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State of Maryland Medical Assistance Manual Revised July 2012 Lien Process Flow Chart for Institutionalized Persons Does the recipient own home property?

Yes

Give 4244 Explanation of Lien, to representative & Complete 1159C Lien Worksheet Is the home occupied by the recipient‟s spouse, child under 21, blind or disabled son or

daughter, or brother or sister with equity interest and living in the property at least one

year (specified relatives)?

Yes

No

Stop

Give 4245, Physician Report to Representative f

or completion and return to LDSS.

Forward Physician Report to UCA for

Medical Review

UCA notifies LDSS of Medical Review Decision,

Form 4246

Recipient is

Recipient is not

expected to return home

expected to return home

File Lien Worksheet,

Send Lien Worksheet,

1159C, in case record

1159C, to Recoveries

NOTE: If a lien is applicable to the home property, it is also applicable to other real property listed on DHMH Form 1159C.