Reasonable Compatibility for Assets for Medicaid - Amended 5/31/2019

Proposed Guidance Documentation

This operations memo announces a change to the asset verification policy for people applying for or enrolled in Medicaid for the Elderly, Blind, or Disabled (EBD Medicaid) including Medicaid Purchase Plan (MAPP), Medicare Savings Programs (MSP), and long-term care programs. For the purposes of this memo, long-term care eligibility includes institutional Medicaid and home and community-based waiver programs. The change will entail the use of a “reasonable compatibility” test to determine whether an income maintenance (IM) agency must request proof of assets from the applicant or member rather than relying solely on asset information returned by the asset verification system (AVS). This memo also announces changes to CARES to accommodate the change in policy.

Official Memo Number

19-07

Memo File