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West Virginia Income Maintenance Manual Chapter 24

West Virginia Income Maintenance Manual Page 37 Chapter 24 Long Term Care

completed are used. If requested by the client or authorized representative, the assessment may be completed prior to application as of the first continuous period of institutionalization. Nursing facilities are required to advise all new admissions and their families that an Asset Assessment is available upon request from the local office. The agency has developed a statement concerning the availability of Asset Assessments. Nursing facilities provide this “Patient’s Bill of Rights” as part of their admission package. See Appendix B. When a Medicaid client in a MAGI coverage group applies for payment of nursing facility services, an Asset Assessment is not required. However, if a MAGI client is later determined eligible in a non-MAGI group, an Asset Assessment is completed with information using the date the client first entered the nursing facility. The assessment is completed on form IM-NL-AC-1 or in the eligibility system. When requested, the Worker must advise the individual(s) of the documentation required for the assessment. Verification of ownership and the fair market value (FMV) (see Section 24.8.2.A.1 for definition) must be provided. When it is not provided, the assessment is not completed. The Worker documents the total value of all countable assets. The following forms are used as part of the asset assessment: • Notice of Decision – Asset Assessment (ES-NL-D, also known as the DFA-NL-D) This form is used when the client requests an Asset Assessment but has not formally applied for Medicaid. The ES-NL-D is used to notify the client that the results of an asset assessment cannot be appealed unless an application for nursing facility care is made. See Section 24.8.1.C. Form IM-NL-AC-1 must be mailed with the ES-NL-D. When the Asset Assessment is completed in the eligibility system, alternate notification is sent. • Assets Computation and Asset Assessment (IM-NL-AC-1) This form is used to complete an Asset Assessment. The Asset Assessment may be completed in the eligibility system. 24.8.1.B Calculation of the Community Spouse’s Share The spouse’s share is computed as follows: Step 1: Determine the FMV of the couple's combined countable assets, as of the beginning of the first continuous period of institutionalization.