medicaid eligibility

• Medicaid Eligibility

A Medicaid applicant's $20,000 payment to her daughter for future caregiver services counted against her eligibility for nursing home benefits, a Massachusetts appellate court has ruled in affirming judgment. The applicant entered into a personal services contract with her daughter when she was 83 years old and in declining health. Under the terms of the contract, the applicant paid a lump sum of $20,000 in exchange for her daughter's promise to care for her until her death.

• Lawyers USA
• April 21, 2011

• 20 CFR 416.2116 - Medicaid eligibility determinations.

• Code of Federal Regulations - Title 20: Employees' Benefits

• 20 CFR 416.2111 - Conditions for our agreeing to make Medicaid eligibility determinations.

• Code of Federal Regulations - Title 20: Employees' Benefits

• New York Only State to Broaden Medicaid ; Eligibility, Benefits Widen in 2010, 2011

While facing unprecedented deficits, New York State was nonetheless the only state in the nation to decide to broaden eligibility, benefits and medical provider payments for Medicaid -- the state-federal health program for the elderly, disabled and poor -- this year and next. At a time when many states were trimming coverage for dental care and other benefits, New York instead slightly expanded what was already the most generous Medicaid program in the nation, while making benefits easier to get, a Kaiser Family Foundation survey found Thursday.

• Buffalo News
• October 01, 2010

• 20 CFR 416.2140 - Liability for erroneous Medicaid eligibility determinations.

• Code of Federal Regulations - Title 20: Employees' Benefits

• Estate of Montgomery v. Ohio Dept. of Job & Family Servs., (Ohio 2012)

Medicaid eligibility

• Ohio Supreme Court

• 42 CFR 435.916 - Periodic redeterminations of Medicaid eligibility.

• Code of Federal Regulations - Title 42: Public Health

• 42 CFR 457.350 - Eligibility screening and facilitation of Medicaid enrollment.

• Code of Federal Regulations - Title 42: Public Health

• Plan to Extend Medicaid Eligibility Time Attacked ; Patient Advocates Say Raising the Waiting Time From 45 Days to 90 Would Create Hardships.

Advocates for the elderly, the poor and the disabled objected Tuesday to a proposal in Gov. Paul LePage's supplemental budget to extend the time the state has to determine Medicaid eligibility for the disabled. The proposal would give the Department of Health and Human Services 90 days to decide whether disabled applicants qualify for Medicaid. That's consistent with federal guidelines, but state law now requires a determination within 45 days. If the state cannot decide within 45 days, it pays for an applicant's coverage while the determination is pending.

• Portland Press Herald
• January 26, 2011

• Medicaid Program; Eligiblity Changes Under the Affordable Care Act of 2010

This final rule implements several provisions of the Patient Protection and Affordable Care Act of 2010 and the Health Care and Education Reconciliation Act of 2010 (collectively referred to as the Affordable Care Act). The Affordable Care Act expands access to health insurance coverage through improvements to the Medicaid and Children's Health Insurance (CHIP) programs, the establishment of Affordable Insurance Exchanges (``Exchanges''), and the assurance of coordination between Medicaid, CHIP, and Exchanges. This final rule codifies policy and procedural changes to the Medicaid and CHIP programs related to eligibility, enrollment, renewals, public availability of program information and coordination across insurance affordability programs.

• Federal Register Nbr. 77 FR 17144, March 23, 2012
• Rules and Regulations
• Health and Human Services Department