1030.000.00 AVAILABLE RESOURCES (OAA and PTD)

IM-#48 August 07, 2018, IM-#69, 06/15/2017

In OAA or PTD cases, a single individual is ineligible when he or she has available resources with a value of $1000 or more prior to July 1, 2017. For a married person living with spouse, prior to July 1, 2017, available resources in excess of $2000 results in ineligibility of both persons, except if one spouse enters a MO HealthNet (Medicaid) certified bed on or after September 30, 1989 and the other spouse remains at home.  Refer to the policy on Division of Assets to determine resource eligibility for institutionalized spouses with a spouse in the community.  As of July 1, 2017, the resource limit increases effective July 1st each year as follows:

Fiscal Year (FY) MHABD Single Resource Limit MHABD Couple Resource Limit +/- Change
Current, through end of FY2017 $999.99 $2000.00  
FY2018 $2000 $4000 +$1000.01/$2000
FY2019 $3000 $6000 +1000/$2000
FY2020 $4000 $8000 +1000/$2000
FY2021 $5000 $10000 +1000/$2000
FY2022 and each subsequent FY     +by COLA and rounded to the nearest 5 cents

Available resources include any combination of the following:

  1. real property (that meets the definition of 'Real Property as an Available Resource'),
  2. personal property,
  3. cash and securities,
  4. cash surrender value of life insurance policies (including money paid on revocable prepaid burial contracts) in excess of any exempt amount,
  5. cash surrender value of annuities.

030.000.05  RESOURCES FALL BELOW LIMIT IN MONTH OF APPLICATION

IM-#52 September 8, 2011

When an applicant's resources fall below the resource limit at any point during the month, the applicant is eligible for the entire month, if all other points of eligibility are met.  The date of the disposed funds should not be used as the eligibility begin date.

EXAMPLE 1:  Mr. Adams applied for Vendor Medical Assistance May 1, 2011, the day he entered the nursing home.  He had life insurance with $10,000 cash surrender value.  He is eligible on all other factors.  His children were able to cash in the life insurance policy and paid for an irrevocable burial policy on June 29, 2011.  He is eligible for the entire month of June.
EXAMPLE 2:  Ms. Young applied for Medical Assistance May 13, 2011.  She receives Social Security Disability of $800 per month.  She had $7,000 in her checking account the beginning of May.  Her SSDI is subtracted when counting her resources.  She transferred $5,000 to her daughter's account, and spent $202 to pay bills that were still outstanding.  On May 30th, her account balance was $998.00.  She is eligible on all other factors.  She is eligible for Medical Assistance for the entire month of May.

1030.005.00  PROPERTY AS AN AVAILABLE RESOURCE

IM-#69, 06/15/2017 ,

Definitions relating to real and personal property are in state regulation 13 CSR 40.-2.030.

Property is defined as something the participant has the right to possess, use, and sell.  Property includes but is not limited to real property (land, home), cash and securities (bank accounts, CDs), life insurance, prepaid burial plans and personal property (vehicles, household goods, farm or business equipment).

13 CSR 40-2.030 (7), states in part, '... in certain instances ... property will be considered as a resource which the applicant or recipient can and should use in meeting his needs and will not be eligible for Public Assistance.'

The eligibility factor of property as an available resource is applied to OAA and PTD cases based on the limits outlined in Section 1030.000.00 except where one spouse entered a MO HealthNet (Medicaid) certified bed on or after September 30, 1989 or HCB Waiver Services January 1, 1993 or after.  Refer to the policy on Division of Assets (Section 1030.035.00) to determine resource eligibility for institutionalized spouses with a spouse in the community.

When there has been desertion or abandonment and the husband and wife are living apart, each person may own available resources up to the single individual maximums as listed in Section 1030.000.00

Policy for regarding available resources applies to re-investigations the same as for initial investigations.

Individuals who received benefits from long-term care policies that qualify as long-term care partnership policies are allowed a disregard of assets in determining eligibility for MO HealthNet for the Aged, Blind, and Disabled (MHABD). Refer to policy in Sections 1030.055.00 – 1030.055.20 for information about Missouri�s long-term care partnership and how to apply the asset disregard to available resources.