2019 Medicaid Retroactive Eligibility  

2019 Medicaid Retroactive Eligibility will be changing beginning February 2019. As an advocate in the community, Elder Law P.A. aims to keep you informed as to any new laws or guidelines that may affect you.

Florida’s Medicaid programs through the Department of Children and Families (DCF) will implement a new rule regarding retroactive benefits. Effective February 1, 2019, any applications received on or after this date, will not be eligible for retroactive coverage.

In the past, when applying for Medicaid, applicants that are approved for Medicaid were eligible for coverage up to three months prior to the month of application.

The Centers for Medicare and Medicaid Services approved the change on November 30, 2018 to be effective February 1, 2019.  This new rule will not affect Medicaid benefits for current recipients. This new rule applies to all Medicaid applicants, with the exception of pregnant women and children under 21. A change will be made to the online application to request retroactive benefits to only include children and pregnant women.

Non-pregnant adults will be covered from the first day of the month when the application is filed. For example, an application submitted on February 25th, would have benefits approved to retroactively begin on  February 1, 2019.

More information on Medicaid Retroactive Eligibility can be found through the Agency for Health Care Administration by clicking here.

When it comes to Elder Law and elder care, two of the most frequent Medicaid options are Institutional Care Program (ICP) Medicaid and Home & Community-Based Medicaid. The requirements for eligibility may differ compared to traditional Medicaid. Speaking to your Elder Law and Medicaid Planning attorney will help determine what type of care and program is right for you.  

It is important to consider these changes when preparing your Medicaid Planning.

Elder Law, P.A. will help guide you through the process to ensure all eligibility requirements have been met.

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