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State of Maryland Medical Assistance Manual Revised April 2014

• Send a manual letter to the Representative informing him or her that it has been a year since the recipient’s case was last evaluated for LTC eligibility. • Include in the letter that the LDSS needs to be informed of any changes concerning nursing facility residences, or changes that might affect the recipient’s LTC eligibility, i.e., sale of home property if a lien has been placed, new assets, death, etc. Please refer all questions concerning this Policy Alert to the DHMH Division of Eligibility Services at (410) 767-1463. Redetermination Procedures for SSI Recipients Entering Long-Term Care (Policy Alert 10-08 Supplement)

Procedures To Be Followed If There Are Excess Resources When an individual who is active in the Medical Assistance (MA) coverage group S02 enters a Long- Term Care Facility, the case is pended in L01 while the CM waits to receive verifications. If verifications indicate that resources exceed the $2000 SSI resource standard, but are within the $2500 Medical Assistance medically needy resource standard, the case worker will certify the individual as LTC medically needy (L98). The CM must Add- A- Program for L98, complete the eligibility process for the L98, close the active S02, and deny the pending L01. CARES will not trickle from L01to L98 because of the SSI income. Update the narrative to reflect all case action. If the person is no longer eligible for SSI, remove the SSI income from the pending L01 on the UINC screen and code the SSI closing information on the bottom of the UINC screen. At the bottom of the UINC screen, indicate SI for Appl Type, T for the status, and the termination date from the SDX on- line inquiry. CARES will trickle to Medicaid coverage group L98. Complete the application process.