My friend has IA Medicaid and had questions about checking the bank and 5 yr look back?

Ok so see what the state (caseworker) says for how much of gifted money qualifies? So there is a way she can still have some coverage but pay some deductables/copays where she would have to pay in? So what counts as a year for Medicaid say ex. 2019 til 2020 would be 1 year, but if she renews in 2020 its a 2nd renewal so is it 2 yrs then, or does it defer for each state since your nephew is in NJ?

Ok so for IA's type of Medicaid is a wellness one so she is good since she makes under the income and the gifting is fine? So what other types r there because there are scales of it?

Gifting is only an issue when it comes to LTC Medicaid. The type of Medicaid she is on now is income based. Medicaid will not be looking at gifting. They will only look at her income. People on Medicaid health insurance CAN receive monetary gifts. Because once again, eligibility is based on income only. There is no reason for the friend to give the money back.

Her friend has a caseworker who determined her Medicaid eligibility and that’s who she should call. It’s not that easy to just call Medicaid and get questioned answers. Medicaid is state specific too so she needs to speak to her local Medicaid office.

It’s because regular Medicaid is based on income. Not assets. Long term care Medicaid is based on assets and income. And the amount of assets you can have varies by state.

Hi JoAnn,

She is on a cycle where they renew her every year, so she doesnt fill out any paperwork. So even though she is on the renewal cycle for 5 years. On her 5th year they dont do a look back, thats only for long term care right?
Yes that is a good idea because she realized it now. The only issue is that she is not sure what she sent in as far as bank statements go, that is why she wanting the records, to see what she put down. Because she has probably $10,000 in her savings whenever she initially started for Medicaid and maybe a $1,000 or so in her checking account. Is savings has built up to around $20,000 but she still makes less than $14,000 in income each year because some of the money in savings is a gift. The issue is that she does not work a lot so she does not make a lot of income per month because she has several mental health issues and intellectual disorders where she sees several doctors in a month. And without Medicaid can't afford paying for it because then her savings would be wiped out. So whenever she reapplies how will she do it because she is not sure if she remembers that she wrote at the beginning of application $10,000 in her savings account and they let her on. And now she has $20,000 in her savings. And if they keep renewing her for the past 5 years would they have already known that she had this money in her bank or do they just go off by tax income what you make monthly?

No she isn't going into long-term care. She is on a five year cycle where they were you her for Medicaid each year without turning in paperwork so I'm not sure if by looking at her taxes that is how they determine that she is eligible since she has low income. She is wanting a copy of the previous application to see what she put for the amount in her bank account because she has $20,000 and the application she might have wrote she had $10,000 in saving. And wonders if she can still be able to be on it because some of the money is a gift and also she is still low income each month where she qualifies but with the amount in her account of her savings she is not sure because she had several mental illnesses and intellectual disorders where she needs Medicaid to copay for doctor visits that she goes to several times a month and if she uses that savings it will be wiped out. So for her renewal she is not sure what to do or what to write on that plication because she was wondering what she wrote when she first applied?