Asset Assessment Requirement 510-05-65-45
(Revised 01/03 ML #2833)
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(N.D.A.C. Section 75-02-02.1-24(2))
Upon entry into a medical institution, a nursing facility, or receipt of HCBS, an institutionalized spouse, a HCBS spouse, or a community spouse may request an assessment of their assets.
The assessment of assets is to be completed using Form SFN 200, "Asset Assessment" (Appendix M). The asset assessment must include all of the couple's assets owned jointly or individually.
Part II of SFN 200, "Asset Assessment," must be completed within thirty days of receipt of the completed Part 1. The file must include documentation of all assets.