I have been on SSI and Medicaid for about 20 years. In 2024 I inherited a property with 2 houses on it in a third party special needs trust. The rental for 2024 only had income that equaled attorney fees for the trust, 2025 no income, and then in 2026 I will be getting rent paid directly into the special needs trust.

I need to know who I should seek out to find out how my trust, it's income and distributions, and Medicaid all work together and how I avoid losing my benefits (the whole point of the trust). Plus I need to know how much I should charge in rent to remain in the correct tax bracket, if there is one, while still getting the property tax break for having an affordable housing unit for low income renters.

I don't want to mess up and lose my benefits and I want to maximize the income or distributions of the trust. Like distrobutions from a SNT are taxable income to the trustee but I don't know if it's countable for SSI/Medicaid/Voc Rehab.

Anyone have an idea what kind of professional I should call? I talked to a regular tax guy who does trusts but he didn't know anything about social security, Medicaid, or Voc Rehab rules.

I’m a 26 year old and qualify base on income for expanded Medicaid. They never asked me about assets, is there a asset limit in Ohio and if so what is it? I’m not disabled and work.

What do you do if you haven't received the form? I got a text message on January 3rd saying I would receive it in the month of January and I haven't received it yet. Can I fill out a new paper application to make sure it's turned in before coverage ends?? Ends 02/28.

Hey there. Was wondering if anyone has had any experience with Badgercare and working with people on income issues? Basically, I haven't had income since 2023 and got on badgercare finally in 4/24. I got some small income coming in but genuinely forgot to add in when I panicked and withdrew my entire 401k in 1/24 to cover rent and expenses like a moron. I think that is going to put me at like 2 grand over the total for the year as a single household which is 115ish percent of the poverty level instead of 100 percent IDK how to approach this as I am not trying to commit fraud but need to figure out what to do. Any help would be greatly appreciated. Thanks.

I am in the MAWD program in PA. I typically pay my premium the day I get my ssdi payment (usually the 3rd). I got it a little early this month and tried to pay my premium today. It says I don’t owe anything right now. Is it pretty common for the website to not have updated yet for the month on the 1st?

I'm hoping someone can shed some light on my situation because I am very confused. I live in Mississippi and I was able to get on Medicaid when I was pregnant with my son. He was born on March 20, 2024. Both of us are still on Medicaid and I was under the impression that it would end when he turns one which will be in March of this year. However, I went onto the access portal to apply for CHIP for my daughter and I noticed that my Medicaid (and my son's) was up for renewal. I went ahead and did the renewal application even though I was sure I would be denied because of our household income (it's over the limit when I'm not pregnant). Well, I got a notification in the mail saying that my son and daughter do not qualify for Medicaid but do qualify for CHIP (which is great and what I was expecting). It didn't say anything about me or my application so I just assumed I was denied. But when I went back onto the access portal it says I am still eligible for Medicaid after doing my renewal and my start date is 1/1/2025 and my next renewal date is 12/01/2025.

I called my local Medicaid office and explained all of this to the lady I spoke to and she looked it up by my social. She confirmed I still have full Medicaid benefits until the new renewal date in December of this year.

I'm just confused because based on my household income, I shouldn't qualify for Medicaid now that I am no longer pregnant (based on the income limit for a family of 4 for Mississippi Medicaid). Especially since both of my kids don't qualify for Medicaid because of our income but they qualify for CHIP. Am I missing something? I'm worried that a mistake was made somewhere along the line and later they will come back and say I'll have to pay back any medical bills because I wasn't really qualified, etc.

How can I make absolutely sure I still qualify for Medicaid?

Wondering this because im currently unemployed from when I first applied and now its possible I'll only work for maybe 2 months in a full time job but im scared they'll take away my daughters Medicaid when it's time to renew in June.

Do you receive a drive back home as well? How is that organized? Do you ever get stuck with no ride home?

Hello All, Located in Michigan My MIL has dementia and will likely need to go to a home in 3-5 years she's only 61... She has 370k in 401k. My FIL has 700k from a settlement. Since she would have to spend all 370k and his 700k down to 160k per spousal povershment act before getting Medicaid and drain his money for future aid should he have my wife hold 540k for now? It will be longer than 5 years before she would qualify anyway. Just a random thought. Thanks

Hello,

When we were planning a move i originally signed up for a marketplace plan and then canceled it as soon as I found out we are no longer moving to the new state. Very last minute decision,

How do I go about cancelling the medicaid application if it was sent to them?? Help!

Judge suspends freeze of federal grants, loans and other financial assistance

Ruling comes at behest of Democratic state attorneys general

Judge says Trump does not have 'limitless power' to pause all funds

https://www.reuters.com/world/us/us-judge-blocks-trump-freezing-federal-spending-22-states-2025-01-31/

January 31, 2025 6:10 PM EST

Edit 2/2: Another Federal Judge, U.S. District Judge Loren L. AliKhan will hold a hearing at 11:00 AM on Monday February 3rd on a request for a temporary restraining order (TRO) to block the policy. This was the first judge to issue a stay.

Hello...the application for Medicaid and EBT asks for "current value of bank accounts, stocks, bonds, IRAs, CDs, etc." Do I just tell them what it is? I looked over the app and I don't see anything asking for anything other than "current value". I'm in PA. TIA!

I'm on SSDI with Medicare/Medicaid with spenddown and looking at options to know how things might work when/if I'm able to start working again. Looking to understand details for HBWD to understand better how it works.

Is there a minimum hours per week or month one needs to work to qualify?

Is there a max out of pocket w/HWBD?

How does patient responsibility work if one also has Medicare part b? Advantage plan?

Does combo HWBD+Medicare qualify one for MMAI plan or no?

Does Medicare part d determine drug cost or does HWBD? (Assuming they both would cover same drug.)

If someone's self employed, what would they need to do provide proof of payment of payroll taxes through FICA, IMRF, or the equivalent?

If you've used the program, what were the pros/cons for you?

What did you wish you knew before you started the program that you know now?

My 14 y/o needed a root canal and received root canal treatment. If you've never had a root canal - you need a crown down within a few weeks or you risk cracking the tooth and leaving a lot of damage. Our IL Medicaid (Blue Cross Community Health) has denied her for the following reason:

"The x-rays of your tooth must show there is a deep cavity in your tooth, a crack in the tooth, have had an injury to your tooth, or your tooth has been sensitive to hot and cold. This information sent by your dentist does not show that you have any of these problems. We have told your dentist to this. Please talk to your dentist. Your tooth has to have a lot of tooth missing from a cavity or have a lot of damage from being broken. The x-rays your dentist sent do not show this. The service is not medically necessary. We have told your dentist this. Also please talk to your dentist about other things you can do to help your teeth. Your teeth must have a lot of missing from a cavity or have a lot of damage from being broken and it can no longer be fixed with a filling."

Clearly her tooth has already been worked on by a endodontist during the stages of the root canal, the deep cavity and crack she had on her tooth was cleared during her root canal, the hot and cold sensitivity she had was fixed during her root canal - the problem is now she needs a crown to permanently set the root canal!! I want to bash my head in.

This is the first letter they've actually sent me where I can request an appeal, previously I only learned of th denial when taking her to the dentist. I plan on talking to the dental staff next week to see about what they can do to help us - but any advice or insight that anyone on this thread can provide would be greatly appreciated. This is not the first crown denial she has gotten, her last one (on another tooth) they kept citing that x-rays weren't properly attached or something. I feel very frustrated, and I don't feel like this is fair. It's tooth #19 if that's useful to know.

panicking if i should just apply for marketplace? if i do though would it cancel my medicaid?

i cant really afford marketplace, but i also dont want to be stick wout coverage if Trump's freeze is really happening.

i know white house said they werent going to freeze anymore but then im sseing ppl claim their benefits arent going thru now.

what to do?

edit: why is this getting downvoted?!

Hi everyone,

We applied for Medicaid for my father mid December, and it is still pending. We need to get him into a nursing home, and have the move in date set for next week. The nursing home social worker said the share of cost is $0. Do you know if anything would make that change from now until it’s approved?

Thanks!

Hey guys! I’m signing up for Medicaid in CO because I’m starting school and their health insurance option is ridiculously expensive. I’m struggling to fill out the income portion, because I am about to heavily reduce my work hours from 36 a week to 12 a month. While filling the form out I put down my last paycheck amount, which I don’t think is very representative of what it’s about to be. Is there some way I can represent this upcoming change? And is it important that I do?

I'm in Philadelphia.. I was able to access My MyCompass 1/30/25.. but today the app is leaving cryptic messages. " Oops Please try again". anyone else here in Philly experiencing this?

New York State -

My parents are very low income they have medicaid with Fidelis care they file taxes Married Joint.

Now my dad wants to file as married seperate and want me to file as HoH and claim mom as dependent.

My mom has no income. I want to claim her as dependent on my taxes. She already has Medicaid plan with Fidelis Care. Would my high income affect her eligibility for Medicaid? Would my income count towards her income?

Already called medicaid and fidelis care and no one was able to anwer 100%

I just got approved for Medicaid and my dual eligible plan starts on February 1st. I had to pay my Medicaid premiums back to December 2024. While waiting for all the information and details to come through. I had to pay a $400 deductible for one of my medicines at the beginning of the year that I just had to put on a credit card. Will Medicaid somehow reimburse me for this or deduct this from my future monthly premiums? I thought about just waiting until my Medicaid insurance plan officially started to order more medication, but I didn’t want to have a gap in my medication.

I also have some bills I haven’t paid the providers for yet so I’m wondering how that works as well.

I've been hearing conflicting answers about this, but if I had a stock at 100 and sold at 120, is that whole 120 counted as income towards the limit? Or if I had some items like games I wanted to sell would the cost basis not be considered? I'm confused as to how this is calculated especially for the SAR for SNAP as well. Counting the whole amount doesn't seem to make much sense, thank you.

My Medicaid online account sas effective 1/5/2022 - 2/5/2025. What does that mean

I have severe autism and other mental illness. I receive SSI and medicaid for the aged blind and disabled. I have a close friend I live with that does a lot of things for me, including laundry, preparing meals and many other daily tasks. Is it possible he could be paid through medicaid to be my official caregiver? I heard it was "very unlikely" in Nevada to be approved for a caregiver for mental disabilities.

Hello; I cancelled coverage and i went to look at my profile and it says I'm still covered for pregnancy medicaid and I'm not pregnant. Help!!

So i live in Florida and my grandpa who is 94 , needed my help to apply for his Medicaid, gets both social security and supplemental social security nd . He got a letter form FLORIDA DCF , this is what it said

“It is time to review your case to find out if your household is still eligible for Medicaid and/or Medically Needy. You or your authorized representative must reapply to keep getting Medicaid or stay enrolled in Medically Needy. If you have completed a review or returned an interim contact form within the last 30 days, you do not need to reapply now.”

I did an application for him back in December and I selected the option “Health Coverage (Medicaid)”. I assuming I did the right because I have never done this before ..it’s usually my dad who handles it. But then on 1/21 we got a letter in the mail saying

“Your Qualified Medicare Beneficiary Medicaid benefits for the person(s) listed below will end on January 31, 2025.

Reason: You failed to complete or follow through with your Medicaid renewal.”

Soo now I’m really confused because I submitted the application and I pretty sure I did properly . Also I don’t know anything about how Medicare and Medicaid works . This was my first time attempting …and I feel bad I think I messed it up . I’m looking online and getting more confused people say if you get SSI then you automatically qualified for Medicaid. But then why did DCF sent that notice to him ..and apparently QMB Medicaid is different ?

Also my dad was he doesn’t rember applying for Medicaid every year either . We both assumed it automatically gets renewed every year .

If anyone can help clear some confusion please!

After 3 months of waiting, I finally got an answer that I was denied full coverage because I make $1450. When I questioned it, the case worker said that Durham County has an income limit, and they also include assets. Has this happened to anybody else? I thought assets weren't counted.

I have pretty severe limitations due to chronic pain, hypermobility, fatigue, etc. and nothing else has worked. This is my first time attempting physical therapy after waiting ages. Now suddenly the clinic claims my insurance is inactive? I recently had the same issue with my pharmacy, and I had to call my insurance to resolve it after being on the phone with them for an hour. There was some wrong code input somewhere apparently. I have called my insurance multiple times today alone and they say it’s still active. I have already gone to this clinic for 3 appointments and they never said anything until now. They claim my insurance was found inactive as of 1/23/25, the day before I started going to physical therapy. I’m probably going to take a break from this for today, but is anyone else having similar issues? What should I do?

I live in Washington and have Apple Health; Wellpoint.

I currently have nursing school insurance in Michigan which is eligible per session, so like Jan-march, March-April etc.. but it is just so expensive & the cost just increases per session. I plan on cancelling the school insurance before the new session starts, and apply for Medicaid. I work part time as a medical assistant, my biweekly check is $600.

My question is, will I be approved from Medicaid? & let’s say I apply for Medicaid now while I still have school insurance will I get denied? or would I have to wait until I am completely terminated from my school insurance?

Thank you!

My father was covered by Medicaid until he died last year. At the time of his death his entire estate was a checking account with balance of about $2,100. After he died we made a donation in his name to his church, closed the account and split the proceeds among his adult children. 

Today we received a letter from the state saying that they can file claim on his estate. I tried to call the phone number for more information but all I got was recording that told me how to fill out the form. Do they really want that $2,100, and how are they going to get it? 

Currently in a situation, where my mother experienced a stroke. She has an out of state home that is making her ineligible for Medicaid. I understand there is a 5-year look back period because she will need long-term care. My question is it better to do a promissory note or a supplemental needs trust? Honestly, I am so confused on this matter.