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If the request is not part of an application, make a determination within 45 days from the date of request unless delays are due to non–receipt of documentation/verification from the requesting party or third party. Ensure all documents for each assessment are imaged to the Virtual Case File in the Document Imaging System (DIS). Assessment documents retained in DIS are to include: the written request, the signed statement of resources owned by both spouses (Form 2794–EM), documentation and verification of the market value less encumbrances of all countable resources and Form 2793–EM "Assessment and Documentation of Resources." When an applicant applies for assistance and provides a spousal resource assessment completed from another state, review the assessment. If the assessment is correct, use the assessment as provided; however, if there is an error on the assessment, re-determine the resource assessment based on the error only. Once the error is corrected, the assessment is accepted. If more than one resource assessment is provided, review all assessments to determine acceptability. Form-2793 must notify the customer/spouse/authorized representative of hearing rights. If this form is printed, ensure that the right to a hearing is included with the form prior to mailing. F-115.2.3 Spousal Share of Resources at the Time of Institutionalization (Section I of Form 2797– EM) Complete this determination only once at the beginning of the first continuous period of institutionalization (beginning on or after 9/30/89). 1. Enter the community spouse's separate resources. 2. Enter the institutionalized spouse's separate resources. 3. Enter joint resources between spouses. 4. Divide TOTAL resources equally. This one–half portion of total resources is the "spousal share." F-115.2.4 Community Spouse Resource Allowance (Section II of Form 2797-EM) Nevada automatically allows the community spouse the maximum federal spousal resource standard. This amount does not change from year to year; it is based upon the year the institutionalized spouse applies for Medicaid, or at the time a request is received by the Division, to determine the total value of a couple’s resources. 1. Enter the state Medicaid maximum. 2. Enter the spousal share (one–half of resources at the time of the first continuous period of institutionalization) up to the federal maximum. 3. Enter the administrative hearing decision amount (if applicable). 4. Enter the court ordered amount (if applicable). 5. Enter the greatest of a, b, c, or d above. The state Medicaid and spousal share maximums change annually. Use the annual amounts applicable to the year associated with the months of requested coverage. The amount of resources (if any) determined from this computation is the community spouse resource allowance. F-115.2.2 LONG TERM CARE SERVICES Division of Social Services Medical Assistance Manual 08 Aug MTL 08/25 Spousal Impoverishment Resource Determination