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Medicaid Recertifications Return–Help is Available!

Medicaid Recertifications…

At the start of the pandemic, Congress enacted the Families First Coronavirus Response Act (FFCRA), which included a requirement that Medicaid programs keep people continuously enrolled through the end of the month in which the COVID-19 public health emergency (PHE) ends, in exchange for enhanced federal funding. The public health emergency is due to expire March 31, 2023, which is causing states to begin to look at Medicaid participants and analyze their continuing eligibility for Medicaid.

In the long-term care sector, Medicaid recertifications were commonplace before the COVID-19 pandemic. Those of us who provide assistance to seniors and their families with the Medicaid process were used to the annual process of re-certifying the participant's ongoing eligibility through a series of document disclosures provided to the local county Department of Social Services.

During the pandemic those recertifications disappeared, meaning despite increases in income and resources, Medicaid participants have been allowed to remain enrolled in the government program without verification of their ongoing eligibility.

Well, that is all about to change with the announcement that New York State is resuming Medicaid recertifications in April 2023.

What this means particularly for seniors in a nursing home or assisted living program, is that you will shortly have to provide proof that you remain eligible for Medicaid. The good news is that the resource and income allowances have increased substantially since 2020, now permitting a senior in a nursing home to retain $28,133 in resources in New York State, a figure that's nearly double the resource allowance before the pandemic struck.

The good news is that help is available. Our dedicated team of attorneys and paralegals regularly handled dozens of Medicaid recertifications for clients every year, and we remain available to help you and your family. Reach out to us today to learn how we make the Medicaid recertification process as simple and easy as possible.

Categories: COVID19, Medicaid