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Community Spouse Resource
Allowance (CSRA): The Community Spouse Resource Allowance is
determined as a part of the Medicaid Application process after the
SnapShot of the couple's countable assets is taken. This is the amount of
assets that the community spouse will be entitled to retain.
County Board of Social Services: The County Board of Social
Services is located in each county. In addition to the central office,
there are outreach offices in most major hospitals.
Medicaid Agency: The Medicaid Agency, which administers the
Medicaid Application process, is the County Board of Social Services. A
State Medicaid Agency oversees the county agencies and makes policies
including Medicaid regulations.
Medicaid Application: A Medicaid Application on a form
furnished by the County Board of Social Services must be filed and
approved to obtain Medicaid benefits.
Medicaid: Medicaid is the medical assistance program funded
by the federal and state governments and administered by the county boards
of social services.
PAS: PAS is a determination by a Medicaid nurse that the
care being received by the Medicaid Applicant is medically necessary.
Personal Needs Allowance: In New
Jersey a Medicaid Applicant is entitled to retain assets in the amount of
$2,000 under the Medicaid Only Program and $4,000 under the Medically
Needy Program.
Retroactive Medicaid: It is possible as a part of the
Medicaid Application process to obtain payment under the Medicaid Program
for care incurred during the 3 months prior to the date of the Medicaid
Application if the Medicaid Applicant was eligibility as of that date.
SnapShot: As a part of the Medicaid
Application process, the county agency takes a SnapShot of a married
couples resources as of the first moment of the first day of the first
month that the institutionalized spouse receives an institutional level of
care. All of the assets of the husband, all of the assets of the wife, all
of the assets held jointly are combined.
Spend Down: The Spend Down is the
amount of money which the Medicaid Applicant and/or spouse must spend to
reduce the resources of Medicaid Applicant to the personal needs allowance
and the resources of the a community spouse to the Community Spouse
Resource Allowance. This is determined as a part of the Medicaid
Application process.
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