Main Phone
847-367-4460
(Medicaid Practice Systems, LLC 2006)
CS = Community
Spouse:
The Spouse of an institutionalized individual and who does not reside in
an institution.
IS =
Institutionalized Spouse:
The spouse that resides in an institution and is receiving chronic care
(not custodial).
MA =
Medicaid Applicant:
Individual applying for Medicaid.
MR =
Medicaid Recipient:
Individual qualified for and who is receiving Medicaid benefits.
Individual Resource Allowance:
The amount of resources (assets) the Medicaid Applicant can retain and
still be eligible for Medicaid benefits.
CSRA = Community
Spouse Resource Allowance:
Minimum and Maximum amount of resources (assets) the community spouse is
entitled to retain and have the institutionalized spouse be eligible for
Medicaid benefits.
MMMNA = Minimum Monthly Maintenance Needs Allowance (“Triple M N A”):
The minimum amount of income per month a “Community Spouse” is entitled
to retain prior to being required to contribute toward the
“institutional spouse’s” cost of care.
Lookback Date:
The first day of the month in which a MA resides in a health care
facility and applies for Medicaid benefits. (Can apply for benefits
retroactively 3 months.)
Lookback Period:
The period of time Medicaid will look at all financial records of a MA.
The Look Back Period begins on the Look Back Date.
Spend Down:
The method or process of transferring (or spending) MA’s income or
assets to get applicant and/or community spouse to Medicaid qualifying
levels.
Compensated
Transfer:
A transfer or spending of MA or CS income or assets and MA receives
something of equal value in return.
Uncompensated
Transfer:
A transfer or spending of MA or CS income or assets and MA receives no
value, or less than the value transferred in return.
Penalty Period:
The number of months an MA is ineligible for Medicaid benefits because
of an uncompensated transfer.
Frequently Asked Questions about
Nursing Homes & Long Term Care
Medicaid is a welfare benefit program
that pays for basic medical care including custodial long term care.
Medicaid imposes asset and income limitations as a prerequisite of
eligibility.
Medicaid is the only Government program that pays for custodial long
term care.
Not to be confused with Medicare, which
- pays medical care costs
and pays for “rehabilitative” institutionalized care on a limited basis.
- requires earned income
history
- pays up to 100 days if
hospitalization
700 Florsheim Drive, Suite 11
Libertyville, IL 60048
Phone (847)367-4460
FAX (847)367-0090
©2007 Estate & Business Law Group, P.C.