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On August 1, 2024, 75-year-old Eleanor applied for Medicaid payment for her long-term care expenses. To determine if a penalty period applies, the Texas Health and Human Services Commission will look back how many months?

A. 10 months
B. 36 months
C. 60 months
D. 90 months

Answer :

The Texas Health and Human Services Commission will look back 60 months to determine if a penalty period applies for Medicaid payment for Eleanor's long-term care expenses. Therefore the correct option is c.

To determine if a penalty period applies for Medicaid payment for long-term care expenses, the Texas Health and Human Services Commission will look back 60 months. This look-back period is used to identify any assets that may have been transferred below market value, which can affect eligibility and penalty periods for Medicaid. It is important to note that while Medicare provides health insurance for those 65 and older, Medicaid is a separate program that offers healthcare coverage to eligible low-income individuals and is jointly funded by the federal government and the states. As people age and the population of elderly Americans increases, programs like Medicaid will face growing financial challenges.

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