To determine if a client or his/her spouse deprived himself/herself of a resource to qualify for medical assistance, the worker must look back 36 months before the month of application. The worker must look back 60 months in cases of a trust or annuity.
For medical assistance, the look back is triggered when the individual first applies for Medicaid and is in a specified living arrangement or is on Medicaid and enters a specified living arrangement. When an individual applies for Medicaid more than once, the look back period is based on the first date the individual meets both requirements.
To determine the countable value disposed of, the worker:
1. Takes the equity the client has in the resource (equity equals fair market value minus encumbrances);
2. Subtracts any compensation received by the client; and
3. Subtracts the allowable resource level shown at 469 NAC 4-005.01 from the result of step 2 if this is the first disposal.