Loading...

    Explore
    • Policy Monitoring
    • Live Policy Feed
    • Billing Codes
    • Healthcare Providers
    • Health Insurance Payers
    • States
    • Service Lines
    • Taxonomy Codes
    Lookup tools
    • Billing Code Lookup
    • CPT Modifier Lookup
    • Provider Taxonomy Code Lookup
    • Healthcare Provider & Facility Lookup
    • Health Insurance Payer Lookup
    • Payer Contact Directory

    Policy & Benchmark Tools

    • Prior Authorization Lookup
    • Coverage Criteria Lookup
    • Timely Filing Lookup
    • Billing Code Reimbursement Rates
    • Payer Comparison Dashboard
    • Facility Comparison Dashboard
    • All tools

    Company

    • About OpenPayer
    • Data Sources
    • Trek Health
    OpenPayerby Trek Health
    LinkedInYouTube

    © 2026 Trek Health. All rights reserved.

    OpenPayer is built and maintained by Trek Health.

    v1.0.30
    OpenPayerPolicy UpdatesAdministrative/Operational PolicyConnecticut DSS Transfer Penalty Update | OpenPaye…
    Ask Trek AI about this page
    CurrentConnecticut Department of Social ServicesPolicy UP-10-10

    New Average Cost of Long-Term Care for Transfers of Assets

    Customize your policy alerts

    Sign up for Connecticut Department of Social Services Policy UP-10-10 alerts

    Get alerted when Policy UP-10-10 changes without checking for updates manually.

    Monitor payer policy activity

    Receive email alerts as soon as relevant payer policies are published or updated.

    This policy establishes the average monthly private-pay cost of long-term care used to calculate transfer-of-assets penalty periods under Connecticut Medicaid. It applies to applicants and recipients based on the applicable month of application, institutionalization, or transfer.

    Policy Summary
    PayerConnecticut Department of Social Services
    PolicyNew Average Cost of Long-Term Care for Transfers of Assets
    Policy CodePolicy UP-10-10
    Change TypeRevised cost amount
    Effective DateJuly 1, 2010
    Next Review DateN/A
    Key ActionUse the applicable average monthly private-pay long-term-care cost to calculate the transfer-of-assets penalty period.
    SourceLink
    POLICY UPDATE CHANGES

    The average monthly private-pay long-term-care cost increased from $9,959.00 to $10,366.00 effective July 1, 2010.

    $10,366.00Average monthly private-pay long-term-care cost on or after July 1, 2010
    $9,959.00Prior average monthly cost through June 30, 2010
    July 1, 2010Effective date for new amount
    3

    OpenPayer is powered by Trek Health's payer performance platform. Trek continuously ingests, validates, and normalizes Transparency in Coverage data alongside payer policies and other commercial payer data to create a structured payer intelligence foundation. OpenPayer uses this foundation to deliver personalized search results, dynamically generated policy pages, and tailored policy monitoring based on each user's payers, specialties, billing codes, and areas of interest. The same intelligence powers broader payer performance workflows, including reimbursement benchmarking, contract evaluation, payer negotiations, and financial decision-making.

    Calculation components

    Transfer-of-Assets Penalty Calculation

    Transfer-of-assets penalty-period calculation

    Calculate and impose the transfer-of-assets penalty period using all applicable rules below.

    ALL of the following

    • Start with the fair market value of the transferred asset.
    • Deduct any compensation received that is acceptable under policy from the fair market value.
    • Divide the remainder by the applicable average monthly cost of care to a private patient in a long-term-care facility.

    • Use the applicable cost based on the individual's status and the timing of the transfer

      • For applicants, use the average monthly private-pay long-term-care cost applicable in the month of application.
      • For recipients, use the average monthly private-pay long-term-care cost applicable in the month of institutionalization when the transfer occurred while the individual was receiving Medicaid in the community and the transfer did not affect eligibility at that time.
      • For recipients, use the average monthly private-pay long-term-care cost applicable in the month of transfer when the transfer involves the home or proceeds from a home-equity loan transferred by the spouse while the institutionalized individual is receiving Medicaid, or any asset transferred by an institutionalized individual while receiving Medicaid.
    • The calculation produces a whole number representing whole months of the penalty period and, when applicable, a fraction representing a partial month.
    • Multiply the fraction representing the partial month by the number of days in the month in which the penalty period expires.

    • Apply the resulting whole number according to the penalty start rule

      • For penalties beginning on the first day of a month for persons receiving long-term-care Medicaid at the time of the transfer, use the resulting whole number as the day of the month on which the penalty period expires.
      • For penalties beginning on the first date the individual would otherwise be eligible for persons not receiving long-term-care Medicaid at the time of the transfer, use the resulting whole number as the additional number of days the individual is ineligible.

    Applicable Cost Values and Calculation

    Average monthly private-pay long-term-care cost by period
    July 1, 2006–June 30, 2007$8,646.00
    July 1, 2007–June 30, 2008$9,096.00
    July 1, 2008–June 30, 2009$9,464.00
    July 1, 2009–June 30, 2010$9,959.00
    On or after July 1, 2010$10,366.00
    Penalty-period calculation
    Formula(Fair market value of transferred asset − acceptable compensation received) ÷ applicable average monthly private-pay long-term-care cost

    Key Terms

    Average monthly private-pay long-term-care cost
    DefinitionThe average monthly cost of care to a private patient in a long-term-care facility.
    Calculation useUsed as the divisor in the transfer-of-assets penalty calculation.
    Applicable amountThe amount is selected according to the applicable period and the individual’s application, institutionalization, or transfer circumstances.
    Transfer-of-assets penalty period
    DefinitionThe period of Medicaid ineligibility produced by dividing the uncompensated value of a transferred asset by the applicable average monthly private-pay long-term-care cost.
    Duration formatThe result may include whole months and a partial month.
    Policy Summary
    PayerConnecticut Department of Social Services
    PolicyNew Average Cost of Long-Term Care for Transfers of Assets
    Policy CodePolicy UP-10-10
    Change TypeRevised cost amount
    Effective DateJuly 1, 2010
    Next Review DateN/A
    Key ActionUse the applicable average monthly private-pay long-term-care cost to calculate the transfer-of-assets penalty period.
    SourceLink
    On This Page
    Transfer-of-Assets Penalty CalculationApplicable Cost Values and CalculationKey Terms
    Starting amountFair market value of the transferred asset
    DeductionCompensation received that is acceptable under policy
    ResultA whole number of penalty-period months and, when applicable, a fraction representing a partial month
    Partial monthThe partial-month fraction is converted into days using the number of days in the month in which the penalty period expires.
    Remainder used in penalty calculation
    DefinitionThe fair market value of the transferred asset less any compensation received that is acceptable under policy.
    Beginning valueFair market value of the transferred asset
    DeductionAcceptable compensation received under policy