Section 405 IAC 2-3-14 - Resources, limitations, and exclusionsAuthority: IC 12-15
Affected: IC 12-13-7-3
Sec. 14.
(a) Individuals eligible under 405 IAC 2-1, 405 IAC 2-2, and this rule, respectively, are subject to resource definitions and exclusions as provided in 42 U.S.C. 1382b and at 20 CFR Part 416, Subpart L Resources.(b) Resources identified in 20 CFR 416.1210 are excluded, and other resources that are excluded include the following:(1) The equity value of personal property used to produce food for home consumption or used in the production of income.(2) Income-producing real property if the gross income produced from the real property is greater than the expenses of ownership.(3) For an applicant or member of Medicaid under the blind category, an amount of his or her resources, as specified in an approved plan for achieving self-support, is disregarded for a period of time not to exceed twelve (12) months. Such a plan will be approved by the office if the plan is in writing and fully documents that the resources to be disregarded will be used by the applicant or member in pursuing a bona fide activity aimed at achieving self-support.(4) The home including the shelter where at least one (1) of the following individuals resides: (A) The applicant or member.(B) The spouse of the applicant or member.(C) The parent or parents of the applicant or member.(D) The applicant's or member's biological or adoptive child or children under eighteen (18) years of age.(E) The applicant's or member's blind or disabled biological or adoptive child or children eighteen (18) years of age or older. The home also includes the land on which the shelter is located and related outbuildings. The home is exempt until such time as it is verified that none of the persons listed in clauses (A) through (E) intends to reside there.
(c) An applicant or member is ineligible for Medicaid for any month in which the total equity value of all nonexempt property exceeds the applicable limitation, set forth as follows, on the first moment of the first day of the month:(1) Two thousand dollars ($2,000) for the applicant or member, in addition to the amount determined in subdivision (3), if applicable.(2) Three thousand dollars ($3,000) for the applicant or member and his or her spouse if the couple is living together, or if the most recent continuous period of institutionalization of one (1) member of the couple began prior to September 30, 1989.(3) Twenty-three thousand four hundred forty-eight dollars ($23,448), subject to adjustment under Section 1924(g) of the Social Security Act, as the spousal resource standard provided for in Section 1924(f)(2)(A)(i) of the Social Security Act, or a higher amount as determined under:(A) Section 1924(f)(2)(A)(ii);(B) Section 1924(f)(2)(A)(iii); or(C) Section 1924(f)(2)(A)(iv); of the Social Security Act for a community spouse as defined in Section 1924(h) of the Social Security Act.(d) In determining eligibility of an individual applying for Medicaid with respect to nursing facility services or other long term care services, the individual shall not be eligible for such assistance if the individual's equity interest in the individual's home exceeds five hundred forty-three thousand dollars ($543,000). The dollar amount specified in this subsection shall be increased from year to year in accordance with federal law. The limitation in this subsection shall not apply if: (1) the individual's spouse or dependent child under twenty-one (21) years of age or blind or disabled child lawfully resides in the home;(2) a reverse mortgage or home equity loan has reduced the individual's equity interest in the home below the equity interest restriction;(3) the individual purchased a long term care insurance policy that will protect the excess home equity;(4) the individual can prove through the process in section 24 of this rule that the application of this subsection will create a hardship for the individual under the standards stated in that rule.(e) As a condition of eligibility for Medicaid for the aged, blind, and disabled, each applicant and member and his or her legally responsible relatives must sign an agreement to offer for sale or for rent all nonexempt real property that he or she or his or her legally responsible relatives own, except in those situations involving a community spouse and an institutionalized spouse, as defined in Section 1924(h) of the Social Security Act, wherein the total equity value of all resources of the couple does not exceed the sum of the institutionalized spouse's resource limitation specified in subsection (c)(3) and the community spouse resource standard, as determined under Section 1924(f)(2)(A) of the Social Security Act.(f) If nonexempt real property is not offered for sale or for rent at current market value within thirty (30) days of written notification of Medicaid or within thirty (30) days after the agreement referenced in subsection (e) is signed, whichever is later, the member shall be ineligible for Medicaid.Office of the Secretary of Family and Social Services; 405 IAC 2-3-14; filed Dec 16, 1986, 11:00 a.m.: 10 IR 1079, eff Feb 1, 1987; readopted filed Jun 27, 2001, 9:40 a.m.: 24 IR 3822; readopted filed Sep 19, 2007, 12:16 p.m.: 20071010-IR-405070311RFA; readopted filed Oct 28, 2013, 3:18 p.m.: 20131127-IR-405130241RFA; filed Apr 8, 2014, 12:37 p.m.: 20140507-IR-405130533FRA) Readopted filed 11/13/2019, 11:54 a.m.: 20191211-IR-405190487RFAFiled 6/11/2021, 2:35 p.m.: 20210707-IR-405190602FRA Transferred from the Division of Family and Children ( 470 IAC 9.1-3-16) to the Office of the Secretary of Family and Social Services ( 405 IAC 2-3-14) by P.L. 9-1991, SECTION 131, effective January 1, 1992.