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

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(8) Implement nursing home level of care criteria;<br />

(9) Improve integration of Medicare and Medicaid;<br />

(10) Provide intensive residential treatment services;<br />

(11) Seek federal Medicaid matching funds for Anoka Metro Regional<br />

Treatment Center; 30 and<br />

(12) Seek waivers to allow Medicaid eligibility for children under age 21<br />

receiving care in residential facilities<br />

The full text of the Reform 2020 Waiver Request as re-submitted to CMS on<br />

November 21, 2012, is available at:<br />

https://edocs.dhs.state.mn.us/lfserver/Public/DHS-6535E-ENG<br />

No further information is available regarding the status of the request. Many of the<br />

provisions in the <strong>Conference</strong> Report depend on approval of this Waiver Request.<br />

See the discussion of amendments contained in the <strong>Conference</strong> Report below.<br />

IX.<br />

OTHER MA PROVISIONS NOT CHANGING IN THE PAST YEAR<br />

A. NO CHANGE IN TREATMENT OF GIFTS TO RELIGIOUS<br />

GROUPS, CHARITIES, AND FAMILY MEMBERS<br />

1. All uncompensated transfers made on or after February 8, 2006, and<br />

during the applicable look-back period must now be reported to the county<br />

agency when an application for medical assistance is submitted, and the<br />

transfers will cause a period of ineligibility for long term care benefits<br />

(nursing home or home- or community-based services) unless the applicant<br />

can establish by convincing evidence that the transfer was made for a<br />

permitted purpose or exclusively for a purpose other than becoming<br />

eligible for medical assistance or maintaining eligibility. 42 U.S.C. §<br />

1396p(c); Minn. Stat. § 256B.0595. There is no longer an exception for<br />

small transfers.<br />

2. The HCPM § 19.40.05.05 discusses the penalty exception for transfers<br />

made for a purpose other than to become eligible for medical assistance.<br />

HCPM § 19.40.05.05 provides the following guidance for county financial<br />

workers (lettering in the original):<br />

j. Presume that an uncompensated transfer was made for the purpose of obtaining or<br />

maintaining MA eligibility unless the client provides convincing evidence that it<br />

30 Rep. Jim Abeler, Chair of the House Health and Human Services Committee, represents<br />

District 48B, which includes the City of Anoka.<br />

26

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