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REV. MAY 3, 2018 NEBRASKA DEPARTMENT OF MEDICAID ELIGIBILITY MANUAL LETTER #43-2018 HEALTH AND HUMAN SERVICES 477-000-036

477-000-036 – Liquid/Non-Liquid Resources for Non-MAGI

Liquid Resources: Cash or other property that can be converted to cash within 20 days.

Examples of Liquid Resources:

1. Cash on hand; 2. Cash in savings or checking accounts; 3. Certificates of deposit; 4. Stocks; 5. Bonds; 6. Investments; 7. Mutual fund shares; 8. Collectable unpaid notes or loans; 9. Promissory notes; 10. Mortgages; 11. Land contracts; 12. Land leases; 13. Revocable burial funds; 14. Trust, guardianship or annuity funds; 15. Cash value of insurance policies; 16. Other similar properties; and 17. Medical savings accounts.

Excluded Liquid Resources:

Reverse Mortgage Monthly Income for ABD

Use the following method to determine counting or excluding monthly income from a reverse mortgage:

Do not count the reverse mortgage as monthly income to the Medicaid client if the monthly income for the reverse mortgage is NOT funded through an annuity.

Count reverse mortgage monthly income as unearned income to the Medicaid client if the monthly reverse mortgage income IS funded through an annuity. Annuity rules and not reverse mortgage rules apply in this instance. This does not need Central Office review.

Always count reverse mortgage monthly income paid to a community spouse because they are not a Medicaid client and the Medicaid exclusions of counting income do not apply to the community spouse.

Medicare Set-Aside Arrangement (MSA)

Medicare takes the position of a secondary payer in cases where there is another culpable party, such as an employer and/or its Workers’ Compensation Insurance carrier.