Mississippi Administrative Code
Title 23 - Division of Medicaid
Part 101 - Coverage Groups and Processing Applications and Reviews Redetermination Processes
Chapter 9 - Authorizing a Nursing Facility Per-Diem Payment for a Beneficiary Eligible in a Non-Institutional Category
Rule 23-101-9.1 - Application of Long-Term Care Provisions for Non-Institutional Coverage Groups
Universal Citation: MS Code of Rules 23-101-9.1
Current through September 24, 2024
A. Individuals whose source of eligibility is Security Income (SSI), Mississippi Department of Child Protection Services (DCPS), modified adjusted gross income (MAGI) or a full service aged, blind, and disabled (ABD) at-home coverage group may enter long-term care in a nursing facility or intermediate care facility for the individuals with intellectual disabilities (ICF/IID).
B. Any individual requesting long-term care services is subject to the transfer of assets provision and the spousal impoverishment provision regardless of their source of eligibility or coverage group.
1. A five (5) year look-back is
conducted as well as a review of all subsequent months to determine if a
transfer of assets has occurred that may disqualify the individual for a per
diem payment and application of the spousal impoverishment provision that would
allow possible transfers to a spouse.
2. Beneficiary liability, referred to as
Medicaid income, is payable for individuals entering long-term care with the
exception of MAGI-related individuals.
3. Medicaid income is not payable for a
MAGI-related adult or child.
42 U.S.C. § 1396p; 42 C.F.R. § 435.725.
Disclaimer: These regulations may not be the most recent version. Mississippi may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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