In OAA or PTD cases, participants are ineligible when they have available resources that exceed the resource limits for these programs. An individual case and a couple case each have a resource limit as listed in the chart below:
|Fiscal Year (FY)||MHABD Single Resource Limit||MHABD Couple Resource Limit||+/- Change|
Prior to 07/01/2017
|FY2018: 07/01/2017 – 06/30/2018||$2000||$4000||+$1000.01/$2000|
|FY2019: 07/01/2018 – 06/30/2019||$3000||$6000||+1000/$2000|
|FY2020: 07/01/2019 – 06/30/2020||$4000||$8000||+1000/$2000|
|FY2021: 07/01/2020 – 06/30/2021||$5000||$10000||+1000/$2000|
|FY2022 and each subsequent FY||$5035||$10070||+by CPI-U and rounded to the nearest 5 cents|
NOTE: The percentage increase based on changes in the Consumer Price Index for All Urban Consumers (CPI-U) between July of two (2) years before the year in which the current fiscal year (FY) begins and July of the immediately preceding year. The asset limit is rounded to the nearest five cents per 13 CSR 40-8.020(4)(C).
Refer to MHABD Appendix J for the current resource limit.
- NOTE: If one spouse enters a MO HealthNet (MHN) certified bed in a vendor facility on or after September 30, 1989 and the other spouse remains at home apply the 1030.035.00 Divisions of Assets policy.
Available resources include any combination of the following:
- real property that meets the definition of 1030.010.10 Real Property as Available Resource
- personal property
- cash and securities
- cash surrender value (CSV) of life insurance policies that exceed the CSV exemption (see 1030.020.20 Cash Surrender Value (CSV) Exemption)
- money paid on revocable pre-need burial contracts that exceed the CSV exemption
- cash surrender value of annuities
Resources must be verified for initial application with the exception of Direct Express Accounts or Mobile Applications. Accept self-attestation (client statement) for Direct Express Accounts and Mobile Applications unless questionable or near the maximum resource limit. For instructions, refer to IM-93 December 28, 2016.
Verification of resources when completing a Non-MAGI annual renewal are as follows:
Requirements to Accept Participant Attestation
Participant’s attestation of the value of a resource may be accepted as sufficient verification at a Non-MAGI annual renewal IF (all criteria must be met):
- The resource has been previously verified using hard copy, collateral contact, telephone call, or interface and
- The attested value of the resources does not create ineligibility for the participant and
- The value is not in question based upon the existing case file.
New or Previously Unverified Resources
If the resource is new or previously unverified, use initial application verification procedures. Once verified in this manner, participant attestation may be used at the next annual renewal if it meets the criteria.
Income Generating Resources
If the resource has been previously verified to generate income or income is declared at the renewal on a previously verified resource, participant attestation may be used to verify the resource but the income, such as interest, must be verified for the income determination of the renewal.
Annuities and Trusts
All annuities and trusts must still be submitted through Program and Policy to determine resource and income stream consideration. If the declared value of the resource or the declared value of the combined resources exceeds the resource limit for the program, hard copy verification must be obtained prior to issuing an adverse action to terminate or change benefits. Trusts and annuities only need to be resubmitted to Program and Policy if a change is reported on the annual renewal.
At this time, FAMIS programming does not recognize Client Statement (CS) as a valid verification code for most resources. Until FAMIS is reprogrammed, staff should use Collateral Contact (CC) and make a thorough comment regarding accepting the participant’s attestation.
EXAMPLE: Carmen Smith has received MHN Non-Spend Down coverage since November 2014. She has one bank account at Great Southern. At the November 2015 annual renewal, staff verified her bank account balance as $175.15 and no interest was showing on the bank statement provided, nor was any declared on the annual renewal form. When she submitted her November 2016 annual renewal form, Carmen listed the same account at Great Southern, wrote a balance of $312.00 and still did not list any interest. This is the only declared resource and is consistent with information verified in the existing file. When completing the REINVEST screens for this resource in FAMIS, staff will enter $312 as the Gross Amount, the Begin Date will be the date of the returned renewal form and CC will be entered in the Ver field. The staff member notes the following: “Carmen’s bank account was verified previously. She declared $312 at the renewal received on XX/XX/XX. This amount is below the resource limit, is consistent with the file and is not in question. Accepting this as reasonable verification.” No further verification would be needed for this resource.