New State Medicaid Director Letter on Expanded Medicaid

CMS has released a new State Medicaid Director Letter regarding Application of Liens, Adjustments and Recoveries, Transfer-of-Asset Rules, and Post-Eligibility Income Rules to MAGI Individuals. Released February 21, 2014, SMDL #14-001, ACA #29, the letter is divided into two parts: “Liens, Adjustments and Recoveries, and Transfers of Assets” and “Post-Eligibility Treatment of Income.” The letter: 

provides guidance to states on how the long-term services and supports-related rules, including the estate recovery rules … and federal regulations … apply to individuals who are eligible for Medicaid under Modified Adjusted Gross Income (MAGI) eligibility rules (“MAGI individuals”) and receive coverage for long-term services and supports (LTSS).

This letter is worth reading.