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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page iii Chapter 24 Long Term Care

24.7.5 FULL MEDICAID AND QMB ELIGIBLE CLIENTS ...................................................29 24.7.6 DETERMINING THE CLIENT’S TOTAL CONTRIBUTION ......................................29 24.7.7 EXAMPLES .............................................................................................................30 24.7.8 SPLIT MONTHS ......................................................................................................33 24.7.9 NOTIFICATION AND CALCULATION SHEETS RELATED TO COST OF CARE ...34 24.7.9.A Notice of Client’s Contribution toward His Cost of Care (DFA-NH-3) ................34 24.7.9.B LTC Post-Eligibility Calculations (IM-NL-LTC-1) ...............................................35 24.7.9.C Determination of Community Spouse and Family Maintenance Allowance for LTC programs (IM-NL-LTC-2) ............................................................................................35 24.8 ASSETS .....................................................................................................................36 24.8.1 ASSET ASSESSMENTS .........................................................................................36 24.8.1.A When to Conduct an Asset Assessment ...........................................................36 24.8.1.B Calculation of the Community Spouse’s Share .................................................37 24.8.1.C Notification Requirements ................................................................................38 24.8.1.D Revisions to the Asset Assessment ..................................................................38 24.8.1.E Additional Asset Exclusions for Institutionalized Spouses .................................39 24.8.1.F Transfers of Assets to the Community Spouse .................................................39 24.8.1.G Additional Asset(s) Received/Obtained ............................................................39 24.8.2 TRANSFER OF RESOURCES ................................................................................40 24.8.2.A Definitions ........................................................................................................40 24.8.2.A.1 Fair Market Value (FMV) ............................................................................41 24.8.2.A.2 For the Sole Benefit of ................................................................................41 24.8.2.A.3 Institutionalized Individual ...........................................................................42 24.8.2.A.4 Resources ..................................................................................................42 24.8.2.A.5 Valuable Consideration ..............................................................................43 24.8.2.A.6 Uncompensated Value ...............................................................................43 24.8.2.A.7 Look-Back Period .......................................................................................43 24.8.2.B Permissible Transfers .......................................................................................43 24.8.2.B.1 Transfer of the Home ..................................................................................43 24.8.2.B.2 Transfers for the Benefit of the Spouse or Disabled Child...........................44