Medicaid Policy
Medicaid Policy
If the individual says he or she made the transfer for a reason other than to qualify for Medicaid, the individual must write a statement explaining the purpose of the transfer and provide supporting documentation. Do not restrict Medicaid services when you determine the transfer was exclusively for a reason other than to qualify for Medicaid. Below is a list of some examples or situations that are described by this policy.
|
Reasons that the transfer may have been for a purpose other than to qualify for Medicaid |
Examples of documents |
|
Something unexpected caused the individual to need institutional care after the transfer. Growing old is not an unexpected cause. (This is not an all-inclusive list) |
Report of a disabling accident, medical records proving the individual had a sudden illness (This is not an all-inclusive list. Other documents not listed may establish the reason for the transfer.) |
|
The individual learned that he or she had a disabling condition after the transfer |
Medical records |
|
Court ordered transfer, divorce |
Court order, divorce decree |
|
The assets were transferred to a religious order by a member of that order in accordance with a vow of poverty |
A written statement from an authority of that religious order that the assets were transferred to the order because of a vow of poverty |
|
The individual planned to provide for himself |
A written statement that the individual retained adequate assets, after the transfer occurred, to provide for him/herself. Request bank statements, property records to support the client’s statement.
|
|
The individual unexpectedly lost other assets after the transfer. |
Public records of disasters, stock market loses, theft, bankruptcy |
|
Regularly gives donations to a charitable organization (examples – tithing to a church, Boy Scouts of America, Red Cross) |
Bank statements (showing a pattern), written statement from the organization. Clearly document the pattern in the case record. |