The actual interview to file an application can take up to two hours. The Social Welfare Examiner has 45 days to make a decision on your application. It can take more time depending on the amount of information you provided and how soon you were able to provide it. It's always best to provide as much information as possible at the interview.
CASA stands for Community Alternative Systems Agency and is a department in the Department of Health & Human Services. It is staffed by registered nurses that can assess you or your family member and determine what level of care is best for you and if Medicaid can pay that level of care. A Social Welfare Examiner in the Medicaid Department determines your eligibility for Medicaid.
Medicaid can pay for hospital care, doctor, dentist, and prescription costs. It may also pay for health care aides in your home and nursing home costs. Medicaid can cover bills retroactive for the three months prior to your application if you were eligible in those months. In order for Medicaid to pay on any bills, your doctor or hospital must be an enrolled Medicaid provider. You should check with your doctor to see if he/she is a Medicaid provider.
You are given a period of time to gather any information needed after the interview is completed, usually two weeks. You can request an extension of time if you find you need it. In order for the examiner to be able to make an eligibility decision on your application as soon as possible, please try to bring as much information as possible to the interview.
Yes. You should complete and sign the application yourself, if you are able, but you can have someone represent you at the interview. Office for the aging may provide this service for this over 65. If you have named someone as your Power of Attorney, they should represent you.
You can request a copy of Documentation needed for an Interview for a complete listing. You should keep 3 years of records for all banks and financial institution accounts that you have including IRA'a, annuities, trusts, etc. Monthly statements are required for each account owned, whether still open or closed during the 36 month review period (question #9). Requesting
replacements of statements can be costly as banks have a fee for that service. If the application is not for nursing home level of care, only the current month's statement is needed for all resources.
NYS Medicaid regulations state that any application for Medicaid for nursing home level of care requires a review of income and resources of the applicant ( and their spouse) for the 36 months (3 years) prior to the application. For example, if an application is made in February 2002, the resource review starts February 1, 1999 and all resources owned beginning from that date and during the next 3 years are examined and reviewed.
In question #3 income levels were shown. If a households income is higher than the allowed level shown, they can "spend down" their income each month to the allowed level with a medical expense and Medicaid can pay remaining outstanding medical bills in that month. For example, if a single person has Social Security income of $700 per month, they would need to "spend down" $75 each month to be eligible for Medicaid that month.
If you have given away resources for less than fair market value and you make an application for nursing home care within 36 months of that transfer, it could affect your eligibility for certain types of care that medical assistance may cover. Please ask for Informational Notice transfers of Assets for more information. You may wish to contact an attorney for additional information concerning transfers of assets.
Your regular paycheck, Social Security, Pension, Veteran's benefits, interest income are considered income. You continue to receive you income. The Department does not take you income but may consider it available to meet the cost of you medical care.