Section 178.3. Resource reporting and verification for all categories of MA

Verification of ownership, the value of resources and the disposition of resources is required of an applicant/recipient or the person acting on his behalf including, but not limited to, guardians and trustees.

(1) An applicant/recipient shall report and provide verification of his resources including information about sources of third-party liability.

(2) A person who is applying on behalf of an applicant/recipient including a guardian and trustee shall report and provide verification of the applicant’s/recipient’s resources.

(3) An applicant/recipient shall report and provide verification, to the best of his ability, of resources of an LRR even if the LRR does not live in the household of the applicant/recipient.

(4) Parents and specified relatives shall report and provide verification, to the best of their ability, of resources for themselves and minor children and LRRs even if the LRR does not live in the household.

(5) Stepparents not applying for MA but living in the household are not required to report their resources when determining eligibility for their stepchildren.

(6) Failure to report resources may result in an overpayment of MA if the equity value of the resource would have caused ineligibility of the applicant/recipient.

(7) The value of personal property shall be verified by documentation appropriate for the type of property. Verification by documentation includes, but is not limited to:

(i) A written estimate of the FMV of a motor vehicle from a car dealer.

(ii) A statement from a representative of a cemetery or memorial garden verifying ownership of a burial resource, conditions of resale and value.

(iii) Titles of ownership.

(iv) Written statements from financial institutions.

(8) The cash value of a life insurance policy owned by applicants/recipients may be documented by presenting a policy which contains cash value charts or through a written statement from the insurance company.

(i) If a policy has a single cash value and insures the lives of more than one person, an equal share of the cash value is assigned to each insured person.

(ii) Money borrowed from the cash value of a life insurance policy is a resource only if it is retained as of the first of the month following the month of receipt.

(9) Documentation of the FMV of nonresident property includes estimates of value provided by a licensed real estate broker or a financial institution. Non-Departmental encumbrances are deducted when determining the equity value.

Notation

Cross References

This section cited in 55 Pa. Code § 140.311 (relating to verification requirements).