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COMAR 10.09.24.03

374 State of Maryland Medical Assistance Manual Revised July 2012 If a MA or MCHP community recipient is admitted to a LTCF for a less than 30- day stay follow procedures in the MA Eligibility Manual. If a MA or MCHP community recipient is covered by Medicare for skilled or chronic care in a LTCF, follow the policies and procedures in the MA Eligibility Manual. The MA LTC post-eligibility policies and procedures related to spousal impoverishment and calculation of the available income towards the cost of care are applied to recipients determined eligible in the T-track. These policies and procedures are specified in Chapter 10 of the MA Eligibility Manual and in COMAR 10.09.24.10 and 10-1. For recipients eligible in the T-track, MA pays the portion of the facility‟s cost of care that exceeds the recipient‟s available income, and also covers all the MA services for which the recipient qualifies.

Family Long-Term-Care T-Track

T01 TCA Adult or Child in Long-Term-Care When a child or adult who receives TCA under TANF Section 1931 (F01 coverage group) is placed in a LTCF, MA will pay the cost of care in the facility and cover other MA services for which the recipient is eligible. The TCA financial and non-financial eligibility requirements are specified in COMAR 07.03.03 and the TCA manual, established by the DHR.

T02 FAC Long-Term-Care-Medically Needy

MA is provided for an unmarried child under 21 years old in a LTCF, if the child‟s resource do not exceed the medically needy resource standard ( no more than $2, 500 in countable resources, after subtracting exclusions) and if the child‟s countable net income ( after subtracting exclusions and disregards) is insufficient to pay the LTCF‟s cost of care. These are the same LTC medically needy income and resource standards used for coverage group L98- ABD persons in LTC. However, the T02 coverage groups uses the FAC rules in COMAR 10.09.24.07 and .08 and Chapters 7 and 8 of the MA Eligibility Manual for the income and resource exclusions and the income disregards.

T03 Child Under 1 Year Old in Long Term Care

MA is provided for a child under 1 year old who resides in a LTCF. The financial and non- financial eligibility rules for P06 are used, as specified in COMAR 10.09.11 and the MCHP Eligibility Manual. The child‟s income must be at or below 185% of the federal poverty level (FPL). There is no resources test.