Faq
Frequently Asked Questions !!
Who qualifies for Medicaid?
• For seniors, there are various paths to eligibility for Medicaid benefits:
• If you receive State Supplement (AABD) benefits, you are automatically eligible for Medicaid.
• If you get SSI benefits, you are not automatically eligible for Medicaid in Connecticut.
• If you are enrolled in Category Three benefits through the Connecticut Home Care Program for Elders (CHCPE), you are automatically eligible for Medicaid.
• If your income is very low and your assets are modest, you might qualify for Medicaid without having to go through a formal application process. The income limits for eligibility vary by location, with higher limits available in areas of lower Fairfield County.
• If your income exceeds the Medicaid limits but your assets fall within the allowed range, you may still qualify for Medicaid by spending down your assets to meet the financial requirements.
• If you require nursing home care or long-term home health services, you may be eligible for Medicaid if your income does not cover the medical expenses and if your assets are limited
Will the state take my house if I apply for Medicaid?
• In the vast majority of cases, no. The state will not take your home if you continue to live in it.If I sign up for Medicaid, will the government take my house? Usually, the answer is no. The government won’t take your house if you’re still living in it.
• However, if you’re getting care in a nursing home but are expected to go back home in less than six months, the government won’t put a lien on your property. Even if you stay in a nursing home for more than six months, the government might not put a lien on your property if any of the following people live with you:
* your spouse
* your child who is under 18;
* your child who is disabled;
* your sibling who owns a part of the house and has lived there for at least a year before you went into a nursing home.
* If you do come back home from the nursing home, the government’s lienon your property must be removed.
A lien is a way to secure a debt
• In certain situations, Medicaid might put a “lien” on your property. A lien is a way to secure a debt. Before a lien can be placed, you’ll receive a written notice from the government. If you disagree with the decision to place a lien, you have the right to request a review called a Fair Hearing. When the property is sold, the lien must be settled. Medicaid can only place a lien on your property if (1) you’re in a nursing home and there’s no hope of returning home, and (2) none of the relatives listed above are living in the house. Even if a lien is placed, it doesn’t have to be sold until both you and your spouse have passed away.
Do Medicare and Medicaid serve the same purpose?
• No, they differ. Medicare is a federal initiative designed for individuals aged 65 and older or those with disabilities. However, the benefits provided by Medicare are restricted. On the other hand, Medicaid is a joint state and federal initiative aimed at individuals with modest assets who require financial help to cover the costs of long- term care and a nursing home.
What's the process like for securing Medicaid approval?
• Regrettably, there’s no straightforward response. The social services department’s assigned case worker has a maximum of 45 days to examine the application before asking for more details. It’s crucial for the applicant to provide all necessary information promptly. Failure to do so may result in the
Are funeral costs covered by Medicaid?
•No, However, while seeking Medicaid benefits, you are permitted to allocate your assets towards buying a funeral agreement, with a maximum limit of $8000 placed in a non-revocable trust.
Can I give property to my relatives?
The government will examine every asset transfer, including real estate, very carefully. The review period is five years. If a transfer occurred within this timeframe, it might lead to the denial of Medicaid benefits.
Do you have to be a certain age to apply for Medicaid?
Individuals residing in nursing facilities must be 18 years or older to qualify.
Is Medicare sufficient to cover all medical and health-related costs?
No, it’s not. Frequently, individuals also have additional insurance because Medicare doesn’t cover all medical and health-related costs in full. Additionally, there are time constraints to consider.
Can I be forced to leave the hospital while I'm in the process of getting Medicaid approved?
No, you cannot be removed from the hospital against your wishes while waiting for Medicaid approval, even if you can’t pay.
Still Have Questions ?
What We Do & Our Benefits!
Can you spend money on personal items each month while receiving Medicaid benefits?
• Yes, you are currently permitted to spend $60 every month on personal expenses.
If I'm dissatisfied with the nursing home I'm in, can I move to a different one that takes Medicaid?
• Absolutely, you’re free to move to any nursing home in Connecticut that takes Medicaid. However, if you decide to move to another state, you’ll have to get Medicaid in that new state. It’s not possible to receive Medicaid benefits from two different states at the same time.
Can I take overnight trips to see my family if I'm on Medicaid?
• Yes, you have a specific limit of days each year that you can spend overnight with
your family while they stay in a nursing home where you live.
What if I receive assets through inheritance? What will be the fate of my Medicaid benefits?
• Should this happen, the Department of Social Services would have to be informed. You might face the loss of your benefits and be required to deplete your assets tocover the costs privately at the nursing home until your assets fall below $1600.
Do I have to get a power of attorney or conservator to get Medicaid?
• It depends on whether you can get the necessary paperwork while you were in a nursing home. Typically, a family member is chosen as the power of attorney to assist in collecting the financial details needed by the state, which includes a review of all assets over five years to check on their use or transfers of property or funds. Our support staff is on call to assist families at their preferred times, including evenings and weekends, to help them collect the required information.
What other documents are needed?
• The State of Connecticut needs to see evidence of all the resident’s and spouse’s total income if applicable. Additionally, it requires the duplication of health insurance cards, birth certificates, and Social Security cards that verify citizenship. As previously stated, they also need five years of all financial account statements, covering checking accounts, IRAs, stocks, bonds, annuities, trusts, and other real estate, including rental and vacation properties. Furthermore, they will take into account life insurance policies owned by the client and evaluate the cash value of these policies as part of their assets.
Can I use my own resources to reduce my assets and qualify for Medicaid?
• The answer varies based on several factors. If you’re married and living with your spouse, you might be able to set up a funeral irrevocable trust. You can also spend your assets on personal items for yourself, like clothes and small things for your stay in the nursing home, such as a radio or television. Other things you could buy for the person include hearing aids or dentures. However, you’re not permitted to give money to your relatives to use it on your assets to qualify for Medicaid.
Are Medicaid benefits set to run out?
• No, provided you are residing and fulfill the financial requirements, the benefit remains valid. The State of Connecticut conducts a yearly assessment known as a re-determination to confirm ongoing eligibility.
Are Connecticut Medicaid Specialists in collaboration with elder law lawyers?
• Absolutely, we have elder law lawyers on hand for advice and support in various aspects of elder care law. They can help with establishing trusts, managing finances, safeguarding assets, and providing services related to power of attorney and conservatorship.