The Medicare DSH cuts are being phased in over two years. In the first round, Kentucky hospitals with the biggest cuts were: Norton Hospitals of Louisville, $8 million; Jewish Hospital & St. Mary’s Healthcare of Louisville, $4 million; UK HealthCare, $2.7 million; and Baptist Health Lexington, nearly $2 million.
Full Answer
What types of Medicare coverage are available in Kentucky?
Sep 16, 2018 · Types of Medicare coverage available in Kentucky. Original Medicare, Part A and Part B, refers to federal Medicare coverage. Medicare Part A covers inpatient hospital, skilled nursing facility, nursing home care (as long as custodial care isn’t the only care you need), home health, and hospice care, and Medicare Part B provides beneficiaries with coverage for doctor …
Are providers facing Medicare reimbursement cuts this year?
Absent of Congressional action, PAYGO would include up to 4% in reductions to Medicare payment, set to occur on January 1, 2022. According to the Congressional Budget Office (CBO), this 4% cut amounts to $36 billion for Medicare providers, which could have a substantial impact on the delivery of care to our patient community.
How much will Medicare cuts affect you?
Jan 31, 2022 · Effective 7/1/21 – 6/30/22, the medically needy income limit in KY is $235 for an individual and $291 for a couple. The amount that must be “spent down” is the difference between one’s monthly income and the medically needy income limit. This can be thought of as a deductible. In KY, the spend down is calculated for a 3-month period.
Are you eligible for Medicaid long-term care in Kentucky?
Mar 01, 2010 · Starting today, doctors face a 21 percent cut in their reimbursements from Medicare based on a federal budget law that sets physican payments based on other economic factors. In past years,...
Types of Medicare Coverage Available in Kentucky
1. Original Medicare, Part A and Part B, refers to federal Medicare coverage. Medicare Part A covers inpatient hospital, skilled nursing facility,...
Local Resources For Medicare in Kentucky
1. Medicare Savings Programs in Kentucky: For beneficiaries with limited income, Kentucky Medicare Savings Programs may offer financial assistance...
How to Apply For Medicare in Kentucky
To apply for Medicare in Kentucky, you must be a United States citizen or legal permanent resident of at least five continuous years. You’re genera...
Question 2
When figuring out your income do not include $20, the first $20 does not count against you.
Question 3
Resources include but are not limited to, checking accounts, savings accounts, stocks, bonds, certificates of deposit, annuities, trusts and life insurance policies. Some resources may be excluded if they fall under the exemption criteria for Medicaid eligibility.
What is Medicaid in Kentucky?
Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income individuals of all ages. ...
What is spend down in Kentucky?
1) Medically Needy Pathway – In Kentucky, there is a Spend Down Program that is specifically intended for those that are categorically aged, blind or disabled that have income over the Medicaid limit. In a nutshell, one may still be eligible for Medicaid services even if they are over the income limit by paying their excess income (the income over the Medicaid income limit) on medical bills. Once one has met their “spend-down” for the quarter (paid their excess income down to the income limit), one will receive Medicaid benefits for the remainder of the spend-down period.
Does Medicaid count as income?
An exception does exist for Covid-19 stimulus checks, which Medicaid does not count as income, and therefore, they do not impact eligibility. When only one spouse of a married couple is applying for nursing home Medicaid or a Medicaid waiver, only the income of the applicant is counted.
How much can I earn on Medicaid in 2021?
However, those that receive SSI are automatically eligible for ABD Medicaid. As of 2021, this means a single applicant can have income up to $794 / month, and a married couple, up to $1,191 / month. The asset limit remains $2,000 for a single applicant, but is $3,000 for a couple.
What are countable assets?
Countable assets are assets that can easily be converted to cash to help cover the cost of long-term care and include the following: Cash, stocks, bonds, investments, credit union, savings, and checking accounts, pension funds, and real estate in which one does not reside.
What is a QIT trust?
2) Qualified Income Trusts (QIT’s) – QIT’s, also called Miller Trusts, offer a way for individuals over the Medicaid income limit to still qualify for nursing home Medicaid or a Medicaid waiver. This is because money deposited into a QIT is not considered income when it comes to Medicaid eligibility.
What is spousal impoverishment?
This spousal impoverishment rule allows the Medicaid applicant to transfer income to the non-applicant spouse to ensure he or she has sufficient funds with which to live. In addition, this transfer of income is effective in lowering the applicant’s countable income for eligibility purposes.