Which factors do states review to determine Medicaid eligibility?

Prepare for the South Carolina Long-Term Care test. Utilize flashcards and multiple choice questions, each with hints and explanations. Ensure you're ready for your exam!

The correct choice highlights the essential components that states evaluate when determining Medicaid eligibility. Specifically, states examine an individual’s assets to ensure that they do not exceed the allowed limits established for Medicaid. This is often referred to as the asset test, where calculating the value of an individual’s items of worth is crucial.

Income evaluation is the second critical factor; states review the applicant's income to determine if it falls within the established guidelines for Medicaid eligibility. Generally, income limits coincide with the federal poverty level, and states may use these criteria to assess whether a person qualifies for assistance.

Additionally, the treatment of transfers of assets is significant in this process. Medicaid has rules concerning the transfer of assets to prevent individuals from gifting away assets to qualify for benefits. States review any recent transfers of assets to ensure that applicants have not improperly reduced their asset levels to gain Medicaid eligibility, known as "look-back" periods.

The other factors mentioned in different choices, such as criminal records, residency status, medical history, and family circumstances, play roles in some aspects of eligibility or case considerations but are not the primary factors that states focus on when specifically determining eligibility for Medicaid.

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