Five year rule for Medicaid is often misunderstood
Q: My husband has been housebound for several years. My own health is poor now, and I can no longer properly care for him at home. I am looking at long-term care nursing facilities for him. At one facility, a staff member said that because we gave my daughter
A: There is no reason to panic. The "five" refers to the length of the look-back period. The look-back is designed to discourage people from giving away assets just to become Medicaid eligible. The way it was explained to you is not accurate.
When your husband applies for benefits, Medicaid will examine all transfers for less than fair market value that you and/or your husband made in the five years preceding application. The sum is then divided by a "penalty divisor," (basically an estimate of the monthly cost of nursing home care).
Assuming you have made no other gifts during the look- back period, Medicaid will divide
It would be wise for you to begin gathering together all the documentation needed for your husband's application, to prevent greater delays. Our website has a list of what is needed to apply for Florida Medicaid.
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