Long Island Medicaid planning attorney Seth Schlessel (https://www.schlessellaw.com/how-to-apply-for-medicaid-on-long-island/), of Schlessel Law PLLC, recently shared vital information to help Long Island residents manage the complex aspects of applying for Medicaid and protecting their assets. Medicaid provides critical healthcare coverage for individuals and families with limited income, but its strict requirements often make the process overwhelming.
Medicaid plays a crucial role in covering healthcare expenses, including nursing home care and personal care services, for those who meet specific income and asset criteria. According to Seth Schlessel, many applicants struggle with the program's strict requirements, but working with a Long Island Medicaid planning attorney can make a significant difference. “Proper planning allows individuals to qualify for Medicaid while retaining assets and minimizing the impact of estate recovery programs on their beneficiaries,” Schlessel explains.
To qualify for Medicaid in New York, applicants must pass a means test, which evaluates their household income against state-determined thresholds. In 2024, these limits range from $1,732 per month for single individuals to $2,351 for married couples applying jointly. Additionally, applicants must navigate a five-year look-back period for asset transfers, a process that a Long Island Medicaid planning attorney such as Seth Schlessel can help simplify.
Medicaid planning involves strategies such as spending down assets or creating trusts to meet financial eligibility criteria while preserving family wealth. “Planning ahead is crucial,” says Schlessel. “A delay in addressing eligibility requirements can lead to missed benefits and financial strain during critical times.”
New York’s Medicaid program provides various services, including community Medicaid for basic healthcare needs, long-term care under Medicaid with extended services such as rehabilitation and housekeeping, and nursing home Medicaid for dedicated facility care. Eligibility extends to U.S. nationals, citizens, green card holders, and legal residents who meet specific criteria, such as being under 21, over 65, or having a disability.
Despite these options, the process can be daunting. Seth Schlessel emphasizes the importance of proper documentation and planning to facilitate smooth applications. “Timely submissions and accurate paperwork are essential for approval,” Schlessel notes. Applications typically take 45 to 90 days to process, with delays caused by missing documents or errors.
Denials are common in Medicaid applications due to incomplete forms, missing information, or exceeding financial limits. Seth Schlessel advises applicants to work closely with their caseworkers to address these issues promptly. Financial hurdles, such as surpassing income limits, can often be overcome by using strategies such as the Medicaid Excess Income Program or Qualified Income Trusts.
“If an application is denied, it’s critical to act quickly,” Schlessel states. “Requesting a fair hearing and presenting well-organized documentation can increase the likelihood of approval.” Schlessel also highlights the need for detailed medical records to establish eligibility when medical needs are questioned.
Certain assets, including a primary residence valued below $955,000, one vehicle, and personal items such as jewelry and clothing, are exempt from Medicaid’s look-back period. Burial allowances and retirement accounts in payout status also qualify. A Medicaid planning attorney can help determine eligibility for these exemptions and explore other options to protect assets.
For families who fail to meet income limits, spending down assets by paying for medical bills, mortgages, or other allowable expenses is a viable strategy. Medicaid planning, which incorporates estate planning tools, is another approach to preserve wealth while helping ensure eligibility.
Applying for Medicaid requires a thorough understanding of income limits, asset exemptions, and the look-back period. Seth Schlessel urges families to plan well in advance to avoid complications. “Taking early action can allow individuals to protect their assets and secure the care they need without unnecessary delays or financial hardships,” Schlessel says.
About Schlessel Law PLLC:
Schlessel Law PLLC, led by Seth Schlessel, focuses on Medicaid planning, estate planning, and elder law. Located on Long Island, New York, the firm can assist families in protecting their assets, planning for long-term care, and managing complex legal processes. Seth Schlessel’s dedication to his clients helps ensure personalized solutions and compassionate legal representation.
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