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COMBINED MEDICAID 803-1 Institution and Waiver Resource Assessments

Supersedes: MA 803-1 (07/01/2016)CMA 05/01/2024 Reference: 42 U.S.C. 1396; 42 CFR 435.601; ARM 37.82.101, .1330, .1331, .1336, .1337 and .1338 Overview: The Community Spouse Resource Maintenance Allowance (CSRMA) is determined based on resources a married couple owns individually or jointly; • On the 1st day of the month one spouse is admitted to a residential medical institution for a continuous period. • On the ﬁrst day of the month the individual is admitted to a waiver program or receives a screening and is eligible for an ABD type coverage. Only one resource assessment is completed for each spouse, no matter how many applications are ﬁled or how many times the individual is institutionalized. A resource assessment is not completed if both spouses are enrolled in a waiver program and/or institutionalized. Each spouse is treated as an individual in these situations. NOTE: Pre- and post-nuptial agreements do not change the resource assessment process, as all resources the couple owns, whether individually or jointly, must be considered when completing a resource assessment. A resource assessment is not completed if the Waiver spouse is determined eligible for ACA Medicaid with a waiver until the Waiver spouse is no longer eligible for ACA. CONTINUOUS PERIOD OF INSTITUTIONALIZATION: A continuous period of institutionalization or waiver eligibility consists of 30 or more consecutive days of expected residence in an institution or waiver coverage. The 30 days may include days of hospitalization. COMMUNITY SPOUSE RESOURCE MAINTENANCE ALLOWANCE (CSRMA): The CSRMA amount is the greater of:

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Official source

COMBINED MEDICAID 803-1 Institution and Waiver Resource Assessments

Supersedes: MA 803-1 (07/01/2016)CMA 05/01/2024 Reference: 42 U.S.C. 1396; 42 CFR 435.601; ARM 37.82.101, .1330, .1331, .1336, .1337 and .1338 Overview: The Community Spouse Resource Maintenance Allowance (CSRMA) is determined based on resources a married couple owns individually or jointly; • On the 1st day of the month one spouse is admitted to a residential medical institution for a continuous period. • On the ﬁrst day of the month the individual is admitted to a waiver program or receives a screening and is eligible for an ABD type coverage. Only one resource assessment is completed for each spouse, no matter how many applications are ﬁled or how many times the individual is institutionalized. A resource assessment is not completed if both spouses are enrolled in a waiver program and/or institutionalized. Each spouse is treated as an individual in these situations. NOTE: Pre- and post-nuptial agreements do not change the resource assessment process, as all resources the couple owns, whether individually or jointly, must be considered when completing a resource assessment. A resource assessment is not completed if the Waiver spouse is determined eligible for ACA Medicaid with a waiver until the Waiver spouse is no longer eligible for ACA. CONTINUOUS PERIOD OF INSTITUTIONALIZATION: A continuous period of institutionalization or waiver eligibility consists of 30 or more consecutive days of expected residence in an institution or waiver coverage. The 30 days may include days of hospitalization. COMMUNITY SPOUSE RESOURCE MAINTENANCE ALLOWANCE (CSRMA): The CSRMA amount is the greater of: