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This may be a stupid question but alot of posters talk about lookback. I understand the 5 year gifting. Once a person is accepted by Medicaid, what are the checks and balances in place to insure spend down is for proper expenses? For example, cash value of a whole life policy would disqualify a person for assistance so they take out the cash value for eligible expenses. Besides their word on the application, how is it actually verified?

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tacy, banks probably won't give you the cancelled checks, but they will provide the check images for a fee. Five YEARS of them can be a pretty thick file.
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Bank statements to start with. Sometimes credit card statements if you used credit cards and paid them off with bank checks. With large cash withdrawals or surrender of policy, receipts of purchase with detailed description to match with expenses. Cancelled checks - if they are to family members, better have detailed receipts of purchases for care items.
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When you say records, do you mean statements or the actual cancelled checks?
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My husband had to get five years of records from the bank. Banks are actually pretty good about this. Now if mom had an account you don't know about, or savings bonds tucked away, don't worry the Feds will discover them.
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Bank records. Lots of them. All of them. They want tax returns, property deeds, vehicle titles, Insurance policies, all you have.
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