Summary
New Yorks Medicaid Redesign Team proposes a 30-month lookback period for community-based long-term care services, impacting non-MAGI applicants. The amendment aims to prevent Medicaid payments from covering services that could be financed by an individuals own income or resources. Certain groups, like those in Mainstream Managed Care, are excluded. The lookback period starts January 1, 2022. Consult a legal professional for personalized advice.Full Conversation
based on this, which groups would be affected through this
The groups that could be impacted by the New York Medicaid Redesign Team's Waiver Amendment include:
*. New applicants for Community-Based Long-Term Care (CBLTC) services through Managed Long Term Care (MLTC) enrollment and Medicaid fee-for-service.
*. Individuals transitioning from a Modified Adjusted Gross Income (MAGI) eligibility group to a Non-MAGI budgeting rules group, mainly those categorized as Aged, Blind, or Disabled.
*. Certain Medicaid recipients using pooled trusts.
*. Individuals applying for an expedited Medicaid eligibility determination based on an immediate need for personal care or consumer-directed personal assistance services.
*. Beneficiaries enrolled in Mainstream Managed Care and Medicaid Advantage who would be excluded.
Remember, the specific impact could vary based on individual circumstances and the final implementation of the amendment.
what about those who get mltc through magi
Individuals who receive Managed Long-Term Care (MLTC) through a Modified Adjusted Gross Income (MAGI) eligibility group may be affected if they transition to a non-MAGI group. However, if they remain in the MAGI group, they would not be subject to the proposed *-month lookback period for asset transfers. It's essential to consult with a legal professional or a local Medicaid office for personalized advice based on specific circumstances.
im saying what if someone applies under magi group for mltc, they are never in non magi
If someone applies for Managed Long-Term Care (MLTC) while under a Modified Adjusted Gross Income (MAGI) eligibility group, and never transitions to a non-MAGI group, they would not be subject to the proposed *-month lookback period for asset transfers as per the current understanding of the amendment. However, this could change based on the final implementation of the law. It's recommended to consult a legal professional or local Medicaid office for the most accurate advice.
based on the writing of the lw can you tell me why
The Medicaid Redesign Team's Waiver Amendment involves the implementation of a *-month asset transfer lookback period specifically targeting certain non-MAGI groups categorized as Aged, Blind, or Disabled. If someone applies for Managed Long-Term Care (MLTC) under a MAGI group and never transitions to a non-MAGI group, they wouldn't be subject to this lookback period based on the current understanding of the amendment. If you need detailed advice, please consult with a legal professional or local Medicaid office.
it's actually harder for people who are disabled to get medicaid,
It seems like you're suggesting that disabled individuals may face challenges when applying for Medicaid. Could you please provide more details or specific instances where you've noticed this difficulty? This will help me understand your situation better and provide appropriate legal information.
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