WAG 07-02-21: Long Term Supports and Services Resource Review Resource Review

PM 07-02-21

  1. Send a verification checklist request as needed for reviews completed on applications.

    Allow up to 10 calendar days from the date of request to get the information needed for the review. If additional information is needed, or the couple requests additional time, allow them a maximum of two, thirty day extensions. Refer to PM 02-07-02: Obtaining Verifications for more information.  When necessary, assist the couple in obtaining the information. 

  2. Complete the resource review using Determination of Resource Allowance (HFS 3190). The amount determined does not include personal effects, household goods, or one vehicle for each spouse.
  3. Send a copy of the completed HFS 3190 to each spouse to notify them of their total combined nonexempt resources.

    For customers applying for or receiving DoA HCBS waiver services, send a copy of the completed HFS 3190 to the case coordination/case management unit (CCU/CMU) under contract with DoA.

    If the needed information is not provided, notify each spouse that the assessment cannot be completed. Notify them using HFS 3190. 

LTC-ADI Required Referral

If the case meets the specific criteria, after reviewing the application, data received from the Asset Verification System (AVS), the HFS 3654 form, redetermination form, or any verifications provided, it should be referred to Long Term Care- Asset Discovery Investigation Unit (LTC-ADI). All applicable documentation should be uploaded to the electronic case record (ECR) in IES.

LTC-ADI Referral Criteria

  • Transfers totaling $25,000 or more during the 5-year look-back period
  • Evidence of estate planning, including but not limited to:
    • Trusts
    • Annuity
    • Promissory Notes
    • Contract for Deed
    • Caregiver Contracts
  • Consultation with a financial planner for estate planning purposes
  • Any other reason the caseworker deems appropriate (explanation required)

Completion of the LTC-ADI Referral

  • Follow office procedure by completing and sending the OIG referral section on the Living Arrangement page in IES. See wizard IDHS OneNet: Record Living Arrangements for more information. A screenshot of the Living Arrangement Details page is below.

Screenshot of the OIG referral data fields on the living arragngment page in IES

  • Complete and send Form 3654A to the LTC-ADI Unit by email to HFS.OIG.LTC-ADI@illinois.gov
    • Include the type of referral and the case action (REDE, intake, reopen) in the subject line. Example below.
      • Subject Line: LTC referral -Trust found at REDE.