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984 Chapter 7:Worker guides • Table of contents (07/2026) Eligibility for residents of a public institution.....................................................................................................1135 OSIPM worker guides..................................................................1137 Introduction..........................................................................................................................................................1137 Verifying assumed and protected eligibility.......................................................................................................1137 1619(b) status..................................................................................................................................................1137 Disabled adult child status................................................................................................................................1138 Pickle Amendment eligible individuals...............................................................................................................1140 Widows/widowers eligible individuals...............................................................................................................1142 Presumptive Medicaid (PMDDT) procedures......................................................................................................1144 Using administrative medical examinations.......................................................................................................1144 Medical documentation....................................................................................................................................1144 Treatment of annuities.........................................................................................................................................1145 Annuities purchased by individuals (or their spouses) before January 1, 2006 ..................................................1145 Annuities purchased by individuals (or their spouses) on or after January 1, 2006 when the individual is in a standard living arrangement and purchased from January 1, 2006 through June 30, 2006 when the individual is in a non-standard living arrangement ..................................................................................................................1146 Annuities purchased by individuals (or their spouses) in non-standard living arrangements on or after July 1, 2006.. 1147 Life expectancy table.......................................................................................................................................1149 Effect of purchasing annuities to spend down resources...................................................................................1149 Understanding trusts...........................................................................................................................................1149 Terminology.....................................................................................................................................................1149 Trusts funded with income/resources of the financial group..............................................................................1150 Trusts funded with income/resources of someone other than a financial group member....................................1152 Long-term care insurance...................................................................................................................................1153 Long-term care insurance................................................................................................................................1153 Long-term care insurance payments for home or community-based care placements.......................................1153 Long-term care insurance payments for nursing facility placements..................................................................1154 Long-term care partnership resource exclusion................................................................................................1154 Eligibility for residents of a public institution............................1158 Trust & Agency (T&A) accounts..................................................1160