Depends on how much Medicaid has spent on her over the 7 years. I think they will look to recoup any money they have put out and then if there is more left than the minimum she will probably loose it until she meets the requirements again, if she does. Presumably she is on Medicare in which case we are only talking about the care Medicaid has picked up after Medicare has paid there portion. But is sounds like she may not qualify again if she inherited that large a sum plus the annuity is paying out enough to give her a decent monthly income. Rules are also a little different state to state so you really need to consult her state rules to know for sure. If she inherited a year ago I'm a little surprised it hasn't caught up with yet and she's still on Medicaid, has it not transferred to her yet/the estate not settled yet?
Where does the half-sister live? At home, getting at-home/waiver Medicaid, or in AL or in NH?
Yes, as everyone else so far has said, sounds like she has definitely exceeded the "asset eligibility" level, no matter where she is living, and, also sounds like the reporting of the receiving of the inheritance (and annuity) is very late.....if it was received "last year."
But, if she now has a windfall, so to speak, and she cannot utilize Medicaid for some period of time (they do have a mathematical formula), so has to private pay, maybe she can use that windfall to get a higher level of care -- wherever she lives --- or move to a better place? One that will accept Medicaid once that kicks back in.
Oh: I should say that I've not heard about a retroactive recovery, so that Medicaid would go back 7 years to recoup. Only know about prospective "sorry, you don't qualify anymore" so you have to private pay until you can pass the asset test again.
Medicare plus a supplemental policy may be needed.
On Medicaid, one is required to report changes, I believe within 10 days. Not sure.
Yes, as everyone else so far has said, sounds like she has definitely exceeded the "asset eligibility" level, no matter where she is living, and, also sounds like the reporting of the receiving of the inheritance (and annuity) is very late.....if it was received "last year."
But, if she now has a windfall, so to speak, and she cannot utilize Medicaid for some period of time (they do have a mathematical formula), so has to private pay, maybe she can use that windfall to get a higher level of care -- wherever she lives --- or move to a better place? One that will accept Medicaid once that kicks back in.
Oh: I should say that I've not heard about a retroactive recovery, so that Medicaid would go back 7 years to recoup. Only know about prospective "sorry, you don't qualify anymore" so you have to private pay until you can pass the asset test again.