- Issue is whether the community spouse is entitled to an increase in the spousal maintenance needs allowance, based on exceptional circumstances. Appeal denied.
Category: At Issue in Fair Hearing
Appeal 1703276
Fair Hearing Decisions 1703276
- Issue is whether MassHealth was correct in determining that Appellant’s assets exceed MassHealth’s limits. Appeal denied.
Appeal 1702226
- 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.
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 1700439
- 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.
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.
Appeal 1700338
- Appellant recently gave away or sold assets to become eligible for MassHealth long term care services creating a period of ineligibility. Appeal denied.
Appeal 1700155
- 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.
MassHealth Appeals 