WAG 07-02-20: Transfers of Resources and Income (NH, SLF, and DoA HCBS Waiver Services)

PM 07-02-20

Updated with Medical Morsel Completion of Form 3654

For Long Term Care applications, persons who intend to enter a nursing home (NH) or SLF are asked questions about transfers of resources and income, but apply transfer policy only to those who actually go into a facility. If the person has not yet entered a facility when a decision is made, attach Notice of Anticipated Change (Form 2122) to the case record. Note any transfers that may be subject to a penalty period.

Refer Long Term Care cases with reported transfers that are unexplained or questionable totaling over $10,000 during the lookback period to Long Term Care Asset Discovery Investigation (LTC-ADI) using HFS 3654A Referral Form. FCRCs will review reported transfers totaling $10,000 or less.

Send Form 3654A to LTC-ADI by:

• E-mail (preferred)  HFS.OIG.LTC-ADI@illinois.gov  [Please include the type of referral in the subject line (ex: LTC referral -Trust).]
• Interoffice or US mail:
  • Office of Inspector General
  • Long Term Care Asset Discovery Investigation (LTC-ADI)
  • 404 N. 5th Street
  • Springfield, IL 62702
• Fax 217/524-3103