Appellant’s health improved significantly such that she did not need the facility services; facility provided proper notification of intent to discharge.
Category: Tewksbury
Appeal 1800544
Facility notified appellant of debt owed; facility provided reasonable and appropriate notice of the debt owed; appellant failed to pay; physician confirmed that 24-hour care by a home health agency will meet appellant’s needs.
Appeal 1709521
Appellant properly assigned rights to support from his community spouse to MassHealth; obligation to provide asset verification was alleviated; MassHealth ordered to continue processing appellant’s application, seeking no further verifications from his ex-wife.
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 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.
Appeal 1705944
- Issue is whether MassHealth was correct in determining the appellant’s MassHealth benefits start date. Appeal approved to change the appellant’s start date.
Appeal 1705424
- Issue is whether MassHealth was correct in denying the appellant’s application for failure to provide information necessary to complete the application. The appeal is approved in part to ensure the appellant receives proper notice of the items that remain outstanding as several are either new or not clearly defined in the initial request.
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 1604297
- 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.
Appeal 1603358
- 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.
MassHealth Appeals 