[{"@context":"https:\/\/schema.org\/","@type":"BlogPosting","@id":"https:\/\/www.amorusolaw.com\/blog\/what-is-the-medicaid-look-back-period\/#BlogPosting","mainEntityOfPage":"https:\/\/www.amorusolaw.com\/blog\/what-is-the-medicaid-look-back-period\/","headline":"What is the Medicaid Look-Back Period?","name":"What is the Medicaid Look-Back Period?","description":"Medicaid can pay for the long-term institutional care of individuals who meet certain income and asset requirements. However, if the applicant\u2019s assets and income exceed these limits, he or she may not qualify for Medicaid assistance until the limits are met. Given the high cost of long-term care, people sometimes try to give away their […]","datePublished":"2021-07-14","dateModified":"2023-07-24","author":{"@type":"Person","@id":"https:\/\/www.amorusolaw.com\/blog\/author\/amorusolaw\/#Person","name":"Amoruso & Amoruso LLP","url":"https:\/\/www.amorusolaw.com\/blog\/author\/amorusolaw\/","identifier":5,"image":{"@type":"ImageObject","@id":"https:\/\/secure.gravatar.com\/avatar\/12de032c04195e9c39a06a6d6eea182f7b4fa655c20e245f8094a244b5cdd0cb?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/12de032c04195e9c39a06a6d6eea182f7b4fa655c20e245f8094a244b5cdd0cb?s=96&d=mm&r=g","height":96,"width":96}},"publisher":{"@type":"Organization","name":"Amoruso & Amoruso LLP","logo":{"@type":"ImageObject","@id":"https:\/\/www.amorusolaw.com\/wp-content\/uploads\/2023\/07\/amoruso-logo.svg","url":"https:\/\/www.amorusolaw.com\/wp-content\/uploads\/2023\/07\/amoruso-logo.svg","width":0,"height":0}},"image":{"@type":"ImageObject","@id":"https:\/\/www.amorusolaw.com\/wp-content\/uploads\/2023\/07\/what-is-the-medicaid-look-back-period.jpg","url":"https:\/\/www.amorusolaw.com\/wp-content\/uploads\/2023\/07\/what-is-the-medicaid-look-back-period.jpg","height":483,"width":724},"url":"https:\/\/www.amorusolaw.com\/blog\/what-is-the-medicaid-look-back-period\/","about":["Elder Law"],"wordCount":460,"articleBody":"Medicaid can pay for the long-term institutional care of individuals who meet certain income and asset requirements. However, if the applicant\u2019s assets and income exceed these limits, he or she may not qualify for Medicaid assistance until the limits are met. Given the high cost of long-term care, people sometimes try to give away their assets before applying for Medicaid in order to become eligible. Of course, state Medicaid agencies want to prevent this, so they require the applicant to disclose all financial transactions made in the last five years. (California is an exception and only requires disclosure of financial transactions made in the last 30 months.)This five-year period is known as the \u201clook-back period.\u201d In essence, state Medicaid agencies are \u201clooking back\u201d for assets transferred at less than fair market value. If the state Medicaid agency determines that such a transfer was made, it will impose a \u201cpenalty period.\u201d And what is the penalty? It is a period of time during which the applicant will be deemed ineligible for Medicaid. The penalty period is calculated by dividing the amount the applicant has transferred by the state\u2019s average cost for private pay institutional care.Any asset transfer can be scrutinized, regardless of size. Exceptions are not made for gifts to children or grandchildren, charitable donations, or other transfers that seem like \u201cno big deal.\u201d Similarly, informal payments to caregivers or loans to family members can raise red flags. In short, the applicant is considered guilty until proven innocent. The burden of proof lies with the applicant.It is worth noting that transferring assets to certain recipients will not trigger a penalty period. These recipients include a spouse (or a transfer to someone else if it is for the benefit of the spouse); a trust for the sole benefit of a disabled or blind child; and a trust for the sole benefit of a disabled individual under age 65. The applicant\u2019s home can also be transferred to these recipients without penalty, as well as to all of the following individuals:A child under the age of 21A blind or disabled childA \u201ccaretaker child\u201d who resided in the home for two years or more before the applicant required institutional care, and whose care permitted the applicant to delay his or her move to a long-term care facilityA sibling who lived in the home during the year preceding the applicant\u2019s move to the institution and who has equity in the propertyWith proper planning it is possible to protect your assets against the transfer penalty. Even if you have already made asset transfers in the last five years and will be applying for Medicaid soon, we may still be able to protect a portion of your life savings."},{"@context":"https:\/\/schema.org\/","@type":"BreadcrumbList","itemListElement":[{"@type":"ListItem","position":1,"name":"Blog","item":"https:\/\/www.amorusolaw.com\/blog\/#breadcrumbitem"},{"@type":"ListItem","position":2,"name":"What is the Medicaid Look-Back Period?","item":"https:\/\/www.amorusolaw.com\/blog\/what-is-the-medicaid-look-back-period\/#breadcrumbitem"}]}]