As the day-to-day administrators of the Medicaid program, states are responsible for assessing an applicant’s financial eligibility for Medicaid coverage for long-term care.

A state determines whether an applicant’s countable income and resources are below the state-established standards, and whether an applicant transferred assets for less than FMV during the look-back period. The processing of Medicaid applications is generally performed by local or county-based eligibility workers.

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