Arkansas Insurance Department
LTCP
What is the Arkansas Long-Term Care Partnership?
The Arkansas Long-Term Care Partnership is a program authorized by Congress
and the Arkansas Legislature to encourage and recognize the efforts of Arkansans
to prepare for the financial impact of the need for long-term care. Qualifying for
Medicaid normally requires a very low-level of personal assets, often forcing
seniors to spend down their hard-earned money to qualify. With a Long-Term Care
Partnership policy, you’ll get to keep more of what you’ve worked to earn and save
over your lifetime, if you meet other Medicaid eligibility requirements including the
income standards. In its calculation of eligibility for Medicaid benefits, Medicaid
will disregard or exclude assets equal to the amount of benefits paid under a
Long-Term Care Partnership policy.
Medicaid Eligibility
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Medicaid eligibility is determined on a case-by-case basis by the Arkansas
Department of Human Services. Agents will not determine Medicaid
eligibility.
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Medicaid eligibility determinations are completed by the applicant’s local
Department of Human Services (DHS) county office.
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Medicaid has both financial and non-financial requirements.
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Financial requirements include evaluation of both income and resources.
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Non-financial requirements include Arkansas residency, proof of citizenship
and identity, and a Social Security number.
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Medicaid eligibility has specific rules for married couples when one or both
are receiving long-term care services.
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Medicaid eligibility has specific rules that apply to home property in which
the applicant resides, vehicles, and burial arrangements.
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Medicaid eligibility rules change periodically.
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Individuals who have questions should contact their local DHS county office.
The Long-Term Care Partnership policyholder must inform the Medicaid
eligibility worker that he or she has a Partnership policy.
Medicaid is the payor of last resort.
When should an individual apply for Medicaid?
•
An individual can apply for Medicaid at anytime.
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A Long-Term Care Partnership policyholder can apply for Medicaid before
exhaustion of benefits, but must be in claim status with the Long-Term Care
Partnership policy.
Example: Mrs. Adams lives In Arkansas, which does not require the
complete exhaustion of Partnership Qualified (PQ) benefits before qualifying
for an asset disregard. Mrs. Adams applies for Medicaid after using
$100,000 in PQ benefits, since she only has $100,000 in countable assets
to protect. She is determined eligible for Medicaid even though she
continues to receive insurance benefits under her PQ policy.
How do people apply for Medicaid?
•
An application for long-term care services can be completed at the local
DHS county office where the applicant resides.
•
Applications may be obtained online, by telephone, fax, or mail. Applications
may be sent to the local DHS county office by mail, by fax, or hand
delivered. A face-to-face interview may not be required.
What does Medicaid cover?
Medicaid provides a full range of benefits to eligible individuals, including, but not
limited to, inpatient and outpatient hospital and clinic services, emergency hospital
services, laboratory and x-ray services, physician services, home health services,
prescription drugs, nursing facility care, non-emergency transportation, and
payment of Medicare premiums. The benefits of Medicaid will be discussed during
the interview process with an eligibility worker.
Does a Long-Term Care Partnership policy guarantee access to Medicaid?
No. Owning a Long-Term Care Partnership policy does NOT guarantee access to
Medicaid - even if the policyholder has exhausted all of his or her benefits.
Individuals must meet all other Medicaid eligibility requirements in order to be
eligible for Arkansas Medicaid. The Partnership allows policyholders to protect a
portion of their assets (what the insurance carrier has paid out in benefits, dollar
for dollar) during eligibility determination and estate recovery.
Must benefits of a Long-Term Care Partnership policy be exhausted before
qualification for Medicaid benefits?
No. When benefits of a Long-Term Care Partnership policy have been paid at a
level such that the equivalent asset disregard will qualify the insured for Medicaid,
Medicaid benefits may be paid. Note that Medicaid is still the payor of last resort.
Will Long-Term Care Partnership policies issued in other Partnership states
be accepted in Arkansas?
Yes. Arkansas intends to fully cooperate with other Partnership states for both
policies and producer training.
What are the requirements for a policy to be qualified as a Long-Term Care
Partnership policy?
The policy must be an approved long-term care policy and provide inflation
protection for policyholders through age 75. The policy must also be certified by
the insurer to the Insurance Commissioner as a Partnership Qualified long-term
care insurance policy. You may obtain a list of such policies from the insurer.
What about inflation protection?
Arkansas Rule 13 requires that all applicants for long-term care insurance be
offered inflation protection. Arkansas Rule 94 requires that all Partnership policies
provide specific inflation protection for policyholders through age 75. Partnership
status will be forfeited if inflation protection requirements are not maintained.
What if I have an existing long-term care insurance policy?
Each insurance company will develop its procedure for exchange of existing
policies with the prior approval of the Arkansas Insurance Department. Contact
your agent or insurer for additional information.
What if I need more information?
If you have additional questions after talking to your insurance agent, you may
contact the Arkansas Insurance Department at (800) 224-6330.
Company Information
You are required to be in
compliance with all of the
Arkansas statutes and Rules
regarding long-term care
insurance including, but not
limited to, Rule 13 and
Rule 94. The producer
training standards of
Arkansas and the procedures
for verification of such
training are available from
your long-term care insurer.
Each insurance company will
determine the procedure for
exchange of existing policies
for Partnership Qualified
policies subject to the prior
approval of the Arkansas
Insurance Department.
Contact the insurer for more
information.
Agent Information and
Training Requirements
Arkansas Insurance
Department Rule 13 and
Rule 94 sets forth the insurer
requirements for the Long-
Term Care Partnership
program including the forms
that must be filed with the
Compliance Division of the
Arkansas Insurance
Department prior to
marketing Partnership
Qualified policies. Note that
the insurers are responsible
for certifying that all
producers are properly
trained before marketing any
of the insurers’ products.
Each insurer may develop
standards and procedures for
the exchange of previously
issued policies for
Partnership Qualified
policies. The standards and
procedures must be filed for
prior approval with the
Arkansas Insurance
Department.
Company Information