North Carolina Administrative Code
Title 10A - HEALTH AND HUMAN SERVICES
Chapter 23 - MEDICAL ASSISTANCE ADMINISTRATION
Subchapter E - MEDICAID ELIGIBILITY REQUIREMENTS
Section .0200 - FINANCIAL REQUIREMENTS
Section 23E .0207 - WHOSE RESOURCES ARE COUNTED
Current through Register Vol. 39, No. 6, September 16, 2024
(a) The value of resources held by the client or by a financially responsible person shall be considered by the county department of social services to be available to the client in determining countable reserve for the budget unit.
(b) Jointly owned resources shall be counted as follows:
(c) The terms of a separation agreement, divorce decree, will, deed or other legally binding agreement or court order shall take precedence over ownership of resources as stated in Paragraphs (a) and (b) of this Rule, except as provided in Paragraph (g) of this Rule.
(d) For all aged, blind, and disabled cases, the resource limit, financial responsibility, and countable and non-countable assets shall be based on standards and methodology in Title XVI of the Social Security Act except as specified in Rule .0202 of this Section.
(e) Countable resources for Family and Children's medically needy cases shall be determined as follows:
(f) For a married individual:
(g) For an institutionalized individual, the availability of resources shall be determined in accordance with 42 U.S.C. 1396r-5. Resources of the community spouse shall not be counted for the institutionalized spouse when:
Authority
G.S.
108A-54;
108A-54.1B;
108A-55;
42 U.S.C.
1396r-5;
42 U.S.C. 1396a(a)(17);
42 U.S.C.
1396a(a)(51);
42 C.F.R. 435.602;
42 C.F.R.
435.725;
42 C.F.R. 435.726;
42 C.F.R.
435.733;
42 C.F.R. 435.735;
42 C.F.R.
435.840;
42 C.F.R. 435.832;
42 C.F.R.
435.845;
45 C.F.R. 233.20;
45 C.F.R.
233.51; Correll v. DSS/DMA/DHR, 418 S.E.2d
232 (1992); Schweiker v. Gray Panthers,
453 U.S.
34,
101 S.Ct. 2633, 69 L. Ed.2d 460
(1981);
Eff. September 1, 1984;
Amended Eff. January 1,
1995; November 1, 1994; September 1, 1993; April 1, 1993;
Temporary
Amendment Eff. September 13, 1999;
Temporary Amendment Expired June
27, 2000;
Temporary Amendment Eff. September 12, 2000;
Amended Eff. August 1, 2002;
Transferred from
10A NCAC
21B .0403 Eff. May 1, 2012;
Readopted Eff. June 1, 2019.