8240 Treatment of Resources and Income - The general guidelines of 5200 and 6100 are applicable to persons in HCBS arrangements. The following additional rules must also be considered.

8241 Initial Resource Test - When one spouse is determined to qualify for HCBS services (i.e., is assessed as in need of care, chooses HCBS, and services are available), the total value of the resources owned by the couple which exceed the community spouse resource allowance as determined in accordance with 8244.1 below shall be considered available to the spouse qualifying for HCBS in determining eligibility regardless of which spouse owns resources and regardless of whether the spouses intend to divide resources under the spousal impoverishment provisions.

NOTE: An initial resource test is not required for SSI recipients receiving SI Medical as this program is not a resource tested program. If the individual had a previous hospital or nursing facility stay of 30 days or more, the start date of the first 30-day stay is used for the initial resource test. For persons put on a waiting list for HCBS services who did not have a previous 30 day stay prior to being on the wait list, this provision shall generally be based on the date the person is assessed and meets waiver criteria. [See 8200.2]

This provision is also applicable regardless of any previously established prenuptial or postnuptial agreement. The combined resources of the couple must be considered despite such agreement.

If the value exceeding the community spouse resource allowance is less than or equal to the allowable 1-person resource level described in 5130, the person is eligible. In the month following the first month of eligibility, only those resources owned by the spouse in HCBS shall be considered for determining continuing eligibility on his or her case. This may result in ineligibility for the following months unless the couple intend to transfer assets under the spousal impoverishment provisions.

If the value exceeding the community spouse resource allowance is more than the allowable 1-person resource level, the person shall not be eligible until such time that the excess falls below the 1-person resource standard. At that point, the person becomes eligible for the month the excess is reduced. For the following months, only the resources owned by the spouse in HCBS shall be considered on his or her case. This may result in ineligibility for those months as indicated above.

Note:  A Community Spouse Resource Assessment (CSRA) completed in a state other than Kansas is not accepted as verification of a completed division of assets.  Married individuals applying for Long Term Care (LTC) coverage must complete the CSRA process before Kansas Medicaid LTC coverage may be approved.