This month, the Marion County Superior Court issued an important ruling affecting residents of skilled nursing facilities in the state of Indiana, specifically residents applying for Medicaid who have uncooperative spouse residing in the community (aka community spouses). When determining Medicaid eligibility for married residents, the Indiana Family and Social Services Administration (“FSSA”) requests the financial records of both the […]
Effective April 1, 2023, states have begun the redetermination process for Medicaid. Although each state has determined its own timeline for beginning this process, redeterminations must be complete by May 31, 2024. How will the Medicaid Redetermination Process work? States have four general options in terms of how they handle the redetermination process: Population-based: Under […]
As a result of the COVID pandemic and Public Health Emergency (“PHE”), Congress enacted legislation requiring states claiming an increase in the Federal Medical Assistance Percentage (“FMAP”) to implement continuous enrollment. States claiming the temporary 6.2 percentage point increase in the FMAP have not been permitted to terminate enrollment for most individuals enrolled in Medicaid […]
Early last month, Partner Erin Saylor, and Senior Associate Katie Van Lake, presented at the The Illinois Nursing Home Administrators Association (INHAA). Their presentation, “AR Solutions for a Post-COVID World,” is now available as a recording courtesy of INHAA.
We have some great news for California Long-Term Care Facilities: California is phasing out the asset test to qualify for Medi-Cal benefits! The final 2021-2022 state budget provides that, as of July 1, 2022, the asset limit for Medi-Cal will be $130,000 for an individual and $65,000 for each additional household member, up to a […]