Premiums (6) Medical Care or Remedial Services 1000.2 Cost of Care
1000.3 Eligibility Determination and Certification
1000.4 Available Income Less Than Cost of Care
1000.5 Available Income Equal to Cost of Care
1000.6 Available Income Greater Than Cost of Care 1000.7 Determine Excess Available Income
1000.8 Determine Spend-Down Eligibility
1000.9 Continuing Eligibility
1000.10 Scheduled Redetermination 1000.11 Interim Changes
(a) Timely Reporting, LDSS Action and Notification (b) Changes Not Reported in a Timely Manner
(c) Changes Not Acted Upon in a Timely Manner
(d) Change in Resources
(e) Proper Reduction of Excess Resources
(f) Change in Income
(g) Change in Deductions
(h) Change in Level of Care
(i) Medicare Coverage