Cost-share deduction for health insurance premiums. The ALJ stated the issue as whether a nursing home resident is entitled to a deduction from her patient liability for Medicaid for Health insurance premiums paid by her spouse who resides in the community. DFCS disallowed IME coverage for health insurance premiums paid y the Community Spouse, taking the position that noly premiums paid for by the Institutionalized Spouse qualify for IME coverage. DFCS also disallowed a budgeting reduction of the patient cost-share based on voluntary tax withholdings. Citing Georgia Department of Community Health v. Gwinnett Hospital System, 262 Ga. App. 879 (2003); Bentley v. Chastain, 242 Ga. 348 (178) and Albany Surgical v. DCH, 257 Ga. App. 636 (2002), the court deferred to the agency and relied on a policy analyst memo indicating that health insurance premiums qualify for IME coverage only when they are paid by the applicant. The decision was affirmed.
OSAH-Houston-Woodard-6-2008.pdf (June 27, 2008).
ADLs and IADLs Activities of Daily Living and Instrumental Activities of Daily Living describe basic…
Planning for Adult Children with Disabilities Childhood Disability Benefits assist disabled children and adults who…
Video Wills You might wonder whether you can make a video recording of yourself stating…
2025 Georgia Medicaid Transfer Penalty If an applicant for long-term care Medicaid (e.g., nursing home…
Recently, my dad died. While I was driving back from being sworn in as his…
In Georgia, an individual has legal capacity to make a Will "when the testator has…
