Minnesota Administrative Rules

9050.0560 MAINTENANCE CHARGE DETERMINATION; TIME AND CALCULATION METHOD.

Subpart 1.

Time of determination.

The amount of the maintenance charge must be determined if:

A.

a person is admitted to a facility operated by the commissioner of veterans affairs and at least annually after admission;

B.

there is a substantial change in the applicant's or resident's financial status or the financial status of the spouse of the applicant or resident;

C.

a change in the applicant's or resident's living status requires recalculation of the benefits provided by the United States Department of Veterans Affairs or other source;

D.

the resident is transferred from one level of care to another for 30 days or more; and

E.

the resident is being discharged.

For purposes of the subpart, "substantial change" in financial status means a change that increases the person's net worth above the $3,000 limit or a plus or minus ten percent change in the person's total monthly expenses or income. An expense that would constitute a substantial change includes a major vehicle expense, major medical or dental expenses not covered by insurance, major home repair not covered by homeowner's insurance, or major appliance failure that requires repair or replacement. A substantial change must be reported to the facility financial officer ten days after the applicant or resident, legal representative, or spouse of the applicant or resident learns of the change. The administrator shall make the final determination of whether the change is a substantial change.

Subp. 2.

Method of calculation.

The amount that a resident must pay, or have paid on the resident's behalf, as a maintenance charge must be determined as specified in items A and B.

A.

If an applicant's or residents net worth exceeds $3,000, the person's maintenance charge must be the full cost of care for the applicant's or resident's level of care less the United States Department of Veterans Affairs per diem reimbursement, when applicable, until the applicant's or resident's net worth is reduced to $3,000.

B.

If the applicant's or resident's net worth is less than $3,000, the applicant's or resident's income must be considered in calculating the person's maintenance charge. The person's monthly maintenance charge is the person's total chargeable income, up to the full cost of care. The person's chargeable income must be calculated according to part 9050.0755.

Statutory Authority:

MS s 198.003

History:

14 SR 2355; 28 SR 1251; L 2008 c 297 art 2 s 29

Published Electronically:

October 15, 2008