Distinguishing Medicaid From Medicare

Oftentimes, people have a hard time remember the difference between Medicaid and Medicare, the services provided, who oversees these programs, and how to qualify for benefits. While each program is run by the Center for Medicare & Medicaid Services (CMMS), they are entirely different. Continue reading “Distinguishing Medicaid From Medicare”

Medicaid Can Cover the Cost of Supplies and Equipment

Medicaid eligibility professionals Nassau CountyCommunity Medicaid is a program that covers the cost of care that is provided in the home to help individuals and their families pay for a home health aide as well as necessary medical supplies. To qualify for Community Medicaid an applicant may have no more than $15,150 in assets. Community Medicaid does not have a look back period, which allows an individual to be eligible for benefits within one month of applying. In addition, the $15,150 does not include qualifying retirement accounts where the individual is taking monthly-required distributions. A primary residence is exempt, as well as an irrevocable pre-paid funeral. In addition, an individual may have no more than $845.00 in monthly income. Continue reading “Medicaid Can Cover the Cost of Supplies and Equipment”

Proposed State Budget Calls for $70 Billion for Medicaid

WGRZ-TV in Buffalo, New York, recently reported that the Cuomo administration is budgeting $70 billion for Medicaid in the state budget for fiscal year 2019. This includes funding from the federal government, resulting in an increase of $1.7 billion (or 2.5 percent) over last year. In addition, the budget will appropriate $153.3 billion for the New York State Department of Health (NYSDOH), with $142 billion slated for Medicaid through FY 2020. Continue reading “Proposed State Budget Calls for $70 Billion for Medicaid”

Medicaid State-to-State Transfer Rules

Medicaid eligibility professionals Long IslandMany Medicaid recipients believe that since Medicaid is a federally funded program that their Medicaid coverage and benefits will automatically switch from one state to another. This assumption is inaccurate. While Medicaid is a federal program, it is also a state program. Therefore, each state has its own eligibility requirements which may make it difficult for a recipient to easily switch their Medicaid coverage to a new state. Continue reading “Medicaid State-to-State Transfer Rules”

States May be Allowed to Invoke Work Requirements for Medicaid Eligibility

Long Island Medicaid eligibility consultingMedicaid provides health coverage to over 72.5 million Americans. Those covered include children, pregnant women, parents, seniors and those with disabilities. According to Medicaid.gov, Medicaid is currently the leading provider of health coverage in the United States. Continue reading “States May be Allowed to Invoke Work Requirements for Medicaid Eligibility”

My Medicaid Application Was Denied, Now What?

A Medicaid application can be denied for various reasons. While a denial notice may have left you feeling pessimistic, you have the right to appeal the denial. Many times, Medicaid applications will be denied because of simple mistakes, such as missing documentation, and this can be easily fixed. Common Medicaid application denial reasons include: Continue reading “My Medicaid Application Was Denied, Now What?”

Spending Down Assets for Medicaid: A Prepaid Funeral Contract

In order to be eligible for Medicaid, there are certain asset limits that need to be followed. Some of those include $2,000 in cash ($3,000 for a couple), a home valued at $500,000 or less, one automobile of any market value, funeral and burial funds, any real or personal property deemed essential for self-support, and a life insurance policy not exceeding $1,500. If an applicant wishes to receive Medicaid funding but has excessive assets, they will need to either spend down those assets or use the excessive amount to pay for long-term care needs until the surplus amount is drained. Continue reading “Spending Down Assets for Medicaid: A Prepaid Funeral Contract”

Spousal Medicaid

Long Island Medicaid application assistanceMedicaid law has provided special protections for those spouses who are healthy and wish to remain in the community while their husband or wife relocates to a long-term care facility. In 1988, Congress enacted provisions designed to ensure that the spouse who is still living at home will have enough income and resources to remain part of the community. These provisions have come to be known as spousal impoverishment provisions. Continue reading “Spousal Medicaid”

A Pooled Income Trust May Be The Best Option For Those With Excess Income

For an individual to be eligible for Medicaid services at home, he or she must be over 65 and disabled. In addition, the applicant must meet certain income and asset criteria in order to qualify, because Medicaid eligibility requires a means based test. As of 2017, an applicant is allowed to have $845.00 in income. It is possible that Medicaid may take any income in excess of this amount. For many individuals, turning over these excess funds to Medicaid is not a viable option because it would leave them without the means to pay certain expenses. Continue reading “A Pooled Income Trust May Be The Best Option For Those With Excess Income”

New York Medicaid Personal Care Services

NY Medicaid personal care servicesMedicaid is a federal and state funded program that provides health coverage to those, including the elderly and disabled, who meet certain income and resource eligibility requirements. Personal care services (PCS), or home attendant services, are provided by a personal care aide to individuals who require nutritional and environmental support as well as assistance with personal care functions. Through New York Medicaid, eligible individuals can receive PCS to maintain their health and safety in their own homes. Continue reading “New York Medicaid Personal Care Services”