No exceptional circumstances; testified only to normal expenses such as rent and utilities; only medical expenses were co-pays.
Category: MMMNA
Appeal 1803632
Community spouse is entitled to her actual MMMNA amount; this amount is based on basic necessities such as shelter and utilities; appellant is on fixed income and has little savings and multiple medical conditions.
Appeal 1800557
MMMNA should be increased because adjustments are needed in the calculations; no exceptional circumstances.
Appeal 1701267
- MassHealth determined that appellant is not eligible to receive MassHealth benefits due to excess countable assets. Ordered to rescind notice, re-open application, and determine the appellant’s eligibility based on the determination that the excess asset amount is now $0.
Appeal 1706559
- Issue is whether MassHealth was correct in determining that the appellant’s spouse’s assets exceed the limit for MassHealth. Other issue is whether the appellant is allowed to retain the excess assets in order to meet her MMMNA. Appeal is approved.
Appeal 1705801
- Issue is whether the community spouse is entitled to an increase in the spousal maintenance needs allowance, based on exceptional circumstances. Appeal denied.
Appeal 1702776
- MassHealth denied the appellant’s application. Ordered to re-determine eligibility based on the determination that the excess asset amount is now $0 after a shift of excess assets to the community spouse to help pay for a necessary stay in assisted living.
Appeal 1702063
- Appeal is whether the PPA should be reduced to reflect an increase in the MMMNA for the community spouse. Appeal denied.
Appeal 1700725
- Issue is whether MassHealth was correct in determining the appellant’s PPA to the nursing facility. MassHealth ordered to modify their calculations based on specific determinations.
Appeal 1700501
- Appeals calculation of the PPA. MassHealth ordered to recalculate the PPA because the community spouse needs more income to make mortgage payments.
MassHealth Appeals 