At the moment a temporary absence due to confinement in a Medicaid facility ends (for
a reason other than return to the permanent living arrangement), the individual is
abandoning their previous permanent living arrangement unless there is a new period of temporary
absence. A new period of temporary absence is possible as long as the individual still intends
to return to the permanent living arrangement.
EXAMPLE: Hill lives alone in an apartment they rent, and receives no ISM. On May 15 Hill leaves
their apartment to enter a nursing home. Medicaid pays for care, and Hill is subject
to the $30 Federal payment limit for June. (SI 00520.140 does not apply because the physician expected Hill's stay in the home to exceed 90
days.) Hill leaves the nursing home on August 30 and goes to their adult child Sophia's
home, where Hill plans to stay for a few weeks until Hill has regained enough strength
to manage by themself. Hill's child Sophia accepts no payment from Hill for staying
there. Hill returns to their apartment on September 23. When their temporary absence
due to confinement in a Medicaid facility ends in August, Hill starts a new period
of temporary absence. The second period (August 30 through September 23) is a temporary
absence for reasons other than confinement in a Medicaid facility or school attendance.
Since Hill's stay at Sophia's home was also temporary, we do not charge Hill with
ISM for September.