Get Resource Assessment And Allowance Determination Form

This guide provides comprehensive instructions on completing the Resource Assessment And Allowance Determination Form online. Users will receive clear, step-by-step guidance to ensure accurate submission and understanding of the document's requirements.

Follow the steps to complete the form effectively.

1. Press the ‘Get Form’ button to access the form and open it in the online editor.
2. Begin by entering the applicant or recipient's name, their spouse's name, and the case number at the top of the form.
3. In Section I, list all countable resources owned by the couple at the time they entered long-term care. Include real property, liquid assets, motor vehicles, life insurance policies, and other assets. Specify each resource's equity value.
4. Under real property, provide detailed legal descriptions and addresses excluding the home occupied by the spouse. List the equity values for each item.
5. For liquid assets, detail all accounts and certificates. Include the type of financial asset, names of owners, and their equity values.
6. For motor vehicles, list relevant details such as the year, make, model, and equity values while excluding one exempt vehicle.
7. For life insurance policies, include only those whose combined face value exceeds $1500. Provide the company name, policy number, face value, and cash value.
8. In the section for other assets, provide a description and equity value for any additional resources owned.
9. Complete Section II only if an application has been filed. List all current resources and their equity values, referencing Section I as needed.
10. In Section III, calculate the total equity value of currently owned resources, subtract the total community spouse resource allowance, and obtain the amount available to the spouse in long-term care.
11. Finally, sign and date the form where indicated. Users can then save changes, download, print, or share the completed form as necessary.

Complete your Resource Assessment And Allowance Determination Form online today for efficient management of your resources.