Indiana Administrative Code
Title 405 - OFFICE OF THE SECRETARY OF FAMILY AND SOCIAL SERVICES
Article 2 - MEDICAID MEMBERS; ELIGIBILITY
Rule 10 - Lien Attachment and Enforcement
Section 10-3 - Criteria for instituting a TEFRA lien

Universal Citation: 405 IN Admin Code 10-3

Current through March 20, 2024

Authority: IC 12-15-1-10; IC 12-15-8.5

Affected: IC 12-15-3-6; IC 12-15-9

Sec. 3.

(a) When the office in accordance with 42 U.S.C. 1396p determines that a Medicaid member who resides in a medical institution cannot reasonably be expected to be discharged and return home, the office may attach a lien on the Medicaid member's real property subject to the provisions of this rule and IC 12-15-8.5.

(b) The office may not obtain a lien on the member's home if any of the following people lawfully reside in the home of the institutionalized member:

(1) The member's spouse.

(2) The member's child who is less than twenty-one (21) years of age, blind, or disabled as defined in 42 U.S.C. 1382c.

(3) The member's sibling who:
(A) was residing in the member's home for a period of at least one (1) year immediately before the member's institutionalization; and

(B) has an ownership interest in the home.

(4) The member's parent.

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