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21.11.2 Programs Excluded from the Five Percent Cost Share Limit ................................................... 304 21.11.3 Determining the Copay Limit ................................................................................................... 304 21.11.3.1 Determining Copay Limits for Community Waivers Group B and B Plus .......................... 305 21.11.3.2 Determining Copay Limits for Members in SSI Medicaid ................................................. 306 21.11.4 Changes to the Copay Limit ..................................................................................................... 306 21.11.5 Meeting the Copay Limit .......................................................................................................... 307 22.1 Estate Recovery ................................................................................................................................. 307 22.1.1 Estate Recovery Program Definition .......................................................................................... 307 22.1.2 Recoverable Services ................................................................................................................. 307 22.1.2.1 Medicare Savings Programs ................................................................................................ 308 22.1.3 Nursing Home Definition ........................................................................................................... 309 22.1.4 Liens ........................................................................................................................................... 309 22.1.4.1 Notice of Intent to File a Lien .............................................................................................. 309 22.1.4.2 Out-of-State Property ......................................................................................................... 311 22.1.4.3 Returns Home to Live or No Longer Owns the Home ......................................................... 311 22.1.4.4 Change in Circumstances .................................................................................................... 311 22.1.4.5 Special Cases ....................................................................................................................... 311 22.1.4.6 Adjustment for Burial Trust ................................................................................................ 311 22.1.4.7 Administrative Hearing: Liens ............................................................................................. 311 22.1.4.8 Homes Placed in Revocable Trusts ..................................................................................... 312 22.1.5 Estate Claims .............................................................................................................................. 312 22.1.5.1 Waiver of Estate Claim ........................................................................................................ 313 22.1.5.2 Notice of Hardship Waiver Rights ....................................................................................... 313 22.1.5.3 Administrative Hearings: Hardship Waivers ....................................................................... 313 22.1.5.4 Personal Representative’s Notice ....................................................................................... 314 22.1.5.5 Real Property as Part of the Estate ..................................................................................... 314 22.1.5.6 Affidavits in Small Sum Estates ........................................................................................... 315 22.1.5.7 Patient Fund Account .......................................................................................................... 316 22.1.5.8 Native Americans ................................................................................................................ 316 22.1.5.9 Reparation Payments to Individuals ................................................................................... 317 22.1.5.10 Voluntary Recovery (ERP) ................................................................................................. 317 22.1.6 Match System ............................................................................................................................ 318 22.1.7 Notify Members ......................................................................................................................... 318 22.1.8 Estate Recovery Program Contacts ............................................................................................ 318 22.1.9 Voluntary Recovery (Not Estate Recovery Program) ................................................................. 318