Change of circumstances processing occurs when there has been an evidence change on the Integrated Case. When a change of circumstances has occurred which impacts a Long Term Care product delivery, the system reassesses that case. Reassessment detects whether an individual is still eligible for Long Term Care and whether there is a change in their cost of care liability. Reassessment also detects when resources are transferred that are required for spousal impoverishment, and resources that is transferred illegally after eligibility has been established.
This section provides an overview of change in circumstance processing when evidence changes are made at the Integrated Case level and when changes result in the individual being no longer eligible. This section also summarizes the impact of specific evidence changes on Long Term Care eligibility.