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    OpenPayerPolicy UpdatesAdministrative/Operational PolicyDelaware Medicaid Home Equity Limit Update | OpenP…
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    CurrentDelaware Department of Health and Social ServicesPolicy A-19-2021

    2022 Home Equity Limits

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    This notice governs the home equity limit used to determine Medicaid payment eligibility for long-term care services and applies to Delaware Medicaid staff administering Long Term Care Medicaid Programs.

    Policy Summary
    PayerDelaware Department of Health and Social Services
    Policy2022 Home Equity Limits
    Policy CodePolicy A-19-2021
    Change TypeRevised — limit increased
    Effective DateJanuary 1, 2022
    Next Review DateN/A
    Key ActionUpdate the eligibility system to use the increased $636,000 excess home equity amount.
    SourceLink
    POLICY UPDATE CHANGES

    The Delaware Medicaid excess home equity eligibility limit was increased to $636,000.

    $636,000Delaware Medicaid excess home equity limit
    $955,000Maximum excess home equity limit
    $636,000Minimum excess home equity limit
    5.4%Consumer Price Index increase

    Excess Home Equity Payment Restriction

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    Excess Home Equity Payment Restriction

    Medicaid will not pay for long-term care services when an individual's home equity exceeds the applicable excess home equity limit.

    ALL of the following

    • The individual is seeking Medicaid payment for long-term care services.
    • The individual's home equity exceeds Delaware's applicable excess home equity limit.> $636,000
    • Effective January 1, 2022, Delaware Medicaid uses the minimum excess home equity limit of $636,000.
    • For 2022, the federally specified excess home equity limits were $636,000 minimum and $955,000 maximum; these amounts are adjusted annually based on increases in the Consumer Price Index (CPI) and published by CMS with the SSI and Spousal Impoverishment Standards.

    Home Equity Limits

    Minimum Excess Home Equity Limit
    Minimum excess home equity limit$636,000
    Effective dateJanuary 1, 2022
    2022 adjustment basis5.4% increase in the Consumer Price Index
    Maximum Excess Home Equity Limit
    Maximum excess home equity limit$955,000
    Effective dateJanuary 1, 2022
    ApplicabilityHigher maximum amount available at State option
    Delaware-Selected Excess Home Equity Limit
    Delaware-selected limit$636,000
    SelectionDelaware Medicaid elected to use the minimum excess home equity amount
    Effective dateJanuary 1, 2022

    Eligibility System Update

    Billing Rule

    Update eligibility system threshold

    Update the eligibility system to use the increased excess home equity amount of $636,000.

    Excess Home Equity Limit

    Excess Home Equity Limit
    DefinitionThe home equity amount above which Medicaid will not pay for long-term care services
    Applicable limitThe minimum amount or, at State option, a higher maximum amount
    Delaware limit$636,000 effective January 1, 2022
    Policy Summary
    PayerDelaware Department of Health and Social Services
    Policy2022 Home Equity Limits
    Policy CodePolicy A-19-2021
    Change TypeRevised — limit increased
    Effective DateJanuary 1, 2022
    Next Review DateN/A
    Key ActionUpdate the eligibility system to use the increased $636,000 excess home equity amount.
    SourceLink
    On This Page
    Excess Home Equity Payment RestrictionHome Equity LimitsEligibility System UpdateExcess Home Equity Limit