IM-063 – INCREASE IN AVERAGE PRIVATE PAY NURSING RATE FOR TRANSFER OF PROPERTY

FROM:  PATRICK LUEBBERING, DIRECTOR

SUBJECT:  INCREASE IN AVERAGE PRIVATE PAY NURSING RATE FOR TRANSFER OF PROPERTY                  

MANUAL REVISION #42

1040.020.40

040.020.40.05                                                                 

APPENDIX J                                                

 

DISCUSSION:

The average private pay nursing care rate will increase to $6463.  Use $6463 to determine the number of months of ineligibility for vendor level services for applications taken on or after April 1, 2019.

The manual has also been updated to further clarify the penalty period starts in the month the transfer occurred or the month the participant would be eligible, except for the transfer penalty, whichever is later.  This penalty begin date is entered by staff on the Adult MA Penalty (PENALTY/FMWT) screen in FAMIS.

EXAMPLE 1:  Mr. Wise applied for vender care April 2018, and was approved.   May 10, 2018 he gave his home and car to his friend, Mrs. Greedy.  The transfer penalty begins the month the assets were given to Mrs. Greedy, May, 2018.

EXAMPLE 2: Mr. Mace transferred $10,000 to his friend, Mrs. Greedy in May 2018.  He entered a nursing home July 1, 2018, applied and was determined to be eligible for vendor care July 1, 2018 on all factors except the transfer.   The transfer penalty will begin July 1, 2018.

 

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Use $6463 as the average private pay rate effective for applications on or after April 1, 2019.

 

PL/vb