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This document informs an individual about their ineligibility for Medical Assistance coverage of nursing facility services due to the transfer of assets for less than fair market value, and outlines
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How to fill out MARYLAND MEDICAL ASSISTANCE PROGRAM NOTICE OF NON-COVERAGE OF NURSING FACILITY SERVICES DUE TO DISPOSAL OF ASSETS FOR LESS THAN FAIR MARKET VALUE

01
Obtain the MARYLAND MEDICAL ASSISTANCE PROGRAM NOTICE OF NON-COVERAGE form.
02
Fill in the recipient's personal information, including name, address, and date of birth.
03
Provide details about the nursing facility services that were denied coverage.
04
Include information regarding the disposal of assets, specifying the items sold and their respective values.
05
Document the fair market value of the disposed assets to demonstrate the difference.
06
Indicate the reason for the denial of coverage based on the disposal of assets for less than fair market value.
07
Review the completed form for accuracy and completeness before submission.
08
Sign and date the form, then submit it to the appropriate Maryland Medical Assistance Program office.

Who needs MARYLAND MEDICAL ASSISTANCE PROGRAM NOTICE OF NON-COVERAGE OF NURSING FACILITY SERVICES DUE TO DISPOSAL OF ASSETS FOR LESS THAN FAIR MARKET VALUE?

01
Individuals who have applied for Maryland Medical Assistance and have had nursing facility services denied.
02
People who have disposed of assets for less than fair market value and need to understand their coverage status.
03
Families of beneficiaries seeking clarification on the implications of asset disposal on medical assistance eligibility.
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People Also Ask about

Your MCO through Medicaid covers doctor visits, pregnancy care, prescription drugs, hospital and emergency services, and more, at no cost. Maryland Children's Health Program (MCHP) covers full health benefits for children up to age 19.
Which Assets Are Protected From Medicaid? Primary residence. Personal possessions (including clothing, furniture, and household items) One vehicle. Burial Plots. Short-term or term life insurance. Certain annuities (particularly those that are irrevocable)
Eligibility for children was extended to at least 133% of the federal poverty level (FPL) in every state (most states cover children to higher income levels), and states were given the option to extend eligibility to adults with income at or below 133% of the FPL.
Maryland Medicaid Home Exemption Rules Equity interest is the amount of home equity owned by the applicant. Furthermore, if neither the applicant nor their spouse live in the home, the applicant must have Intent to Return. Note: For Regular Medicaid, there is no home equity interest limit. Other exemptions exist.
In general, a single person must have no more than $2,000 in cash assets to qualify. If you're over 65, the requirements are more complex. Whatever your age, there are strict rules about asset transfers. Medicaid may take into consideration any gifts or transfers of cash you've made recently.
Noncitizen Pregnant Individuals You may be eligible for Medicaid if your monthly income is up to approximately: If your household size is thisAdultsPregnant individuals 1 $1,801 N/A 2 $2,433 $4,654 3 $3,065 $5,8636 more rows
Income Limits ​Monthly Income and Asset Limit Effective January 1, 2025 Household Size Income Limit Asset Limit 1 $350 $2,500 2 $392 $3,000
Financial Eligibility for Medicaid Long-Term Care Asset Limits: There's also a cap on the countable assets you can own. In Maryland in 2024, individuals can keep up to $2,500 in assets, not including their 'non-countable' assets, like a primary home and car.

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The Maryland Medical Assistance Program Notice of Non-Coverage of Nursing Facility Services due to Disposal of Assets for Less than Fair Market Value is a notification issued when an individual has disposed of assets below their fair market value, which affects their eligibility for nursing facility services under the Medical Assistance Program.
Individuals applying for or receiving nursing facility services under the Maryland Medical Assistance Program who have disposed of assets for less than their fair market value are required to file this notice.
To fill out the notice, applicants must provide specific details about the assets disposed of, including the date of disposal, the original value, the disposal amount, and an explanation of the circumstances surrounding the asset disposal.
The purpose of this notice is to inform individuals about the impact of their asset disposal on their eligibility for nursing facility services, ensuring compliance with Medicaid regulations intended to prevent asset manipulation.
Information required includes the type and value of disposed assets, the fair market value at the time of disposal, the amount received from the disposal, and any relevant documentation or explanation supporting the disposal.
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