If you are approved ? Your Specialist will review the decision letter ensure that the benefit has been calculated correctly. If we find a discrepancy, we will follow up with the caseworker for a recalculation of the benefit.
If you are denied ? It is not uncommon to receive an initial denial. Reasons for a denial include: denial notice that is not related to the long-term care benefit, such as a denial for a health savings program; an expected denial due to a spend down strategy, penalty period; or the Medicaid agency has made an error. We will carefully review any denials and take steps to reopen the case.
Annual Redetermination ? Once approved, benefits do not automatically renew each year, therefore redetermination paperwork must be submitted annually to Medicaid. Your Specialist will discuss this with you upon approval and will confirm the annual renewal date.
Eldercare Resource Planning offers an additional service to assist with the annual renewal process. If interested please reach out to your Specialist when you receive the annual renewal / redetermination paperwork from Medicaid