Choosing Fsi, Ssi, Or Cp Patient Liability Or Participation Method

Table 734 is used to determine the patient liability or participant participation method for a married participant in long-term care or receiving HCBS. TABLE 733 - CHOOSING FSI, SSI, OR CP INCOME COUNTING METHOD SPOUSE ONE (1) IN NURSING HOME BEFORE 9/30/89 SPOUSE ONE (1) IN NURSING HOME ON OR AFTER 9/30/89 SPOUSE ONE (1) AT HOME NO HCBS SPOUSE ONE (1) AT HOME WITH HCBS BEFORE 9/30/89 SPOUSE ONE (1) AT HOME WITH HCBS ON OR AFTER 9/30/89 SPOUSE TWO (2) IN NURSING HOME BEFORE  9/30/89 SSI/CP SSI/CP FSI SSI/CP SSI/CP SPOUSE TWO (2) IN NURSING HOME ON OR AFTER 9/30/89 SSI/CP SSI/CP FSI SSI/CP SSI/CP SPOUSE TWO (2) AT HOME NO HCBS FSI FSI SSI/CP FSI FSI SPOUSE TWO (2) AT HOME WITH HCBS BEFORE  9/30/89 SSI/CP SSI/CP FSI SSI/CP SSI/CP SPOUSE TWO (2) AT HOME WITH HCBS ON OR AFTER  9/30/89 SSI/CP SSI/CP FSI SSI/CP SSI/CP TABLE 734 - PATIENT LIABILITY OR PARTICIPATION METHOD SPOUSE ONE IN NURSING HOME BEFORE 9/30/89 SPOUSE ONE IN NURSING HOME ON OR AFTER 9/ 30/89 SPOUSE ONE AT HOME NO HCBS SPOUSE ONE AT HOME WITH HCBS BEFORE 9/30/89 SPOUSE ONE AT HOME WITH HCBS ON OR AFTER 9/ 30/89 IDAHO ADMINISTRATIVE CODE IDAPA 16.03.05 – Eligibility for Aid to Department of Health and Welfare the Aged, Blind, & Disabled (AABD) Section 735 Page 53 (7-1-24) 735. FEDERAL SPOUSAL IMPOVERISHMENT (FSI) METHOD OF COUNTING INCOME AND RESOURCES OF A COUPLE. The FSI method must be used to compute income and resources of a married participant who requires long-term care as defined in Section 010 of these rules, and who has a community spouse. The participant must have entered long- term care on or after September 30, 1989. Terms used in the FSI method are listed below. (7-1-24) 01. Long-Term Care Spouse. Must be in a medical institution or nursing facility, or be an HCBS participant, for thirty (30) consecutive days, or appear likely to meet the thirty (30) days requirement. (7-1-24) 02. Community Spouse. The spouse of the long-term care participant. A community spouse is not in long-term care and is not an HCBS participant. (7-1-24) 03. Continuous Period of Long-Term Care. A period of residence either in a medical institution with nursing facility services, or at home with HCBS. A continuous period of long-term care is also a combination of institution and personal care services likely to last at least thirty (30) consecutive days. Absence from the institution, or a lapse in HCBS eligibility of thirty (30) consecutive days breaks continuity. The thirty (30) consecutive days of long-term care must not begin on a day the participant is hospitalized. If the participant is hospitalized after the first day of the thirty (30) consecutive days, the hospital stay does not interrupt the thirty (30) consecutive days. (7-1-24) 04. Start of Continuous Period of Long-Term Care. The first month of long-term care or HCBS. (7-1-24) 05. Nursing Facility Services. Services at the nursing facility level or the ICF/IID level provided in a medical institution. (7-1-24)