December 1973 Eligibility Requirements Manual

1000.000.00 December 1973 Eligibility Requirements

• 1000.005.00 Application for Other Benefits

1005.000.00 Age and Social Security Number

• 1005.005.00 Age (OAA, AB, PTD)
• 1005.010.00 Social Security Number (OAA, AB, PTD)

1010.000.00 Citizenship and Alien Status (OAA, PTD, and AB)

• 1010.005.00 Documents to Verify Citizenship
• 1010.010.00 Citizens of the Federated States of Micronesia, Republic of Palau, and Republic of the Marshall Islands

1013.000.00 Relationships

1015.000.00 Residence (OAA, PTD, and AB)

• 1015.005.00 Claimants from Outside Missouri
  • 1015.005.00.05 Developmental Disability Services for Military Members or Immediate Family Member for Non-Missouri Residents
• 1015.010.00 Claimants Residing in an Institution
  • 1015.010.05 Ability to Declare Intent
  • 1015.010.10 Individuals not Residing in an Institution
  • 1015.010.15 Individuals Residing in an Institution
  • 1015.010.15.05 Individuals Placed in an Institution by a State
• 1015.015.00 Determination of State Residence
• 1015.020.00 Absence from Missouri
  • 1015.020.05 Temporary Absence
  • 1015.020.10 Absence-Due to Physical/Mental Condition
  • 1015.020.15 Determining if Absense is Temporary
  • 1015.020.20 Out-of-State Review of Eligibility
  • 1015.020.25 Correspondence with Out-of-State Agency

1020.000.00 Institutional Residence (OAA, PTD, and AB)

• 1020.005.00 Inmate of Public Institution
• 1020.010.00 Patients in a Medical Institution
• 1020.015.00 Patients in Private Institutions
  • 1020.015.05 Essential Needs Requirements
• 1020.020.00 Leased County Homes
• 1020.025.00 Missouri State Rehabilitation Center

1025.000.00 Cash and Securities (OAA and PTD)

• 1025.005.00 Legal Reference
• 1025.010.00 Definition of Cash and Securities
• 1025.015.00 Particular Accounts, Exceptions to Cash and Securities as an Available Resource, and Special Consideration for Vendor
  • 1025.015.01 Cash Remaining from an Assistance Check or other Budgeted Monthly Income
    • 1025.015.01.01 Cash Remaining from any State or Federal Assistance Check
    • 1025.015.01.02 Cash Remaining from COVID-19 Economic Impact Payments
  • 1025.015.02 Uniform Relocation Assistance Act
  • 1025.015.03 Involuntary Conversion of Real Property into Personal Property
  • 1025.015.04 Trust Funds and Restricted Accounts
    • 1025.015.04.01 Special Needs Trusts, Supplemental Needs Trusts, and Pooled Trusts
      • 1025.015.04.01.01 Missouri Family Trust Fund (Midwest Special Needs Trust)
      • 1025.015.04.01.02 Qualified Income Trusts
  • 1025.015.05 Joint Bank Accounts
  • 1025.015.06 Business Accounts in Financial Institutions
  • 1025.015.07 Retirement Accounts
    • 1025.015.07.05 Retirement Accounts Belonging to the Parent of a Disabled Child
  • 1025.015.08 Ricky Ray Hemophilia Fund and Susan Walker v. Bayer Corporation Class Action Settlement Payments
  • 1025.015.09 Retirement Accounts Belonging to a Former MA-WD Participant
  • 1025.015.10 Independent Living Accounts Belonging to a Former MA-WD Participant
  • 1025.015.11 Plan for Achieving Self-Support (PASS) Account
  • 1025.015.12 Dedicated Accounts for SSI Recipients Under Age 18
  • 1025.015.13 Uniform Gift to Minor Accounts
  • 1025.015.14 Proceeds from a Bona Fide Loan
    • 1025.015.14.01 Reverse Mortgages
  • 1025.015.15 Agent Orange Settlement Payments
  • 1025.015.16 Special Consideration For MHABD Vendor Approvals
  • 1025.015.17 Achieving a Better Life Experience Account
  • 1025.015.18 Restricted Accounts Established by the Courts
  • 1025.015.20 Crowdfunding

1030.000.00 Available Resources (OAA and PTD)

• 1030.000.05 Resources Fall Below Limit in Month of Application
• 1030.005.00 Property as an Available Resource
• 1030.010.00 Real Property
  • 1030.010.05 Homestead Exemption
  • 1030.010.10 Real Property as Available Resource
  • 1030.010.15 Determination of Ownership Of Real Property
  • 1030.010.20 Value of Real Property
  • 1030.010.25 Determination of Equity in Real Property
  • 1030.010.30 Good Faith Effort to Sell Excess Real Property
  • 1030.010.35 Sale of Homestead as an Excluded Resource
• 1030.015.00 Cash and Securities as an Available Resource
  • 1030.015.05 Lump Sum Payments
• 1030.020.00 Life Insurance, Prepaid Burials and Burial Funds
  • 1030.020.05 Life Insurance
  • 1030.020.10 Burial Contracts
    • 1030.020.10.05 Agreements Prior to October 13, 1965
    • 1030.020.10.10 Agreements on or after October 13, 1965
    • 1030.020.10.15 Irrevocable Pre-Need Contract
    • 1030.020.10.20 Assigning Life Insurance to Burial Fund Contracts
    • 1030.020.10.25 Irrevocable Pre-Need Burial Contracts
  • 1030.020.15 Designated Burial Funds
  • 1030.020.20 Cash Surrender Value (CSV) Exemption
• 1030.025.00 Personal Property as an Available Resource
• 1030.027.00 Other Property as an Available Resource
  • 1030.027.05 Mineral Rights
  • 1030.027.10 Timber Rights
  • 1030.027.15 Easements
  • 1030.027.20 Leaseholds
  • 1030.027.25 Water Rights
  • 1030.027.30 Life Estates
  • 1030.027.35 Remainder Interests
• 1030.030.00 Annuities
  • 1030.030.05 Definitions Related to Annuities
  • 1030.030.10 Determining Eligibility for MHABD Vendor or Home and Community Waiver Services for Annuities that were Purchased and Began Making Payments on or after April 20, 2010 When There is a Community Spouse
    • 1030.030.10.05 Value of the Income Stream from an Annuity
    • 1030.030.10.10 Annuities that were Purchased and Began Making Payments on or after August 28, 2007
    • 1030.030.10.15 Annuities that were Purchased and Began Making Payments on or after August 28, 2005, but Prior to August 28, 2007
  • 1030.030.20 Annuities as an Available Resource
    • 1030.030.20.10 Annuities that were Purchased and Began Making Payments on or after August 28, 2007
    • 1030.030.20.15 Annuities that were Purchased and Began Making Payments on or after August 28, 2005, but prior to August 28, 2007
    • 1030.030.20.20 Annuities that were Purchased and Began Making Payments prior to August 28, 2005
• 1030.035.00 Division of Assets
  • 1030.035.05 Definitions
  • 1030.035.10 Overview of the Division of Assets
  • 1030.035.15 Assessment of Assets
    • 1030.035.15.01 Declaration of Assets
    • 1030.035.15.02 Processing Assessments
    • 1030.035.15.03 Disposition of Assessments
    • 1030.035.15.04 Nursing Home Requirements
  • 1030.035.20 Spousal Share
    • 1030.035.20.05 Increase of Spousal Share in a Fair Hearing
  • 1030.035.25 Disregard of Spousal Share
  • 1030.035.30 Required Transfer of Assets (Spouse Vendor Case)
  • 1030.035.35 Receipt of Resources Following Approval
  • 1030.035.36 Community Spouse Becomes Institutionalized
  • 1030.035.40 Prior Quarter
• 1030.040.00 Distribution of Estate of Deceased Person
• 1030.045.00 Availability of Inheritance
• 1030.050.00 Statutory Allowances for Surviving Spouse or Unmarried Minor Children
• 1030.055.00 Missouri Long Term Care Partnership Program
  • 1030.055.05 How to Apply the Asset Disregard
  • 1030.055.10 How to Determine if the Policy is a Qualified Long-Term Care Partnership Policy
  • 1030.055.15 Estate Recovery
  • 1030.055.20 Qualified Long-Term Care Partnership Policy Requirements

1035.000.00 Real and Personal Property (AB)

• 1035.005.00 Real or Personal Property Limit
  • 1035.005.05 Real or Personal Property Exclusions
  • 1035.005.10 Real or Personal Property Included
  • 1035.005.15 Establishing the Value of Real and Personal Property
• 1035.010.00 Distribution of Estate of Deceased Person
• 1035.015.00 Availability of Inheritance
• 1035.020.00 Statutory Allowances for Surviving Spouse or Unmarried Minor Children

1040.000.00 Transfers of Property

Apply the following provisions to transfers that occur on or after August 11, 1993.

• 1040.005.00 Legal Basis
• 1040.010.00 General Provisions
• 1040.015.00 Definition of Terms
  • 1040.015.05 Property Transfer
  • 1040.015.10 Fair and Valuable Consideration
    • 1040.015.10.05.05 Consideration of Certain Contracts
    • 1040.015.10.05.00 Promise to Pay
    • 1040.015.10.05.05 Promissory Notes
    • 1040.015.10.05.10 Property Agreements
    • 1040.015.10.10 Beneficial Interest
  • 1040.015.15 Institutionalized Individual
  • 1040.015.20 Community Spouse
  • 1040.015.25 Look-Back Date and Period
• 1040.020.00 Determination of Transfer of Assets
  • 1040.020.05 Establishing the Look-Back Date
    • 1040.020.05.05 Transfers Accomplished through Trusts or Annuities
    • 1040.020.05.10 Transfers not Accomplished through Trusts or Annuities
  • 1040.020.10 Investigation of Assets Transfer
    • 1040.020.10.05 Transfer of Assets Investigation, Non-Institutionalized Persons
    • 1040.020.10.10 Transfers in Exchange for Lifetime Care
  • 1040.020.15 Establishing Date of Transfer
  • 1040.020.20 Eligible with the Property
  • 1040.020.25 Transfer to Establish Eligibility
  • 1040.020.30 Determining Fair and Valuable Consideration
  • 1040.020.35 Annuities Resulting in a Transfer of Property
    • 1040.020.35.05 Annuity Payout During the Claimant’s Lifetime
    • 1040.020.35.10 Irrevocable, Period Certain Annuities
    • 1040.020.35.15 Irrevocable, Life Annuities
    • 1040.020.35.20 Individual Retirement Annuity (IRA)
  • 1040.020.40 Determining the Penalty Period
    • 1040.020.40.05 Multiple Periods of Ineligibility
    • 1040.020.40.10 Periods of Ineligibility when both Spouses are Institutionalized
    • 1040.020.40.15 Eligibility for other Programs during a Penalty Period
    • 1040.020.40.20 Dispute of Improper Transfer of Assets Penalty
• 1040.025.00 Notice Requirements
• 1040.030.00 Undue Hardship Waiver
  • 1040.030.10 Effective Date of Approved Hardship Waivers Timely Request – Received Within 10 Days After Date of Notice
  • 1040.030.20 Untimely Request- Received Later Than 10 days After Date of Notice
  • 1040.030.30 Required Documentation
  • 1040.030.40 Determination Process Timeframe
  • 1040.030.50 Fair Hearing Rights
  • 1040.030.60 Referral for Financial Exploitation

1045.000.00 Soliciting Alms (AB)

1050.000.00 Parents Or Sighted Spouse Able To Support (AB)

• 1050.005.00 Sighted Spouse
• 1050.010.00 Statement of Parent or Sighted Spouse

1055.000.00 Vision (AB)

• 1055.005.00 Blindness (AB Eligibility Criteria)
• 1055.010.00 State Supervising Ophthalmologist
• 1050.015.00 Eligibility Based on Visual Eligibility

1060.000.00 Disability (PTD eligibility criteria)

• 1060.005.00 Verification of Disability
  • 1060.005.05 Obtaining Medical Evidence for Medical Review Team
  • 1060.005.10 Submitting Information on New Applicants to MRT
  • 1060.005.12 Submitting Information to MRT for Individuals Engaged in Substantial Gainful Activity
  • 1060.005.15 Submitting Information on Cases Previously Reviewed by MRT
  • 1060.005.20 Loss of SSI or RSDI Benefits
  • 1060.005.25 Disability Re-determinations
• 1060.010.00 VR and Medical Treatment

 

Appendix A Determination of the Value of a Life Estate or Dower Interest

Appendix C Life Expectancy Chart

Appendix D Substantial Gainful Activity