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State of Maryland Medical Assistance Manual Revised April 2014

• Transfer to an acute hospital; • Expiration of bed reservation; • Transfer from one LTCF to another; or • Death.

(b) The Assistance Unit The assistance unit consists of the institutionalized person only. A person discharged to the community remains a unit of one for the entire month of discharge. If a married couple is institutionalized, each spouse will be considered a separate unit and must file a separate application, even if the couple lives together in the facility. A child (unmarried person under 21) is considered an assistance unit of one in the first full month of institutionalization and only the child’s income and resources are considered. If a child is admitted to a LTCF on any day other than the first day of the month, he/she is considered a part of the family unit for that month and both the child’s and parent’s income and resources must be considered in determining eligibility in accordance with Sections 600 and 900. (c) Non-Financial Eligibility Requirements A person must meet all non-financial criteria and comply with all eligibility requirements. A person is ineligible in any month that non-financial criteria are not met or when the person fails to comply with any eligibility requirement. The lien provision is specific to institutionalized persons. Refer to Section 1500 to determine applicability of the lien provision and procedures for implementation. (d) Period Under Consideration The period under consideration for institutionalized persons is that period for which income and resources are evaluated. The period under consideration may or may not correspond to the date of application or certification period. • For persons who applied prior to being considered institutionalized and for whom the LDSS does not require a new application, the 6-month period under consideration begins with the first month of institutionalized status. • For all other institutionalized persons, the 6-month period under consideration begins with the month of application. Current eligibility for institutionalized persons is determined for the initial period under consideration as well as the succeeding 6-month period under consideration. For retroactive eligibility, the period under consideration is the one, two, or three consecutive months for which coverage is requested within the three-month period prior to the month of application. (e) Resources