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COMAR 10.09.24.15

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State of Maryland Medical Assistance Manual Revised July 2012 record and complete the case. Certify the eligible person. COMPLETE OTHER CASE ACTIVITY. b. The Physician Report is required when there are no restrictions on the imposition of a lien on the home property (Step 3 b). Compete Part I of the Physician Report and give the Report to the representative to have the person„s attending physician complete Part II. Require return of the completed Physician Report within an adequate period of time to allow for timely Medical Review. GO TO STEP 5

STEP 5

Upon receipt of the completed Physician Report, forward the original of the report to UCA. a. If there is no objection to the imposition of the lien, complete the case. Certify the eligible person. Once MA has been accepted, the person no longer has the option of objecting to the imposition of the lien, GO TO STEP 6

b. If there is objection to the imposition of the lien, delay certification until the Medical Review decision has been received. GO TO STEP 6

STEP 6

Upon receipt of the Medical Review decision (DHMH Form 4246 (LTC) - Notice of Medical Review Decision Home Property) from UCA, take the appropriate actions:

a. If, based on the Medical Review decision, discharge from the institution and returning to live in the home property can be reasonably expected, no lien will be imposed. Complete the following activities:

Complete and file the Lien Worksheet and the Notice of Medical Review Decision- Home Property in the case record. If certification was delayed under step 5b, complete the case. Certify the eligible person. If the person has already been certified under step 5b, complete the case. COMPLETE OTHER CASE ACTIVITY.

b. If, based on the medical review decision, discharge from the institution and returning to live in the home property cannot be reasonably expected, the Program will impose a lien on the home property and other real property. Complete the following activities:

No Objection to Lien For the person who does not object to the imposition of a lien: