What information do I need for a QIT Review?

Income

1. 1The Social Security award letter or benefit statement for this year. It shows the gross benefit and the Medicare premium withheld.
2. 2Pension and annuity statements showing the gross payment before tax and insurance.
3. 3VA award letters, if any.
4. 4For an IRA, the December 31 statement from last year and the applicant's date of birth.

Premiums and deductions

Premium notices for Medicare supplement, prescription drug, and any other health or long-term care insurance the applicant pays for. Premiums affect the estimated patient responsibility and which account pays them.

The care setting and its bills

Tell us where the applicant lives or will live: a nursing home, assisted living, at home, or with a PACE organization. For assisted living, the facility's room-and-board rate and any private-room or service charges. At home, the rent or mortgage, utilities, and any caregivers paid privately. These bills decide how much should go into the trust each month and how much must stay in checking.

Documents already in place

Any QIT the applicant already has and recent QIT bank statements. Any DCF notice, especially one stating the patient responsibility. And the power of attorney, guardianship order, or other document that lets someone sign for the applicant. If that document was signed in another state, we read it for authority to create a trust.

For a married applicant

The spouse's gross monthly income, and the costs of the home the spouse lives in: rent or mortgage, property taxes, homeowner's insurance, and whether the spouse pays the water, sewage, gas, or electric bill. DCF does not use the actual utility bills; when the spouse pays any of them, it adds a standard utility allowance. These figure into any monthly allowance for the spouse at home.

Questions

Why do you need documents rather than our own figures?

Because the bank deposit and the gross benefit are different numbers, and DCF counts gross. A plan built on the wrong figure fails in the first month. Checking the documents is the point of the review.

I cannot find the Social Security award letter. What now?

Social Security can issue a benefit verification letter, and an online my Social Security account can show it. Tell us when you call and we will work with what you have.