Appeal 1716522

Issue is whether MassHealth was correct in denying coverage prior to a date due to resource transfers. MassHealth ordered to rescind the notice and determine MassHealth eligibility without regard to the resource transfers.

Appeal 1708238

Issue is whether MassHealth was correct in determining that Appellant made disqualifying transfers during the look-back period and in calculating the period of ineligibility. MassHealth ordered to adjust the total amount of the disqualifying transfer and to redetermine the period of disqualification in accordance with the adjusted impermissible transfer figure.

Issue is whether MassHealth was correct in determining that the appellant transferred an amount for less than fair market value resulting in a MassHealth ineligibility period. Appeal denied.

Appeal is whether MassHealth was correct in determining that Appellant made disqualifying transfers during the look-back period and in calculating the period of ineligibility. MassHealth ordered to adjust the total amount of the disqualifying transfer to reflect the amount determined permissible and the amount of the partial cure. Then ordered to redetermine the period of disqualification in accordance with the adjusted impermissible transfer figure.

Appellant recently gave away or sold assets to become eligible for MassHealth long term care services creating a period of ineligibility. MassHealth ordered to reduce the disqualifying transfer amount by the remaining amount of tax liability paid by the appellant’s daughter and the tax preparation fee. The period of ineligibility is ordered to be redetermined based on the new disqualifying transfer amount.

Appellant recently gave away or sold assets to become eligible for MassHealth long term care services creating a period of ineligibility. Appeal denied.

Appellant not eligible for MassHealth because she transferred assets resulting in a penalty period. MassHealth needed to adjust the ineligibility period reducing the transfer amount and provide the appellant 30 days to cure the remaining transfer amount.

Appellant purchased an annuity that lasts beyond the appellant’s life expectancy, and therefore made a disqualifying transfer of assets resulting in a period of ineligibility. Appeal denied.

MassHealth denied appellant for MassHealth benefits because MassHealth determined that appellant transferred assets for less than fair market value and calculated a period of ineligibility. Appeal is partially approved. Decision is to adjust impermissible asset transfer amount and recalculate disqualification ineligibility period.

Appellant denied for MassHealth Standard benefits for LTC residents because MassHealth determined that the appellant transferred assets for less than fair market value resulting in a period of ineligibility. Appeal denied.