417.01 Entitlement to a Resource Assessment (AAM)

417.01 Entitlement to a Resource Assessment (AAM)

SR 94-04 Dated 04/94 Previous Policy

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Allow either the institutionalized individual or the community spouse a resource assessment. Individuals who are divorced or legally separated are not entitled to a resource assessment. Applicants and recipients of Home and Community-Based Care are not entitled to a resource assessment. All of the following conditions must be met by the institutionalized individual in order to receive a resource assessment:

• The legal spouse resides in the community;

• The individual first became institutionalized on or after September 30, 1989;

• The individual is likely to remain institutionalized for a period of 30 consecutive days or more; and

• The institution is a hospital, skilled nursing, or intermediate care facility providing medical care, including nursing and convalescent care. The facility must be authorized under state law to provide medical care. Contact the Office of Program Support, Bureau of Health Facilities Licensing, to determine if the facility is authorized to operate under state law.