Social Security COLA and QITs for Medicaid recipients
On January 1, 2023 the Social Security Administration will be giving its recipients an 8.7% Cost of Living Increase (COLA). You probably know that if a person on New Jersey MLTSS-Medicaid receives gross fixed monthly income in excess of $2,523 (that’s the 2022 threshold), they must establish a Qualified Income Trust (QIT) to receive the excess income, in order to preserve their Medicaid...
The 2022 “Medicaid Numbers” you need to know in New Jersey
The NJ Division of Medical Assistance and Health Services (DMAHS) has released Medicaid Communication #22-01 which provides the new numbers that are relevant to applications for Medicaid Long Term Services and Supports (MLTSS) benefits. 22-01_Income_and_Resource_Standards_for_Medicaid_Only (1) MLTSS pays for nursing home care (skilled nursing facilities), Assisted Living Facilities and...
NJ Medicaid confirms that CARES payments won’t interrupt benefits
Previously we reported on concerns about whether the $1200 per person payments or the $600 unemployment enhancements that would be arriving via the CARES ACT would be counted as income or a resource which would affect the means-tested benefits being received under New Jersey’s Medicaid (NJ FamilyCare) programs. We’re happy to report that the Director of DMAHS has released a...
No, You don’t necessarily have to cash out life insurance when applying for Medicaid
How often have I heard clients tell me they were told to cash out a life insurance policy as part of a “Medicaid spend-down,” because it was “an asset.” The fact is, whether a given policy needs to be liquidated depends on who owns the policy, what its cash surrender value is, and who is applying for Medicaid benefits. There’s no “one rule for all...
Continuing Uncertainty about NJ Medicaid’s Treatment of Irrevocable Funeral Trusts
Several months ago I reported on problems that were cropping up for people with irrevocable funeral trusts who apply for NJ Medicaid/MLTSS to pay for their nursing care, home care or assisted living. The issue is that once the funds are paid and the contract is signed, the contract is irrevocable and the funds cannot be returned to the purchaser at that time. Based on this irrevocability, the...
New 2020 NJ Medicaid numbers just released
The NJ Division of Medical Assistance and Health Services (DMAHS) has just released Medicaid Communication #20-01 which provides the new numbers that are relevant to applications for Medicaid Long Term Services and Supports (MLTSS) benefits. 20-01_Medicaid_Only_Standards MLTSS pays for nursing home care (skilled nursing facilities), Assisted Living Facilities and part-time home care...
Continuous residence in USA not prerequisite for Medicaid eligibility for previously-qualified alien
One of the threshold eligibility requirements for Medicaid has to do with legal status. N.J.S.A. 30:4D-3(q)(1)(a). If a person is an alien (non-citizen) with the status of a Legal Permanent Resident (LPR) (“green card holder”) who was present in the United States prior to August 22, 1996, s/he is eligible to apply for Medicaid (and receive “full Medicaid benefits” if...
Persistance paid off for Eligible Medicaid Applicant
Here is a recent case that is interesting because of its detailed description of the prolonged delay in the processing of an application for MLTSS Medicaid benefits, which was followed by the agency’s failure to really look at the information submitted and an abrupt denial of benefits that could have caused horrendous consequences. The Appellate Division reversed, in a decision that is...
The QIT requirements in New Jersey are a minefield – tread carefully!
The Medicaid program that pays for long-term services and supports (MLTSS) for nursing home care, assisted living and home care services is available for applicants whose income is less than the cost of care, as long as their resources (assets) don’t exceed the prescribed limits. We still hear from clients that they’ve been told that “you can never apply for Medicaid because...
New Jersey Court rejects denial of Medicaid benefits where spouse refused to cooperate
When a married person applies for MLTSS Medicaid benefits, the applicant must provide 5 years of records pertaining to all financial activity of the applicant and their spouse. The applicant also must supply proof of the spouse’s current income and assets. Sometimes, the spouse just refuses to cooperate with the process, creating a dilemna for the Medicaid applicant. In some...