GIS 25 MA/01, which is dated 01/08/2025, discusses Medicaid renewal (recertification).
It advises that when a Medicaid case is up for renewal with a budget “From” date of 01/01/2025 or later: it should be re-budgeted using the person’s 2025 Social Security benefit amount and the person’s 2025 Medicare Part B premium.
However, if this calculation results in the person going from no spenddown to having a spenddown, or if it results in the person’s spenddown increasing: the case should be budgeted using the person’s 2024 Social Security benefit amount and the person’s 2024 Medicare Part B premium. These cases should be tracked. After the 2025 Federal Poverty Level is issued, a new Medically Needy Income level will be announced based on the 2025 Federal Poverty level. After that time, these cases should be updated using the person’s 2025 Social Security benefit amount and the person’s 2025 Medicare Part B premium.
All redeterminations effective 01/01/2025 or later will need to be re-budgeted, retroactive to 01/01/2025, after the new Medically Needy Income level based on the 2025 Federal Poverty Level is announced.
Posted 01/09/2025