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07/01/2025- ongoing 07/01/2024 – 06/30/2025 07/01/2023– 06/30/2024 Daily rate $322.72 $306.27 $286.71 Monthly rate $9816.05 $9315.71 $8720.76
The penalty period is the number of days the client or couple is ineligible for Medicaid payment of institutional or waiver services. Waiver/institutional eligibility cannot begin until after the full penalty period has passed, which may result in eligibility beginning after the first of the benefit month. The penalty period runs continuously from the first day through the last day of the penalty period, whether or not the client remains in the nursing home or waiver program.
PENALTY START DATE: The penalty period for uncompensated asset transfers begins on the date the client: 1. Transfers the asset or applies for Medicaid (the later of), AND 2. Is determined otherwise eligible (i.e., meets all other financial and non-financial criteria, including resource limit), AND 3. Is institutionalized or meets HCSB waiver criteria.
All the above criteria (1-3) must be met before the penalty period can begin. When retroactive institutional/waiver coverage is requested, the penalty period may begin in the retro period if all the above criteria (1-3) are met. An asset transfer penalty period applied to an ongoing institutionalized/HCBS waiver client begins on the first of the month following timely notice.
MULTIPLE TRANSFERS: The total combined uncompensated value of all transferred assets is used to calculate the penalty period length when multiple assets are transferred on or after the look-back date.