Legal Updates/Change in Medicaid Transfer Rules
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LEGAL UPDATE
Change in Medicaid Transfer Rules

Preparing in advance for long-term care is important. Many people must utilize Mass Health in order to pay for long-term care. In order to determine an individual's eligibility for MassHealth benefits, the Division of Medical Assistance (DMA) examines an applicant's or couple's income and assets. Assets are such things as real estate, vehicles, personal property, stocks, bonds, bank accounts, annuities and trusts. The DMA also looks at transfers of assets made during a certain period before the application was submitted. This period is called the "look-back" period; the "look-back" period is currently three (3) or (5) years depending on how the asset is transferred. If an asset is transferred for less than fair market value to a person who doesn't qualify under any exception, the MassHealth applicant may be disqualified from coverage for a period of time.

Congress recently passed a law, which changes the look-back period to five (5) years for all transfers of assets. Additionally, Congress also changed the start of the penalty period to begin on the date when the individual would qualify for MassHealth long-term care coverage if not for the disqualifying transfer. It does not appear that Massachusetts must enact new legislation to implement these new rules. As a result, emergency regulations will likely be promulgated to enact these changes in Massachusetts in the very near future.

The information in this Legal Update is of a general nature and does not constitute legal advice. Your situation may have special circumstances or facts not discussed in this Legal Update. If you have questions about your eligibility for MassHealth benefits, you may wish to contact the Seniors Law Project at (508) 586-2110 or (800) 244-8393. We will arrange for a private and confidential appointment to discuss the problem. The Seniors Law Project provides free representation or advice for certain types of legal problems to people at least 60 years of age who live in our service area.

The printing and/or distribution of the Legal Update is made possible by grants from the Massachusetts Executive Office of Elder Affairs and Old Colony Planning Council and from the Massachusetts Bar Foundation.