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

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g. making income or asset methodologies more restrictive<br />

h. making definitions of blindness or disability more restrictive<br />

i. adopting more stringent requirements for determining eligibility<br />

(e.g. increasing the frequency of eligibility<br />

redeterminations, requiring additional evidence from<br />

individuals, reducing the time given to individuals to<br />

response to a request for information)<br />

B. RESTRICTIONS ON STATE MEDICAL ASSISTANCE CHANGES<br />

AFTER THE ACA MOE ENDS<br />

1. Although the ACA MOE may be coming to an end, the State is not free to<br />

make changes to the <strong>Minnesota</strong> medical assistance programs without prior<br />

approval from CMS. Many provisions in the <strong>Conference</strong> Report on HF<br />

1233 require federal approval to be implemented. These materials will<br />

discuss a number of the more important provisions.<br />

2. Federal approval for changes that are inconsistent with current federal<br />

statutes can come only through approval of the pending Waiver Requests or<br />

through new Waiver Requests. Changes that are consistent with current<br />

federal statutes can only be implemented through CMS approval of State<br />

Plan Amendments. Changes proposed through Waiver Requests must<br />

include an opportunity for public comment at both the State and Federal<br />

levels. Changes proposed through State Plan Amendments do not require<br />

public comment, but the changes proposed in the coming year would<br />

require approval through the Waiver Request process because the changes<br />

are not consistent in many respects with current federal law.<br />

V. DEATH OF THE TRANSFER/APPLY/DENY STRATEGY<br />

A. THE 2009 AMENDMENT TO ELIMINATE REDUCTION OF PENALTY<br />

PERIODS FOR PARTIAL RETURN OF UNCOMPENSATED TRANSFERS<br />

<strong>Law</strong>s 2009, Ch. 79, Art. 5, Sec. 21, amending Minn. Stat. § 256B.-<br />

0595, Subd. 2.<br />

Under prior law, a penalty period for an uncompensated transfer of assets<br />

was reduced dollar-for-dollar by a partial return of the transferred assets. This<br />

interpretation of federal law has been in effect since November of 1993. This<br />

interpretation allowed a portion of transferred assets to be retained by the<br />

transferee once a penalty period started to apply.<br />

13

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