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F-120.2 Partial Month Proration Prorate the amount of patient liability according to the number of days the customer was in a facility when the person is institutionalized less than a full calendar month due to: a. Date of admission. b. Discharge to independent living, VA hospital, AGCF, FCH, freestanding psychiatric hospital or RTC. c. Partial month of eligibility due to transfer of asset penalty. d. Death. Determine what the patient liability would be for a full month. Divide that full month amount by the number of days in the month of partial institutionalization to determine the daily amount of patient liability. Multiply this daily amount by the number of days the customer was institutionalized in that month (include the day of admission but not the day of discharge/death). The result is the amount of patient liability due for the partially institutionalized month. F-120.3 Effective Date of Patient Liability a. State Institutional o Patient liability is effective the first month of eligibility (this includes requested months prior to the application month). b. State Institutional/QMB o Hospital Stay: Establish patient liability effective the first day of institutionalization and send the appropriate notice(s). The Fiscal Intermediary will make the decision when patient liability will be collected and will advise the facility when they can begin collecting it. c. Income Changes (ongoing cases) o Applicants/recipients are required to report changes in circumstances by the 5th of the following month. o When a change is reported timely, the agency is required to update the next administratively possible month, allowing 13 days advance notice if the action adversely impacts the customer. o If the change/information was not reported timely and results in a difference of $25 or more, retroactively update the case back to the first month which should have been affected. Example #1: The customer or authorized representative fails to disclose at application that the customer receives a pension each month. The case manager discovers the income at the regularly scheduled redetermination. The difference in monthly patient liability is greater than $25. Because the customer failed to disclose the income, patient liability is adjusted retroactively to the month that should have been affected. See FAME Task Guide Eligibility-04 for instructions on modifying P/L for a previously posted version. F-120.2 LONG TERM CARE SERVICES Partial Month Proration Division of Social Services Medical Assistance Manual 08 Aug MTL 08/25