Connecticut Medicaid Look-Back Period — FundingDependency.com

Connecticut applies a 60-month transfer review

DSS Uniform Policy Manual 3029.05 says the transfer look-back date is 60 months before the first date on which both conditions exist: the person is institutionalized and the person is applying for or receiving Medicaid (DSS Uniform Policy Manual 3029.05). The policy’s definition of institutionalized includes long-term-care-facility services, equivalent medical-institution services, and Medicaid HCBS-waiver services (DSS Uniform Policy Manual 3029.05). In practical terms, the review is commonly called the five-year look-back, but the policy’s triggering dates matter.

The rule concerns assets disposed of for less than fair market value by the individual or spouse. DSS describes the result as a penalty period, or period of ineligibility, for certain Medicaid services rather than a tax imposed on a gift (DSS Uniform Policy Manual 3029.05). Whether a particular payment, deed, transfer to a family member, trust contribution, or sale below value is treated as uncompensated requires the state policy exceptions and evidence of fair market value; it cannot safely be decided from the label used by the family.

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