Idaho Admin. Code r. 16.03.05.292

Current through September 2, 2024
Section 16.03.05.292 - PERIOD OF INELIGIBILITY EXCEPTIONS

A participant or spouse is not subject to the resource transfer period of ineligibility if one (1) of the following conditions is satisfied.

01.Home to Spouse. Title to the home is transferred solely to the spouse.
02.Home to Minor Child or Disabled Adult Child. Title to the home is transferred to the child of the participant or spouse. The child must be under age twenty-one (21), blind or totally disabled under Social Security and SSI rules in 20 CFR Part 416.
03.Home to Sibling. Title to the home is transferred to a sibling of the participant or spouse who must have had an equity interest or life estate in the transferred home and was residing in that home for at least one (1) year immediately before the month the home was transferred.
04.Home to Adult Child. Title to the home was transferred to a child of the participant or spouse, other than a child under the age of twenty-one (21). The child must have resided in that home for at least two (2) years immediately before the month the participant entered a medical facility or long-term care. The child must have provided care to the participant, which permitted them to live at home rather than enter a medical facility or long-term care.
05.Benefit of Spouse. Resources, other than the home, were transferred to the participant's spouse or to another person for the sole benefit of the spouse.
06.Transfer from Spouse. The resources were transferred from the participant's spouse to another person for the sole benefit of the participant's spouse.
07.Transfer to Child. The resources were transferred to the participant's child or to a trust established solely for the benefit of the participant's child. The child must be blind or totally disabled under Social Security and SSI rules in 20 CFR Part 416 . The child may be any age.
08.Transfer to Trust for Person Under Sixty-Five. The resources were transferred to a trust for the sole benefit of a person under age sixty-five (65) who is blind or totally disabled under Social Security and SSI rules in 20 CFR Part 416.
09.Transfer to a Trust That Is a Countable Resource. The resources were transferred to a trust and the trust is a countable resource for AABD in the amount of the transfer.
10.Intent to Receive Fair Market Value. The participant or spouse proves they intended to dispose of the resources at fair market value or for other adequate consideration, but can prove good cause for not doing so.
11.Resources Returned. All resources transferred for less than fair market value have been returned to the participant.
12.No AABD Purpose. The participant or spouse proves the resources were transferred exclusively for a purpose other than qualifying for AABD. Purposes other than qualifying for AABD include:
a. After the resource transfer the participant has a traumatic onset of disability.
b. After the resource transfer a previously unknown disabling condition is diagnosed.
c. After the resource transfer the participant has an unexpected loss of income or resources resulting in eligibility for AABD.
d. The resource was excludable in the transfer month.
e. The transfer of resources was court-ordered, provided the participant did not petition the court to order the transfer.
f. The participant took a vow of poverty and gave the resources to a religious order.
13.Undue Hardship. The participant proves failure to receive AABD would deprive them of food or shelter and their total available funds, including income and liquid resources, are less than their AABD allowances for the month they claim undue hardship. Undue hardship must be proven for each month of the period of ineligibility. When determining total available funds for a child, the Department will count any income and resources deemed from their parents.
14.Exception to Fair Market Value. The amount received is reasonable, even if less than fair market value if a forced sale was done under reasonable circumstances, and little or no market demand exists for the type of resource transferred, or the resource was transferred to settle a legal debt approximately equal to the fair market value of the transferred resource.
15.No Benefit to Participant. The participant received no benefit from the resource because they or their spouse held title to the property only as a trustee for another person, or the transfer was done to clear title to property and the participant or spouse had no interest in the property that would benefit them.
16.Fraud Victim. The resource was transferred because the participant or spouse was the victim of fraud, misrepresentation, or coercion. The participant or spouse must take all possible steps to recover the resources or property or its equivalent in damages. The participant must assign recovery rights to the State of Idaho.

Idaho Admin. Code r. 16.03.05.292

Effective July 1, 2024