Income Eligibility

Protecting Resources for the Community SpouseProtecting Resources for the Community Spouse

Protecting Resources for the Community Spouse

Federal law protects the healthy (or healthier) spouse of a nursing home resident. The healthier spouse is known in Medicaidland…

3 years ago
MCCA’s Legislative HistoryMCCA’s Legislative History

MCCA’s Legislative History

The following the committe report for the Medicare Catastrophic Coverage Act of 1988 (MCCA): The leading cause of financial catastrophe…

3 years ago
Opening Comments regarding the Medicaid Community SpouseOpening Comments regarding the Medicaid Community Spouse

Opening Comments regarding the Medicaid Community Spouse

While nursing home bills accrue, the healthy or well spouse, known as the “Community Spouse,” [Note 1] struggles to identify…

3 years ago
Practical Considerations when Preparing Medicaid ApplicationsPractical Considerations when Preparing Medicaid Applications

Practical Considerations when Preparing Medicaid Applications

If you agree to file a client's Medicaid application as part of your representation, here are a few practical considerations.…

3 years ago
Changing the Default Rules for a Community SpouseChanging the Default Rules for a Community Spouse

Changing the Default Rules for a Community Spouse

As with the income rules, the resource defaults may be changed. First, if all of the Applicant's income has been…

3 years ago
Medicaid Planning Scenario: Am I eligible for Medicaid?Medicaid Planning Scenario: Am I eligible for Medicaid?

Medicaid Planning Scenario: Am I eligible for Medicaid?

Let's assume Betty, a widow, will go to a Georgia nursing home in the near future (using 2022 eligibility rules…

3 years ago
Medicaid Cannot be More Restrictive Than SSI in 1634 States (Non-209(b) States)Medicaid Cannot be More Restrictive Than SSI in 1634 States (Non-209(b) States)

Medicaid Cannot be More Restrictive Than SSI in 1634 States (Non-209(b) States)

Several overriding rules control the creation and application of Medicaid eligibility criteria by the states. These rules are applicable to…

3 years ago

Gross Income Used to Determine Whether Qualified Income Trust is Necessary (Ohio)

In Merritt v. Ohio Department of Job and Family Services, Case No. CA2021-04-044 (12/27/2021), Jerome Merrit applied for Ohio nursing…

3 years ago

2022 Spousal Impoverishment Standards

The standards for the 2022 Community Spouse Resource Allowance and Community Spouse Monthly Income Allowance have been updated in the…

3 years ago
Form: Patient Liability WorksheetForm: Patient Liability Worksheet

Form: Patient Liability Worksheet

The worksheet below is not intended as a substitute for legal advice. It requires an understanding of the Medicaid budgeting…

3 years ago