DATE: AUGUST 1, 2009
Manual: Aged, Blind, and Disabled Medicaid
Change No: 12-09
To: County Directors of Social Services
Make the following change(s)
Current policy in MA-2221, County Residence, states that the location of the individual’s home, when excluded due to their intent to return, establishes the individual’s county of residence for Medicaid eligibility.
For non-institutional living arrangement (PLA) individuals, the county of residence is the county in which the individual currently lives. For institutional living arrangement, (LTC) individuals, the county in which the individual lived immediately prior to entering a facility will be their county of residence. This applies even if the individual owns a home in a different county or state which is excluded due to their intent to return.
If an individual moves from another state directly into an institutional living arrangement, the individual is a resident of the county in which the facility is located.
The Transfer Letter, MA-2221 Figure 1, now has a space for the name of the transferring county.
In MA-2230, Financial Resources, the reference to County Residence is deleted.
Apply this policy to any applications, redeterminations, or changes in situation in process, taken, or occurring on or after August 1, 2009. If, during the next redetermination, it is found that the case has the incorrect county of residence, complete the review and then transfer the case to the correct county of residence.
Remove: MA-2221, County Residence, pages 1 and 2.
Insert: MA-2221, County Residence, pages 1 and 2.
Remove: MA-2221, Figure 1, Transfer Letter.
Insert: MA-2221, Figure 1, Transfer Letter.
Remove: MA-2230, Financial Resources, pages 35 and 36.
Insert: MA-2230, Financial Resources, pages 35 and 36.
If you have any questions regarding this information, please contact your Medicaid Program Representative. For any issues that are not able to be handled through that venue, Angela Floyd, Assistant Director for Recipient and Provider Services, will be your point of contact and can be reached at (919) 855-4000.
Craigan L. Gray, MD, MBA, JD
(This material was researched and written by John L. Benske, Policy Consultant, Medicaid Eligibility Unit)
For questions or clarification on any of the policy contained in these manuals, please contact your local county office.