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Appendix A-17-3 Revised January 2026 Page 2 of 3

require that we ask you or your representative to provide verification of bank account activity, such as: • When accounts are discovered that you did not declare on your application or interview, • When accounts are discovered that belong, in part or in full, to the CS (that do not have the name of the IS on the account), • When account balances result in ineligibility for the IS, and • When account information is inconsistent with what you declared on the application. Countable resources do not include:

 The equity value of the home does not count (unless the equity is more than $752,000);  Certain income-producing property does not count if it produces at least 6% of the equity value (this does not include annuities or promissory notes which are evaluated differently);  1 automobile is not counted;  Personal property is not counted up to a $5,000 limit;  The cash value of whole life insurance policies do not count if the face values of all policies on an insured totals $10,000 or less. Term life insurance does not count;  Money set aside for burial up to $6,000 does not count. 90-Day Period to Transfer Resources to the CS

When the IS’ resources exceed $4,000, but the total countable resources for the couple are below the combined limits, a 90-day transfer period is allowed to transfer ownership of resources into the CS’ name with the following results:

• The IS has ownership of resources under the $4,000 limit and • The CS has ownership of resources that will total less than the CS limit shown above. If the IS meets all other Medicaid qualifications, Medicaid eligibility can be approved prior to or during the 90-day period. The 90-days begins with the date the Medicaid Specialist informs the CS in writing of the resource transfers that must take place to arrange resource ownership according to spousal rules. Exception: Transfers to the Community Spouse must take place prior to approving a long term hospital admission.

Options to Reduce Excess Resources

If total resources are above the limits allowed for an IS and CS, the CS can spend-down the excess to allow the IS to qualify for Medicaid. Allowable options include:

• Pay for burial expenses (purchase a pre-paid burial arrangement or add money to an existing arrangement if it is not enough to pay for final expenses),