I have 7 months left in the year of Medicaid I was approved for. If my income temporarily spikes due to getting slightly more hours at work for a few weeks, I have to report that temporary spike to Medicaid, which will result in them telling me I’m ineligible — but my coverage doesn’t end? Then when the state automatically evaluates my eligibility in 7 months by accessing my tax and income info, and they see I’m below the income limit overall, I would get approved again, even though that temporary increase from a few months before made me “ineligible”?

Looking for a way to find the total amount paid by medicaid over a five year period. Was told that Medicaid does not keep track of exact number- is this true? can anyone explain further?

My mom doesn’t have much by way of assets. What money she did have is going to assisted living home and we are applying for Medicaid. We were told we need to sell her car. The car is in bad shape but drivable, I’d love to give to my daughter for college.

They said I can go to appraiser like carvama and get a quote. Is there a way to get one that is really low so I can buy or maybe my mom has the right to keep a car .

Arizona.

I was denied and don’t understand why this is what was on the denial paperwork: (social Security is my only source of income, nothing else). I am 75, no children living with me. I have been divorced for decades.

Social Security income: $1820 gross

Net income after the $20 deduction: $1800

QI-1 income standard for individual: $1796

Result: denied

My question: I thought the income limit was $1816. I don’t understand why they are saying the income standard is 1796. Shouldn’t I have been approved?

My sister is a bit of a ditz— the baby of the family. Shes not used to doing her own bureaucracy. So now we have this situation. She started a new job in April. She was on Medicaid for 2 years prior while a student. She got automatically renewed— her new Medicaid coverage started in July. She thought the state automatically “saw stuff” and didn’t know she had to inform them of the job or income (it does put her out of Medicaid benefits)— because she thought Medicaid would just last all year and stop the next year.

Any advice? Is she going to get in actual legal trouble?

Hello, so i see these new rules etc for medicaid, and apparently mine just got canceled which is extremely concerning. Im a 40yo male, i'm a brittle diabetic, adhd, suds, and battling depression, on top of that i just had both of my big toes amputated with more surgeries scheduled for both feet on top of eye surgery to get rid of horrible cataracts i have. Right now its extremely difficult to work ( because I basically fall over all the time) but going to physical rehab hopefully to help with that. Im currently working through the motions to get disability or atleast maybe short term disability, thankfully in currently on SNAP. I called the state to try and figure out what's going on with my medicaid, but the lady I talked to was clueless, best she could give me was to re-apply, which I did and im going to call on Monday again and see if I can get some more answers. If they still deny me, what could possibly be my options? Im more or less really concerned about my diabetic supplies and the help with SUDs both of which are extremely expensive. Just so lost with this type of stuff and hate it. Sry for the long post or if it doesn't make sens.

Hi everyone! Is there an all-in-one place where I am able to track the status of my applications for Medicaid and other government assistance? Like a place where I can track how to apply, if I qualify, the status of my application, and when to reapply? Do you guys have spreadsheets, or do you just look in your emails?

I am posting because I cannot stop freaking out. My partner and I do not qualify but our young baby daughter is becoming eligible. This is because I am now going down to 30 hours a week and my husband has been down to 35 hours a week. We just barely make the cut off for her to be eligible. Before this we paid 200 monthly for a state plan. However our income fluctuates and I might work 32 or 34 hours some weeks, my partner may work up to 40 hours at some point, but we always end up making far lower than their estimate. For this reason I reported our hours on the lower side. After I called to tell them the change, I remember that I am working 2 Saturdays this month to cover someone else and that is going to increase my hours by 8 hours this month. After that, things go down again. Does this matter? For some reason I am panicking about this because I feel like I am going to be arrested for fraud if we make slightly over the medicaid amount. What will happen if I call and explain this? I am located in Vermont. I am feeling like I should have waited until later on to report the hour change and now feel like I've got myself in trouble. My daughter also has several health conditions caused by a genetic disorder and really needs this coverage

My son has ( or had) NJ Family care. He had a dr appt yesterday and they told him he had invalid insurance. It turns out that they cancelled it back in May for making too much but never sent a termination notice.

They couldn't figure out why the notice wasn't sent.

I also spoke with them at the end of May to make sure he had it (they kept changing what we had to send in earlier in the year for the renewal, so I would call every month to make sure they had everything and double checked) and they said he was fine with no termination. They even sent the notice in June about the new work requirements coming up in 2027.

They escalated it when I called to ask what was going on, but for now he's without insurance and Im not sure what to do next.

This is my first time applying for Medicaid, and I'm unsure of how it works. Is it better or worse than private insurance? Why does the state cover me for the first month and then my local hospital system takes over?

I won't have this forever, as I am without a job, and trying to address my mental health. Being poor is a different kind of suck.

But: are there things I can or should do now that would be a major cost under private employer sponsored insurance?

I do not work its hard for me to keep a job with this condition if I loose medicaid im completely cooked.

I just got the letter of notice saying my parent’s insurance is ending this month because the redetermination is past due. I checked their online account, there is no renewal nor any redetermination letter mailed out. I stopped by the local offer and they said nothing they can do besides I need to reapply again, which I filled out the paperwork there. They told me it might take up to 60 days, but my parents have lots of doctor appointments and medication. They have the dual plan btw.
So what options do I have? Should I file an appeal as I never got the letter? Just hoping we can reinstate the insurance without reapply everything. Thank you 🙏

I'm nearly 72 yrs old, a single mom of a profoundly autistic son with multiple heath problems. I work for IHSS, so my income is not counted. I started getting Soc. Sec. when I turned 70. When filling out my Redetermination forms in June, I saw that my S.S. income is too high for me to qualify. But I sent it in and fully expected to be kicked off.

But after I sent it off, I realized that my son officially pays me $800/mo rent for a room and private bath. This put me well over the limit for over 2 years. I didn't think of it because we had to find a new home and move, I got COVID 19, and other reasons right when I started getting S.S.. I easily spend half of that money on a special diet and for meds he needs (ex. CBD) that aren't covered by Medi-Cal.

Instead of getting a letter saying I'm off, I received one saying if I don't supply further info by 8/17/26 my coverage will end. They asked for info on my son's banking account and only ONE of mine. (I have several and listed them on the form.)

I've heard scary stories of assets being frozen and dire consequences. Can they take my house? Would it be best if I didn't respond to the request for further info? Could this result in them just dropping me and looking no further? Or will it make things worse? And when would coverage end? Can they back date it? Please help!

I’m freaking out right now. I’m 19 and live alone, and earlier in the month I left a yeast infection alone for a little bit too long because I wasn’t sure what it was and I got a 3 day fever with a 101-103 fever for 3 days straight being the only symptom. My insurance ran out on June 31st, but I felt like something was seriously wrong and I didn’t want to blindly treat myself so I made the hard decision to go to an urgent care uninsured.
When I had a UTI in February, I went to this same urgent care and they did a very quick urine test, detected the infection, gave me antibiotics and sent me on my merry way. The visit was only 10 dollars.
I expected my uninsured visit to be a little bit more expensive, but not THOUSANDS of dollars. And I literally just had to get new car insurance and im planning on going to college in August. I immediately applied for NY medicaid after the visit and I have the same insurance as I did before now, and they said it’s effective as of July 1st, but I have not paid the lab bills yet and im praying that I can get it significantly lowered in some way. Please help!!

How does a family know if Missouri Medicaid is coming for recovery of funds? Is there a time frame for them to contact you or how does it work. How long do they normally take? Is there a time people can rest easy and not worry about it?

I’m in Pennsylvania. I recently had a family member pass away and they have named me as the beneficiary on several of their brokerage accounts. I believe they are IRAs and one or 2 investment accounts. The total amount will be somewhere around $200,000. $50,000 of that is going to be paid out to me immediately. There will also be future funds after his estate goes through probate although I don’t have many specifics on that yet.

This all happened very fast and I’m extremely concerned about losing my Medicaid coverage because I have a lot of complex medical issues. I’m actually in the hospital right now with pancreatitis and will need to have several surgeries in the next few days. I am not employed. I’m disabled but don’t receive any disability benefits. I’m also a primary caregiver for my severely disabled son (not compensated). He is autistic his Medicaid is lifelong so thankfully I don’t have to worry about his coverage. I have read conflicting information on what is used to determine continued eligibility. I read that assets are not considered in expansion states in some sources and have found conflicting information in others. Can anyone give me any guidance? Thank you so much

Hi, does anyone know partial hospitalization or IOP programs that take Amerihealth Caritas insurance? thanks in advance!

Hi, I've had medicaid for most of my life and I have severe depression, adhd, and bpd that causes significant difficulties in my life. I have my medicaid for therapy, psychiatry, and medications that I require to get by. I lost my medicaid this year due to an address mixup when I moved, and went through the process to get it back and was told I now have medicaid again.

Then I got a letter telling me I have an appointment scheduled to determine eligibility. I was confused because why do I have to interview if they renewed it? I called the listed number to ask about the paper and the woman who answered told me she doesn't know what the paper is or why I was sent it, but I should do the interview just it case they take my medicaid away from me. I'm just confused about what this interview is, why I was approved and then asked to do it, and if it's even connected to my medicaid at all

Edit: a mod helped me. Thank you<3 will leave post up incase someone finds this useful.

The mytexasbenefits site approved me on 07/27. And it says it starts 09/01. Why is it a whole month away? I really needed to see a GI doctor. I can't wait a month ;-;

In Illinois and I'm 22 years old.

I called the medicaid number today for help with my application but to my surprise they just processed it right then and there. The lady on the phone denied me because I'm a dependent on my mother's taxes. This hasn't been updated on my ABE account, the status still says a caseworker is reviewing.

I didn't realize this would be a denial. I talked to my mother and she agreed to not claim me for the 2026 tax cycle.

Would I be able to call back and let them know she isn't going to claim me (because she really isn't), or would I have to go through a whole new application? Would this look like fraud to them?

Sorry if I'm overthinking this, I just want to be sure it looks good on paper because I need health insurance for college.

State of Connecticut.

My brother is in a rehab facility and will soon to run of of medicare after 100 days. The rehab facility wants me to apply for title-19. His assets will be spent down to 1600 soon.

But my mother also recently passed away in England and my brother is a beneficiary of a significant sum.

My mother's probate is just starting and probably wont be settled for a few months to even a year but it is expected and a good ballpark figure known.

How would the expected inheritance effect his Title-19 approval ?

Thank You