MA705I

Request a copy of the ABLE account bank statements for the application month using the following RFI language:

Please provide bank statements for the month and year listed for the following accounts:

[Then list the ABLE account and the month and year needed for review.]

Upload all of the documents related to the ABLE account to a single folder in DocuWare.

Enter “ABLE” in the Notes field in DocuWare.

Review the ABLE account to ensure it is an ABLE account:

• The definition and description for the account is found in MA705I.

• An ABLE account created in AZ is identified with the words “STABLE Account” at the top of the account statement.

• All ABLE accounts have the word “ABLE” in the title.

• The ABLE National Resource Center website at http://www.ablenrc.org. Describes the ABLE accounts approved in other states.

• The designated beneficiary is the owner of the account for Medicaid purposes.

• The maximum yearly deposit amount into an ABLE account is $19,000.00 unless the customer is working.

• The maximum yearly deposit amount for a customer who is working is $33,580.00.

• The maximum amount that can be held in the ABLE account is $100,000.00.

Is the customer over the resource limit?

• If YES, continue to step 6.

• If NO, skip to step 8.

Are there unspent ABLE distributions reported by the customer?

• If YES, continue to step 7.

• If NO, skip to step 8.

Review the provided statement and request additional proof if needed to apply the following policy:

• Count any unspent distributions for housing expenses as a resource in the month following the month the funds were withdrawn from the ABLE account.

• Count funds withdrawn that are not an expense listed in MA705I “Qualified Expenses” in the definitions table as a resource in the month withdrawn.

• Do not count any funds withdrawn for QDEs from the ABLE account as a resource when they are separately identifiable from counted funds.

Do not count Able account distributions as income of the designated beneficiary.

Enter case notes that the ABLE account was reviewed.

To exclude the account in HEAplus enter the exclusion reason “Legal Restriction.”

Complete a Notification of a Special Treatment Trust or Achieving a Better Life Experience Account (ABLE) form (DE-137).

Send an email to Kerri.Gaffield-Polich@azahcccs.gov:

• Use the subject line “DE-137 Form”.

• Include the customer’s name and HEAplus Person ID in the body of the email.

• Attach the completed DE-137 and all documents from step 10 (if any) to the email.

Enter a case note that the Notification of a Special Treatment Trust or Achieving a Better Life Experience Account (ABLE) form (DE-137) was sent to DBF.