Equity Exceeds Limit
When a client’s equity value in their home exceeds the home equity limit and an exception is not met, the client is not eligible for MA-LTC.
- Provide 10-day notice to close eligibility for payment of LTC services for an enrollee. Do not close basic MA if all eligibility requirements continue to be met.
- Deny LTC services for an applicant. Do not deny or close basic MA if all eligibility requirements continue to be met.
- If basic MA eligibility continues, set a DAIL/TIKL to review equity value and home equity limit each January. Case note each time values and limits are reviewed. Take any appropriate actions.
- Provide appropriate notice text. You will learn more about the notice text to add on the next page of this course.
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Home Equity Limit