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...
True or False? try this New Jersey Medicaid Quiz
Test your knowledge about nursing homes and the Medicaid-MLTSS program that pays for nursing home care, assisted living and part-time home care.
Does a person’s monthly income have to be less than $2,313 (2,349 in 2020) to apply for Medicaid-MLTSS?
Will the State take one-half the house if a married person moves into a nursing home?
Does a married person have to sign over or pay...
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...
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...
Please! Set up that QIT before filing the Medicaid application!
“What on earth is a QIT?” Under the New Jersey Medicaid program, there are some extra hoops to jump through when the applicant’s gross monthly income from all sources exceeds $2,205.00. This number is colloquially referred to as the “income cap,” and up until late 2014, it created a hard barrier to eligibility for home and community-based Medicaid services for...
There’s no “income cap” anymore for Medicaid long term benefits
When I first started filing Medicaid applications for my clients back in 1995, a person who needed long-term care services in the home or assisted living but had run out of money could not even apply for Medicaid if their gross monthly income was higher than the “income cap.” Of course, the income cap was well below the amount that was needed to pay for care, which meant that a lot...
For Qualified Income Trusts, Not All Bank Accounts Are Created Equal
Medicaid Long Term Services and Supports (MLTSS) in New Jersey pays for nursing home care for people with alzheimers disease, catastrophic disabilities and other serious difficulties with self care. The program requires any applicant with more than $2205 (three times the SSI amount–new for 2017) of gross income to make a Qualified Income Trust. Our office assists applicants with this...
Going from ACA Medicaid to “Regular” Medicaid Can Be a High Wire Act Without Legal Assistance
New Jersey has a lot of roads to eligibility for Medicaid, and that’s a good thing. All of those roads are called NJ FamilyCare, and that’s a confusing thing.
Medicaid in New Jersey is provided by five Managed Care Organizations (MCO) now through NJ FamilyCare. You must choose one to get services, including long-term services and supports (LTSS), which will be coordinated by the...
NJ Medicaid posts guidance on Veterans Benefit income
MedCom No. 15-08 was issued on April 29th by the NJ Division of Medical Assistance and Health Services (DMAHS) to provide instructions to applicants who receive benefits from the Veterans Administration. When a person applies for Medicaid to pay for nursing home, assisted living or home care under the MLTSS program, they need to disclose their income from all sources. Each MLTSS program has...