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COMAR 10.09.24.15

1521

State of Maryland Medical Assistance Manual Revised July 2012 Attachment C- Referral for Investigation

MARYLAND MEDICAL ASSISTANCE PROGRAM INVESTIGATION REFERRAL

DHMH 4243 (REVISED 10/06) WHITE- INVESTIGATOR COPY

YELLOW-CASE RECORD COPY

Attachment D Explanation of Lien

MARYLAND MEDICAL ASSISTANCE PROGRAM EXPLANATION OF LIEN

Date:

Re

Name

Case Number

Dear ______________________________,

This is to notify you that, based on the application filed on

, the above named person owns home and other real property(ies) against which the Medical Assistance Program may place a lien. This is based on COMAR 10.09.24.15A2(2). The real property on which a lien may be placed is:

ADDRESS OR DESCRIPTION

ADDRESS OR DESCRIPTION

A lien is a claim on the property of a person as security for the payment of a just debt. Its purpose in the Medical Assistance Program is to recover Program expenditures paid on behalf of the person while he/she is residing in a Long Term Care Facility. A lien may be placed on the person‟s home and other real property:

When the person must pay all but a minimal amount of his/her income for his/her medical care, including Long Term Care; and

When the Program has determined, based on a Medical Review, that there is no reasonable expectation that the person will be discharged from the Long Term Care Facility and resume living in his/her home property.

When a lien is imposed on the person‟s home and other real property, the person retains ownership and control of the property to the extent of his/her ownership interest in the property. The lien is imposed on his/her ownership interest and will dissolve if and when the person is discharged from the Long Term Care Facility and resumes permanent residence in his/her property.

Please read the reverse side of this notice for additional information concerning liens.

Specific questions concerning the impact of a lien on the person‟s real property may be directed to The Medical Care Compliance Administration, Division of Medical Assistance Recoveries, P.O. Box 13045, Baltimore, Maryland 21203 or call:

Sincerely,

Case Manager

Department of Social Services

Telephone Number