Medicaid for the Elderly and People with Disabilities Handbook

Chapter I — Transfer of Assets

Reminder: Federal law requires that anyone who wishes to apply for Medicaid be allowed to file an application, regardless of the person's ultimate eligibility for services.

Table of Contents

I-1000
Transfer of Assets
I-1100
Texas Administrative Code Rules
I-1200
Overview of Transfer of Assets
I-1210
Transfer of Assets Terms
I-1300
Transfer of Assets
I-1310
Persons Impacted by Transfer of Assets
I-1320
Applications and Other Actions on or After Oct. 1, 2006
I-1330
Transfer Transaction Date
I-1400
Transfer of Income
I-1500
Participation in Transfers
I-1510
Participation Examples
I-1600
Partial Transfers
I-2000
Look-Back Period
I-2100
Look-Back Policy
I-2110
February 2011 and the 60-Month Look-Back Period
I-2120
Revocable Trusts under Pre- and Post-DRA
I-2130
Irrevocable Trusts
I-2200
Look-Back Situations
I-3000
Exceptions to the Transfer of Assets
I-3100
Transfer of Home
I-3200
Transfer of Other Assets and the Home
I-3300
"For the Sole Benefit" Requirements
I-3400
Examples of Transfer of the Home
I-3500
Spousal Impoverishment Transfer Exceptions
I-3510
Spousal Impoverishment Transfer
I-3520
Spousal Impoverishment Transfer Examples
I-3600
Administrative Procedures of Transfers of Nominal Amounts
I-4000
Determining Uncompensated Value
I-4100
Compensation
I-4110
Legal Binding Agreement on or Before the Date of Transfer
I-4120
Forms of Compensation
I-4130
Future Compensation
I-4140
Compensation from Services
I-4150
Cash Compensation
I-4160
Examples of Compensation
I-4200
Rebuttal Procedures
I-4210
Notification of Opportunity for Rebuttal
I-4220
Rebuttal of the Presumption
I-4221
Exclusively for Some Purpose Other than to Qualify
I-4300
Undue Hardship
I-4310
Undue Hardship Example
I-5000
Calculation of Penalty Period
I-5100
Transfer of Assets Divisor
I-5200
The Penalty Start Date
I-5210
Examples of the Penalty Start Date
I-5220
Multiple Transfers
I-5221
Multiple Transfers Example
I-5230
Reported Changes and Redeterminations
I-5231
Changes and Redetermination Examples
I-5240
Multiple Transfers – Historical
I-5241
Example Multiple Transfers – Historical
I-5300
§1915(c) Waiver Services and State Supported Living Center Services
I-5310
Post-DRA Transfer of Assets Policy
I-5320
Pre-DRA Transfer of Assets Policy
I-5400
Vendor No. 5997, Mason Manor
I-5500
Transfer Penalties and Institutions for Mental Diseases
I-5600
Apportioning Penalty Period Between Spouses
I-5700
Return of Transferred Asset
I-6000
Purchase of Assets and Transfer of Assets
I-6100
Purchase of a Life Estate
I-6110
Policy Implementation Dates
I-6120
Post-DRA Transfer of Assets Policy
I-6121
One-Year Residency Requirement
I-6200
Purchase of a Promissory Note, Loan or Mortgage
I-6210
Policy Implementation Dates
I-6220
Post-DRA Transfer of Assets Policy
I-7000
Reserved
I-8000
Reserved
I-9000
Pre-Deficit Reduction Act (DRA) Rules