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In addition to the basic income rules the following apply to CAP.

1. There is no spouse-for-spouse or parent-for-child financial responsibility (income limit of one).

2. Only the income of the a/b is used in determining financial eligibility, beginning the month of CAP approval.

3. The one-third reduction budgeting does not apply to a Supplemental Security Income (SSI) beneficiary.

B. Follow the basic resource rules section, MA-2260, Financial Eligibility Requirements-PLA.

In addition to the basic resource rules, the following apply to CAP:

1. Evaluate all assets of a married a/b living with their spouse (jointly or individually owned) when one spouse is a CAP beneficiary;

2. Compare available resource amount to the resource limit of one; and

3. Evaluate spousal resource protection (if applicable).

C. Transfer of Assets To determine if any transfers have occurred the local agency must explore all assets on all applications, redeterminations, and change in situations for applicants/beneficiaries requesting or receiving institutional services or in-home health services. Evaluate the evidence presented by the applicant(s), spouse or the applicant’s representative concerning any asset transferred. The evidence may establish the transfer occurred for a reason other than to establish or retain Medicaid eligibility. Follow the rules in section, MA-2240, Transfer of Assets.

V. DEDUCTIBLE

A. Follow procedures in MA-2360, Medicaid Deductible.

B. In addition to the basic deductible rules the following apply to CAP.

1. All CAP deductibles are calculated monthly.

2. CAP (Medically Needy) certification periods are 6 months.

3. Expenses listed on the Service Plan/Plan of Care are allowed in addition to other allowable Medicaid expenses. Items that are listed directly on the Service Plan/Plan of Care may be waiver and non-waiver services and/or supplies. The CAP case manager may need to verify if these services or