Family and Children's Medicaid MA-3322 – COMMUNITY SPOUSE RESOURCE PROTECTION

II. DEFINITIONS

A. Continuous period of institutionalization (CPI)

CPI is 30 consecutive days in medical facility or combination of two or more medical facilities. If the individual in one of these facilities is discharged home or to an adult care home during the first 30 days, there is no CPI. The CPI continues if the a/r is discharged from a medical facility but returns within 30 days.

B. Institutionalized Spouse (ISP)

An individual applying for or receiving Medicaid who

1. Is in a long term care living arrangement;

a. SNF, ICF, ICF-MR, state mental hospital, swing bed or inappropriate level of care bed, or approved for a CAP waiver program, or

b. General hospital (acute care) after 30 days, and

2. Is married to someone who is not in long term care, and

3. Began his first continuous period of institutionalization (CPI) on or after October 1, 1989.

ISSUED 05/01/11 – CHANGE NO. 07-11

(II.)

C. Community Spouse (CUSP)

The non-institutionalized spouse of an institutionalized spouse (home or in domiciliary). A community spouse who is approved for CAP remains a community spouse.

D. Community Spouse Resource Allowance (CSRA)

A portion of the total of all countable assets on the first day of month that the a/r began his first CPI):

1. Owned and available to either spouse or both spouses according to the rules in MA-3320, Resources.

2. Owned jointly with someone outside of the budget unit, when available. (i.e. consent/participation of all owners not required to access, or consent/participation given by other owners.)

E. Protection Period

Period of time assets are protected for the Community Spouse (CUSP). Approved recipients are allowed a period of time during which assets in the amount of the CSRA are excluded from reserve of the a/r regardless of who hold assets in their name. See MA-2231, Community Spouse Resource Protection, for instructions on determining the protection period for a Community Spouse.