Excess resources

See WAC 182-513-1350 (8) (d) (e) and (f).

Excess resources for any historical month will first be reduced by qualifying medical expenses coded on the LTCX screen. Then, for individuals in a medical institution, any remaining excess resources will be applied to the individual's participation. If the individual's resources cannot be reduced to the program limit through this process, the assistance unit will be terminated or denied. The remaining excess resources do not carry forward for use in any months beyond the months in which they are entered.

Excess Resources will not be reduced by medical expenses or applied to the individual's participation in any month beyond the current calendar month. When excess resources exist in any benefit month beyond the current calendar month, the assistance unit will be terminated or denied.

The following long term care expense types are considered incurred medical expenses and will be used to reduce excess resources in this order:

UB – Outstanding Nursing Home Bill

UO – Old Medical Bill

UA – Adult Day Health

UM – Medical Necessity MA Not Covered

UH – Hearing Aids

OH – Health Insurance

UD – Prescription Expenses Not Covered By Medicare Part D

OP – Medicare Part D Copayments

OL – LTC Insurance

OD – Medicare Part D Premiums

OC – Medicare Part C Premiums

OB – Medicare Part B Premiums

OA – Medicare Part A Premiums

Multiple expenses of the same type are deducted in order of highest amount to lowest amount.

All other expense types are not considered medical expenses and can't be used to reduce excess resources.