Category: Uncategorized

Recertification

  For the past three years many Community Medicaid recipients have enjoyed the automatic recertification they had received from Medicaid due to the Public Health Emergency Law. The Public Health Emergency Law will be lifted this July 1, 2023 and that means everyone on Medicaid will receive recertification notices. Some recipients will receive notices of… Read more »

Look-Back Period Extended

Once again the look-back period regarding Community Medicaid eligibility had been extended. In the past, there never was a look back period for Community Medicaid in New York. Applicant’s were able to transfer assets one month and become financially eligible the very next month without being penalized or disqualified. In October 2020 a 30 month… Read more »

Look-Back Period Update

For those who are following the new rule affecting Community Medicaid look-back period, which changes the look-back period from one month to 30 months, was not implemented as of this point in time.  Rumors tell us that October 1, 2022 it may go into effect. What does Look-Back period mean? and what effect will it… Read more »

A new extension regarding transfer of assets.

On October 2020 a new regulation was passed regarding Community Medicaid eligibility process. Previously, applicants were able to transfer any amount of assets one month and become financially eligible the very next month. The new regulation, which was to take effect October 2020, changed the eligibility process.  Applicants will need to surrender 30 months or… Read more »

Reimbursement Program

A Community Medicaid application can take several months before the applicant actually sees a home attendant at their home. The reason is as follows: first the department of social services needs to approve the applicant financial status. Once financially approved the applicant has to be assessed by a nurse sent from Medicaid and once again… Read more »

Look-Back period for Community Medicaid applicants has been extended:

On October 2020 a new rule regarding Community Medicaid eligibility was created; however, due to the present pandemic NYS cannot enforce this new rule until the pandemic is controlled. Hence, the effective date has been extended several times and last week it was extended once again from January 1, 2022 to April 1, 2022. What… Read more »

Community Medicaid Update

As I have been informing the reader for sometime now the new regulation for Community Medicaid eligibility will take effect on 01-01-2022 and will impose a two and one-half year of look-back period.  That means 1) applicants will need to surrender bank account statements for 2.5 years or beginning 10-01-20.  Any transfers during the look-back… Read more »

Pooled Income Trust

Community Medicaid applicants, and applicants who require home care services, will need to pass the income and resource eligibility levels. Presently the maximum resources an applicant is allowed to retain a total of $15,900 and the maximum monthly income is $904. Most applicants monthly income is much more than the $904 allowed.  Considering the allowed… Read more »

Latest Look Back Period Extend

Although Medicaid extended the look-back period for Community Medicaid once again, it will inevitably happen one of these days. As you may have noticed in reading our blogs, Medicaid keeps changing the date in the applicant’s favor. Everyone thought the last change date of July 1, 2021 was the final date; however, the present crises… Read more »

New Look Back Period No.3

Previously we discussed the new rules regarding financial eligibility for Community Medicaid.  Community Medicaid covers home care services as well.  The new rule was anticipated to start 10-01-20; however, considering the backup Coveid-19 created the new rule had to be extended to 01-01-21.  That date was difficult for the department to reach so they extended… Read more »