5720.1 Services Impacted by Transfer of Property

Transfer of property provisions only impact long term care payment requests. Transfers do not impact eligibility for regular medical assistance under any eligibility group, such as the Medicare Savings Programs or Medically Needy. Eligibility under these, and other medical programs, must be determined for persons impacted by the LTC transfer of property provisions.

The following services are impacted by transfer of property provisions:

Nursing Facility or Nursing Facility for Mental Health.

Head Injury- Rehabilitation Facility.

Swing Bed Hospital.

ICF-I/DD.

Psychiatric Residential Treatment Facility (PRTF) or Level VI Facility.

HCBS.

PACE.

Transfers do not impact eligibility or coverage for other services, such as general hospital or hospice. When a transfer of property has been determined to be uncompensated and non-exempt, the individual is disqualified from receiving LTC payments for a specified period of time. The disqualification period is called a penalty period. During the penalty period an individual is not eligible for Medicaid payment of these services.

Transfers impact LTC payment under any program, including SI, Medically Needy, Caretaker Medical, or Presumptive Medical - Tier 1.