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Enrollees are eligible for reimbursement of medical expenses paid three months prior to the month of application if they requested retroactive coverage on their application and received approval.
Retroactive Medicaid is meant to provide a safety net for financially needy persons who have an unexpected illness or injury. It provides a way for medical bills to get paid for up to three months prior to Medicaid application for care recipients who would have been Medicaid-eligible, had they applied at that time.
A retroactive date defines how far back in time a loss can occur for your policy to cover your claim. If a claim happens prior to your retroactive date, your policy wont provide benefits. Its a feature of claims-made professional liability or errors and omissions insurance.
Medicaid eligibility, however, is usually based on current monthly income.
While the maximum retroactive eligibility is three months prior to the month of application, an individual may only be eligible for one or two of those months. Once determined retroactively eligible, Medicaid will pay the provider for unpaid bills.
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Medicare does not have a look-back period.
In most states, the Look-Back Period is five years long. This means the state officials who are reviewing your Medicaid application will look back into your financial history for the five years before you applied to make sure you havent given away any money or assets, or sold them at less than fair market value.

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