- 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.
Category: Taunton
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 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 1612965
Appeal 1607197
- Facility notified appellant of its intent to transfer her to a different center because she failed to pay for services rendered at the facility. Decision is to proceed with the transfer.
Appeal 1602466
- 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.
Appeal 1601439
- Appellant failed to pay his patient paid amount so was sent a Notice of Intent to Discharge of Transfer. Records conclude that he has failed to pay for his stay at the nursing facility after reasonable and appropriate notice. Appeal denied.
Appeal 1600831
- Denied initially because assets were determined to exceed the limit for MassHealth. In appeal, out-of-state real estate held in the appellant’s spouse’s name is determined to be inaccessible and non-countable at this time. Therefore, appellant is eligible for MassHealth.
Appeal 1600128
- Appellant’s PPA lowered due to a change in countable income. MassHealth’s intent to place a lien on the appellant’s property was rescinded.
Appeal 1512837
Appellant will now be given the June 4, 2015 start date she is seeking; no longer a disqualifying transfer issue; additional information received from Appellant’s side related to Appellant’s reverse mortgage.
MassHealth Appeals 