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Articles Posted in Medicaid Applications

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Home Care with Community Medicaid

Home care paid for by New York State is known as “Community Medicaid”. Paying your own living expenses, plus the cost of caregiving services, is beyond the means of many. Since 2020, there have been numerous attempts to create a new thirty month look-back period for Community Medicaid eligibility. So…

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Qualifying for Medicaid to Pay for Long-Term Care

Spend-down. Look-back. Penalty Period. Uncompensated Transfer. These are just some of the terms Medicaid uses to determine eligibility for long-term care coverage. Medicaid is a combined federal and state program that pays for long-term care at home (community Medicaid) or in a nursing facility (institutional Medicaid). Asset, income and gift…

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Trump Administration Medicare Faces Increased Scrutiny

Biden-era legislatures are currently debating improving a Trump administration regulation associated with Medicare due to increasing pressure from Democrats. Also called a direct contracting model, the program implemented during the Trump administration lets private companies enroll in Medicare as health department members to revise and better care while keeping government…

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The Role of the Stop Unfair Medicaid Recoveries Act

Current federal regulations require Medicaid programs run by states to try to recoup the cost from estates of recipients who have since passed away even if the state would rather not pursue such recovery.  Medicaid programs must pursue compensation for the cost of nursing home services as well as home…

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Commonly Asked Questions about Over-the-Counter Tests and Medicare

It’s almost an understatement to say that the Covid-19 pandemic has changed our lives and how we live in a range of ways. While Medicare did not pay for Covid-19 tests that were available over the counter, the Center for Medicaid Services is in the process of executing an effort…

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Protecting Assets With Caregiver Agreements

Family members as caregivers overwhelmingly provide for elderly and disabled loved ones at home. Although a labor of love, taking care of ailing loved ones also has a market value, meaning that caretakers may be paid as a way to protect assets. Through the use of a Caregiver Agreement, also…

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2020 Medicaid Rates for Community and Nursing Home Medicaid in New York

Medicaid is state and federal funding that pays for long-term care costs, either at home, called “Community Medicaid,” or in a nursing home, called “Institutional” or “Nursing Home Medicaid.” The Medicaid rates change every year for income and asset requirements to determine eligibility for benefits. Following are the 2020 New…

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MEDICAID TRANSFER AFTER ADMISSION TO A RETIREMENT COMMUNITY

THOROUGH PLANNING NEEDED IN ADVANCE This blog has discussed the necessity of proper and thorough planning to ensure a smooth transition into a continuing care retirement community.  This requires, among other things, that a person properly and legally transfer all of their assets, or a substantial portion of their assets…

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MEDICARE’S OBSERVATIONAL STATUS

SOME LIMITED RELIEF Patients who rely on Medicare sometimes experience sticker shock after being released from the hospital only to find out that because some hospital administrator classified their stay as “observational” that they must pay a large portion of the final bill. Many times a doctor will seek to…

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