What is MAGI-Based Medicaid Eligibility?
MAGI stands for Modified Adjusted Gross Income. The MAGI Medicaid program started January 1, 2014 under the Affordable Care Act (ACA). It established a uniform approach to determining a person’s household size and income for purposes of Medicaid Eligibility.
Who Can Qualify for MAGI-Based Medicaid?
MAGI-Based Eligibility applies to singles, married couples, families with children 19 and under and children up to the age of 19.
It does not apply to the elderly or people who qualify for Medicaid based on disability. The elderly and disabled fall under… Read the rest
Ohio Governor John Kasich’s 2016-2017 proposed budget calls for a number of changes to Ohio Medicaid that will effect current and future Medicaid recipients.
Good News for Ohio’s Disabled
Currently, an individual deemed disabled and granted Supplemental Security Income (SSI) by the Social Security Administration (SSA) must complete a separate application to qualify for medical coverage under Medicaid. Under the proposed plan, Ohioans who are granted SSI based on disability will automatically be enrolled in Medicaid.
No More Spend Down Program
Ohio intends to eliminate its spend-down… Read the rest
The Department of Veterans Affairs is proposing changing eligibility rules for VA Aid and Attendance Benefits. Specifically, it is proposing an asset limit, a look-back period and asset transfer penalties for applicants applying for pensions, like the Aid and Attendance benefit. Currently, there is no prohibition on transferring assets prior to applying for benefits.
The proposed rule would create a 36-month look-back period and a penalty period of up to 10 years. The penalty period would be calculated based on total assets transferring during the look-back period exceeding the new asset… Read the rest
With the decision of the First District Court of Appeals in Koenig v. Dungey, Medicaid planning attorneys and their clients were given the confidence to employ annuities in Medicaid planning for married couples.
Community Spouses and the Community Spouse Resource Allowance (CSRA)
U.S. Congress sought to protect married individuals living in the community from financial hardship caused by their spouses’ institutionalization in a nursing-care facility by allowing community spouses to maintain some assets—the Community Spouse Resource Allowance—while still permitting institutionalized… Read the rest
Not so long ago, living trusts, also commonly referred to as revocable trusts or family trusts, were used as Medicaid planning tools for married couples in Ohio. A married would put their home in a living trust prior to a Medicaid application. As the home was in a trust and not in the names of the married couple, it was considered a countable resource. As such, it would increase the Community Spouse Resource Allowance (“CSRA”) by the value of the home, thereby allowing the community spouse to spend down excess resources by transferring the home into their individual names rather than spending the… Read the rest