About half of the 209(b) states use the federal SSI resource limit as the asset limit for Medicaid, and half use a lower limit (and two actually use a higher limit). Also, states are prohibited by federal law from having a length of residency requirement. Please bear in mind, there are many different Medicaid coverage groups. Much to the surprise and dismay of many, Medicaid coverage and benefits cannot be simply switched from one state to another. In some instances a person might be eligible for Medicaid in one state and not in another. Depending on the state in which you reside and its procedure to transfer Medicaid cases, this entails contacting either the local Medicaid office in your original county or in the new county. 2 Answers. 1) Research both the old state’s and the new state’s Medicaid level of care requirements. The US federal government establishes parameters for the Medicaid program. Medicaid eligibility depends on your income, your assets, and the level of care you need. Medicaid eligibility depends on your income, your assets, and the level of care you need. Assets That Can Be Transferred Without Penalty. If there is no comparative waiver or the wait time is extensive, one may have to apply for state Medicaid benefits and reside in a nursing home facility until waiver services become available. While Medicaid is often thought of as a federal program, each state is given the flexibility to set their own eligibility requirements. Page Reviewed / Updated - August 28, 2020. Those currently receiving services from a Medicaid waiver must proceed with caution. Spend-Down Ability For example, some states do not have assisted living waivers and some states do not have adult foster care. On average, it takes 15 to 90 days for Medicaid eligibility approval. In addition, an individual cannot receive Medicaid benefits simultaneously in two states. Do this prior to canceling one’s Medicaid benefits in one’s current state of residence. Answer Save. As mentioned above, an individual must reapply for Medicaid benefits in the new state into which they are moving. A professional Medicaid planner can assist in gathering information, restructuring finances (if necessary), and preparing application paperwork for the new state. This site is for information purposes; it is not a substitute for professional legal advice. Once the allotted slots have been filled, there will be a wait list. If one is not functionally eligible in the new state, one may want to reconsider the move or consider relocating to a state with less strict functional requirements. For instance, some states have assisted living waivers, while others do not. Nor is the way a state determines one’s level of care need consistent. Because each state has its own Medicaid eligibility requirements, there is no option that allows you to switch Medicaid coverage from one state to another. Aside from states having different financial requirements for Medicaid, they may also have different “level of care” requirements. This means one can be eligible immediately upon moving to their new state (or becoming a resident of the new state). If an elderly individual moves to a state that has a higher level of care requirement than the state in which they were residing, they may no longer be functionally eligible for Medicaid. Note also that just because both states say applicants “must require nursing home level care” does not mean that both states have the same definition of what “nursing home level care” means. Therefore, it is crucial one research if retroactive coverage exists (and for which coverage groups) in the state in which one wishes to relocate. If you work for a large employer that has business locations throughout the country, you may find that your coverage remains unchanged with your move. Also, the new state cannot open Medicaid for you until the old case is closed, which However, retroactive coverage exists in the majority of the states. An agent will be able to provide you with important documentation, such as a WIC transfer form, and instructions on how to complete a transfer. You can also close your current … 3) Work with a Medicaid planning professional to ensure the applicant is eligible in the new state and prepare all the necessary paperwork for application before moving. Once you know for certain you will be moving to another state, get information about that state's Medicaid program so you can reapply. However, if one does move to a state that is more financially restrictive, it may be necessary to restructure one’s finances to become income and / or asset eligible. A very simplified example might be that one state requires an applicant to need assistance with two activities of daily living, while another state requires assistance with three activities of daily living. While it can be challenging to relocate from one state to another and get Medicaid coverage in the new state, it can be done. Fortunately, there is retroactive Medicaid coverage available. Unfortunately, waiver eligibility does not transfer from state to state. MedicaidPlanningAssistance.org is a free service provided by the American Council on Aging, What about Home and Community Based Services Waivers, What is the Medicaid Estate Recovery Program, state by state Medicaid financial eligibility criteria here. Unlike state Medicaid plans, Medicaid waivers are not entitlement programs. Contact your state's health and human services department to find out your state's Medicaid income limit. 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