Medicaid Policy
Medicaid Policy
General Requirements
This section defines assets, provides the limits for the different programs, explains how to count them, and lists assets that are not countable. Different asset rules apply to different program types described in this manual.
Not all Medicaid programs have an asset limit. For medical assistance programs with an asset limit, an individual's countable assets must be equal to or less than the applicable asset limit. It makes no difference if the individual receives SSI, although most SSI recipients do not have assets exceeding the Medicaid asset limit.
Refer to the following subsections to determine whether an individual passes the asset test.
501 What is an Asset
503 Asset Limits and Household Size
505 The Value of Assets
511 Availability of Assets
521 Exempt Assets
If an individual has a trust or has received a lump sum payment, follow policy in subsections 512 and 531.
Other subsections cover specific assets some individuals may have. Use those sections to decide how to treat those specific assets.
Special asset rules apply to married individuals seeking long-term care services such as nursing home care or home and community based waiver services. (573, 575)
To decide whose assets count toward the asset limit, see 503-1.
Program Asset Requirements
Consider a individual's assets to determine eligibility for the following programs:
Medically Needy Family, Child and Pregnant Woman Medicaid programs
Refugee Medical Assistance
Aged, Blind and Disabled Medicaid
Medicare cost-sharing programs (QMB, SLMB, QI and QDWI)
Long-term care Medicaid (Nursing home and waiver services)