Asset Assessment Requirement 510-05-65-45

(Revised 10/1/2025 Release 25.16)

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(N.D.A.C. Section 75-02-02.1-24(2))

 

At the beginning of the first continuous period of institutionalization, or receipt of HCBS, an institutionalized spouse, a HCBS spouse, or a community spouse may request an assessment of their assets.

 

The asset assessment establishes the spousal share, the community spouse asset allowance, and the amount of assets that must be spent down before Medicaid eligibility can begin.

 

  1. When completing an Asset Assessment:
    1. All electronic sources of asset verifications must be checked for potential countable assets (e.g. AVS, NDRIN and Motor Vehicle interface).

    2. If the asset assessment is completed for a date prior to August 1, 2019, the old rules for excluded asset burial provisions will apply in determining the spousal share, the community spouse asset allowance, and the amount of assets that must be spent down before Medicaid eligibility can begin.

    3. If the asset assessment is completed for a date on or after August 1, 2019 the new rules for excluded asset burial provisions will apply in determining the spousal share, the community spouse asset allowance and the amount of assets that must be spent down before Medicaid eligibility can begin.

       

      Note: Individuals have 15 days to provide verification of assets to complete the Assessment. Individuals can have 45 days to complete the process, which includes setting current assets aside for burial into an irrevocable burial fund, thereby excluding the amount set up in the irrevocable burial from the asset assessment.

       

    4. Enter the physical or legal address of the home on the Asset Assessment. If there is a TRANSFER ON DEATH Deed (TOD) enter TOD in front of the address.

       

      Example: TOD 123 Main St, Bismarck, ND 58505

       

      A copy of the TOD deed must be attached to the Asset Assessment when scanning the Asset Assessments into File Net.

       

    5. If an asset assessment is received for a date prior to October 1, 2025, IRA’s and Roth IRAs are excluded as an asset whether receiving a payment or not.

 

  1. Complete Assessments:
  1. Send to Policy & System Support (PaSS) dhseahelpdesk@nd.gov for review.
  2. When sending in the Asset Assessment to the soeaprp@nd.gov, please include the completed form and attach all verifications used to calculate the countable assets listed on the Asset Assessment.
  3. Once the assessment has been approved, send one copy to the community spouse and one copy to the institutionalized spouse.
  4. Asset assessments that are approved by policy are stored in FileNet using the client’s social security number.
  1. Upon approval of a case, the SFN 52, Spousal Asset Log MUST be completed and sent to the State Medicaid Policy Unit. Retain a copy for your case file.

  2. All assets, including those that are excluded must be listed on the asset assessment, but the value of these would be excluded in the ‘Total Assets’ Amount. Refer to Manual Section 510-05-70-30 for a complete listing of excluded assets.

  3. Reminder, applicants and recipients should not be provided financial advice. They must pursue financial advice from individuals who work in that field.

If an asset assessment is not completed at the time of the first continuous period of stay by the institutionalized or HCBS spouse, the couple may later provide verification of the assets they had at that time.  Only consider those countable assets that the couple can verify as owning at that time to establish the community spouse asset allowance.

 

Distribution of the asset assessment form requires that one copy be sent to each spouse, one copy be sent to the Economic Assistance division, and one copy is retained at the county.  Economic Assistance can be contacted for a copy of the asset assessment if the institutionalized, or HCBS, spouse applies in the future and the county in which the application is filed does not have a copy.

 

The assessment of assets is completed using Form SFN 200, "Asset Assessment" (05-100-65). 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.