How is the Medicaid penalty calculated for nursing homes?
Medicaid calculates the penalty by dividing the amount transferred by what Medicaid determines is the average price of nursing home care in your state. 12 For example, suppose Medicaid determines your state’s average nursing home costs $6,000 per month, and you had transferred assets worth $120,000.
What makes you eligible for Medicaid in Pennsylvania?
Violating the look back period results in a penalty period of Medicaid ineligibility. To be eligible for long-term care Medicaid in Pennsylvania, an applicant must have a functional need for such care. For institutional Medicaid and home and community based services via a Medicaid waiver, a nursing facility level of care is required.
What’s the look back period for Medicaid in PA?
It’s important to be aware that Pennsylvania has a 5-year Medicaid Look-Back Period. This is 5 years immediately preceding one’s Medicaid application date in which Medicaid checks to ensure no assets were sold or given away under fair market value.
What is the excess income limit for Medicaid in PA?
In Pennsylvania, this program is called the Medically Needy Only Medical Assistance (MNO-MA) program. Sometimes referred to as a “Spend-down” program, the way this program works is one’s “excess income,” (their income over the Medicaid medically needy eligibility limit), is used to cover medical bills,…
How does Medicaid work for nursing homes in PA?
Pennsylvania also operates several Medicaid Waiver programs that provide home health care services to low-income Pennsylvanians. To qualify for any of Pennsylvania’s Waiver programs, you must meet the nursing home level of care. In addition, you must have income less than $2,163/month and fewer than $8,000 in resources.
Violating the look back period results in a penalty period of Medicaid ineligibility. To be eligible for long-term care Medicaid in Pennsylvania, an applicant must have a functional need for such care. For institutional Medicaid and home and community based services via a Medicaid waiver, a nursing facility level of care is required.
Medicaid calculates the penalty by dividing the amount transferred by what Medicaid determines is the average price of nursing home care in your state. 12 For example, suppose Medicaid determines your state’s average nursing home costs $6,000 per month, and you had transferred assets worth $120,000.
What is the new Medicaid Waiver Program in PA?
The Waiver Program in PA is now known as The Pennsylvania Community HealthChoices (CHC) Program.