Page 27

State of Maryland Medical Assistance Manual Revised April 2014

eligibility in community MA (see the MA Manual Policy Alert 10-09 and Policy Alert 10- 09 Supplement ). • If an unmarried adult, living alone, is discharged to the community, recalculate the available income allowing the residential maintenance allowance in the month of discharge, providing the individual has not yet received this allowance for the maximum of 6 months.

L. Closing Due to Death When an institutionalized individual dies, the timely notice requirement does not apply; however, written notice of the case closing must be sent to the representative and the LTCF. Cancel payment to the LTCF as of the date of death. If payment to the LTCF has been cancelled for another reason prior to the date of death, no further action via the 206C is required. When a benefit check of a deceased individual is available or can be made available by reissuance to a family member, guardian, or representative, the benefit must be considered available for payment towards cost-of-care in the month of death. The LDSS will need to inform the family member, guardian, or representative of the need to request reissuance of the check and of his/her responsibility to pay the nursing home. If there is no one to request reissuance of the check, the payor will reissue the check to the estate of the deceased. In this instance, do not include the amount of the benefit check on the 206C (if there is no other income available, report “0” on the 206C) and promptly send to the Division of Recoveries on DHMH 1169form showing, in addition to all excluded and non-excluded resources, the amount of the benefit check for possible recovery from the estate of the deceased. M. Other Closings A case may be closed without adverse action notice if the recipient or representative makes a written request to the LDSS to close the case. Cancel the payment to the LTCF effective the first of the month for which the written request is made. Cancel the MA card the first of the following month. Send written notice of the case closing stating the reason for ineligibility. A recipient or representative may report a change that results in ineligibility and request the case to be closed. A person is not required to verify information that clearly results in ineligibility, but the information must be recorded on the case summary. Close the case with timely and adequate notice which specifies the reason for ineligibility. If the person reapplies, the information that resulted in ineligibility must be verified. When an institutionalized person is discharged to the community or dies, the LDSS should be notified via a 257. However, if the CM learns of these occurrences from other sources, it is necessary to document the occurrence and annotate the case record with these facts and the source. If the 257 is not received within 10 days of the occurrence, take appropriate action on the case regardless of the non-receipt of the 257.