I hope this helps!
However, the calculation of income is done differently for couples in which only one spouse is applying for regular Medicaid. Some examples of exempt assets are one home that you live in, household and personal items, and one vehicle. They often have patient advocates who can help answer questions about Medicaid. This is not a statewide program. MDHHS also uses MAGI when determining eligibility for certain TM categories. The measure passed the House in June (again, almost entirely along party lines — one Republican joined Democrats in voting against it, while the other 61 Republicans all voted in favor of imposing a work requirement for Medicaid). However, if the couple has more limited assets, the non-applicant spouse is able to keep 100% of the couple’s assets, up to $25,728. 1) Medically Needy Pathway – The Medically Needy Pathway provides a means for persons who have income over Medicaid’s income limit to still qualify for services if they have high medical expenses respective to their income level. If you drop Part B without having creditable coverage or qualify for a Special Election Period, you’ll be penalized 10% of the monthly premium per 12 months you went without coverage. Home Help Program – this is the formal name for a benefit under the state’s regular Medicaid program. When determining eligibility for certain Medicaid programs, MDHHS will look at your household’s size and its Modified Adjusted Gross Income (MAGI). Sign up for the program began April 1, 2014 (a few months after many other states, where Medicaid expansion took effect at the start of 2014), and enrollment in expanded Medicaid stood at nearly 652,000 people at the start of 2020. The term countable resources mean any money in bank accounts (checking or savings), stocks, and bonds. In order to be eligible for the MI Choice Waiver, an individual must be a Michigan resident at least 65 years old (or 18-64 and disabled), qualify for a nursing home level of care, and require two services provided by this waiver on a monthly basis. 0000054873 00000 n
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I have no cause to doubt the efficiency of my local office. If one has income and / or assets over the limit(s), or are unclear as to whether the requirements are met, Medicaid planning becomes crucial. IMPORTANT, not meeting all the criteria below does not mean one is not eligible or cannot become eligible for Medical Assistance in Michigan. ������ �`�� However, there is a way in which one can “spend down” excess assets in order to meet the asset limit for Medicaid eligibility; Spend excess assets on non-countable assets.
MDHHS uses a “look back period” to examine transfers. Which is correct?
When only one spouse of a couple is applying for the waiver, only the monthly income of the applicant is considered. %PDF-1.4
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Use the locator tool to find a FQHC near you.
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By using our website, you agree to our terms of use and privacy policy. You can also call 1-800-MEDICARE to ask about financial assistance with your Medicare premiums. 0000003601 00000 n
As of April 2018, some Healthy Michigan enrollees were transitioned to private plans (MI Marketplace Option).
Michigan Choice Elderly and Disabled Waiver. The IRS forms for self-employed people often show a big difference between the gross income (total amount made) and net income (amount after expenses are deducted). This is known as the Medicaid deductible, or spend-down.
Nursing home care is an entitlement covered by the Michigan Medicaid / Medical Assistance program. 0000001550 00000 n
Most other types of TM have asset limits. Apply online using MI Bridges.
Determining the penalty period can be complex. Your monthly income must also be below the limits listed in the following chart.
This rule, known as a spousal impoverishment rule, allows the Medicaid applicant to transfer income to the non-applicant spouse to ensure he or she has sufficient funds with which to live. Examples include employment wages, alimony payments, pension payments, Social Security Disability Income, Social Security Income, IRA withdrawals, and stock dividends. Snyder had support from numerous health care and advocacy groups, but was opposed by some Republicans in the state legislature.
MI Health Link – a managed care program for persons who are dually eligible for Medicaid and Medicare, a variety of supportive services are available to promote independent living.
Primary vehicles, burial plots, and irrevocable funeral trusts are also exempt. Michigan’s plan was to have individuals at that point either switch to a QHP through the exchange (subsidized with Medicaid funds), or remain in the Healthy Michigan Plan but with cost-sharing of up to 7 percent of income (with an opportunity to reduce the cost-sharing by participating in various healthy behaviors). endstream
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To be eligible for either HMP or TM, you must meet certain income limits, asset limits, or both.
She has written dozens of opinions and educational pieces about the Affordable Care Act for healthinsurance.org.
Get help with your application by calling the application help line at 1-855-276-4627. 30H30n�Ռϙ�3v0�e�dRc�g6d�e�a2`�g�cge�fp��f����䨪��'�*�{4��1~�誇�����H�30(��L,�@�����,��� � ��
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In a letter to lawmakers, Whitmer called Michigan’s work requirement “the most onerous in the nation” and reiterated her concerns about the coverage losses that were likely to result once the program is implemented. Compare rates side by side with plans & carriers available in your area. Elderly residents of Michigan should contact their Michigan Department of Health & Human Services county office. But enrollment climbed significantly in 2020, likely due in large part to the COVID-19 pandemic and the resulting job/income losses. As Michigan Senate Minority Leader, Jim Ananich (D, Flint) has said, if the goal were to boost employment, “we’d put money toward daycare, we’d put money toward transportation, we’d make sure the talent programs we’re talking about funding were already in place.” But instead, the goal was a reduction in the number of people covered by Medicaid expansion, and a work requirement is an effective way to do that. Some examples of charges that count towards your deductible are: You will need to show proof of your medical bills to MDHHS.