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Probate & Trust Law Section Conference Manual ... - Minnesota CLE

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of institutionalization for the spouse applying for MA-LTC 15 or<br />

HCBS benefits, which period lasts for 30 days or longer, and which<br />

occurs at any time since October 1, 1989. If no 30-day or longer<br />

period of institutionalization in a medical facility (a hospital or<br />

nursing home or a combination of them) has occurred, the Asset<br />

Assessment Date can be triggered by receipt of home- or<br />

community-based services (HCBS) and completion of a Long Term<br />

Care Consultation (LTCC) screening, 16 in connection with receipt<br />

of home- or community-based LTC services that would qualify for<br />

payment under the Alternative Care (AC) or Elderly Waiver (EW)<br />

programs.<br />

A continuous period of institutionalization for receipt of home<br />

and community-based services is established when both of the<br />

following conditions are met.<br />

The individual received services that lasted at least 30<br />

consecutive days that were paid or would qualify for<br />

payment by the EW or AC programs if the individual<br />

was otherwise eligible for either program, and receipt of<br />

the services prevented the individual from residing in an<br />

LTCF. A licensed provider qualified to provide home<br />

and community-based services must deliver the services.<br />

The individual received an LTCC within the past 60 days<br />

that demonstrated a need for an institutional level of care.<br />

HCPM § 19.45.<br />

The Asset Assessment date when home- or community-based<br />

services are being received is the date of the LTCC screening. See<br />

HCPM § 19.45. In <strong>Manual</strong> Letter #52, issued effective July 1,<br />

2012, DHS clarified that a continuous period of institutionalization<br />

in a medical facility and receipt of qualifying home- or communitybased<br />

services can be added together to reach the 30-day period of<br />

continuous institutionalization. HCPM § 19.45.<br />

15 MA-LTC is the name given the medical assistance benefits to be provided in a Skilled<br />

Nursing Facility (SNF), in other words: in a nursing home.<br />

16 Minn. Stat. § 256B.0911 requires that a county human services agency, on request, must<br />

provide a home screening to determine the needs of the resident for LTC services. See the<br />

discussion of the LTCC screening statutes, in <strong>Section</strong> VII.B.2., of these materials.<br />

8

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