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reduce resources (i.e. purchase of burial contract, etc.) e. Redeterminations (1) If total face value of all policies which generate a CSV exceeds $10,000 for an individual, use the increased CSV if the policy has not been designated for burial expenses and excluded through application of the $1500 burial exclusion. (2) After the policy has been designated for burial, ignore any increases in CSV, including dividend additions, unless a new loan or cash withdrawal occurs. 4. Burial Exclusion Burial exclusion allows $1500 to be excluded from otherwise countable resources. See Item XIII. to determine how to apply life insurance values to the burial exclusion L. .Actions Which Decrease the Cash Surrender Value (CSV) 1. Irrevocable assignment of CSV as payment of medical debt. a. A hospital or other medical provider is “guaranteed” some payment against the patient’s indebtedness prior to Medicaid authorization and the CSV is eliminated from resources. This does not have to be offered as a new way to reduce resources. Payment of legitimate debt has always been an acceptable way to reduce resources. b. The individual who “owns” the policy must pay premiums and can name a beneficiary other than the holder of the lien on the cash surrender value. c. The death benefit is still paid to the beneficiary, but it is reduced by the amount of any valid liens against the cash surrender value on the date of death. The amount of the lien would be paid to the lien holder. d. For Medicaid resource calculations, insurance CSV is decreased beginning with the date the papers are signed. e. If the cash surrender value exceeds the amount of lien/debt, and the CSV must be counted as a resource due to the total face value of all policies which generate a CSV exceeding $10,000 for the individual, the amount of the CSV in excess of the amount of the lien/debt would be a countable resource. f. If the medical charge was incurred prior to the current certification period, the lien may reduce the unpaid balance of an “old bill” which could otherwise be applied to the deductible. On the date the papers are signed, 96