Detailed question about what counts as income and about documenting receiving a “gift”

Hello,

I live in Queens. I am 36 years old and currently on Medicaid through New York State Health. I’m worried about all of the complex rules related to when someone does, or doesn’t qualify for Medicaid. I don’t have alot of money and I do have medical issues, so I’m trying to make sure that I don’t go over the limit by $1 or something.

I’ll probably be going to a doctor soon where my Medicaid is not accepted. This means that I’ll have to pay cash. It won’t be easy, but I can probably pull money from my savings. I think this has the added benefit that I can claim it as an expense on my taxes (not fully sure though). One of my concerns is that, “if” I am able to scrape up all of this cash (let’s say $9000 hypothetically), will the folks that administer the Medicaid say: “Well, if he was able to pay for that doctor, then he must have enough money to pay for all his other medical visits. Let’s cancel his Medicaid altogether.”.

To potentially avoid the above situation, can I just receive a $9000 “gift” from my mother to pay for this doctor. I ask, because, as of this writing, “gifts” don’t qualify as income that counts toward Medicaid eligibility. If possible to go this route, how does one “prove” that the $9000 medical bills were paid with money received from a gift? Is it just done so on “the honor system”?

I know that it’s under the $15,000 threshold that would have to be surpassed for my mother to have to claim the “giving of the gift” on her taxes. Is this something where NY State of Health wouldn’t even inquire? Should I just ask my mother to do a quick 1-page write up where she explains that she’s giving me the gift (not necessarily even explaining what the funds are for), and then get it notarized (just in case)?

What would be the best way to tackle this situation so that I DON’T have my Medicaid taken from me yet?

Any help would be very appreciated. Thank You for your time.

submitted by /u/InterestedSugoya
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Hello, I live in Queens. I am 36 years old and currently on Medicaid through New York State Health. I’m worried about all of the complex rules related to when someone does, or doesn’t qualify for Medicaid. I don’t have alot of money and I do have medical issues, so I’m trying to make sure that I don’t go over the limit by $1 or something. I’ll probably be going to a doctor soon where my Medicaid is not accepted. This means that I’ll have to pay cash. It won’t be easy, but I can probably pull money from my savings. I think this has the added benefit that I can claim it as an expense on my taxes (not fully sure though). One of my concerns is that, “if” I am able to scrape up all of this cash (let’s say $9000 hypothetically), will the folks that administer the Medicaid say: “Well, if he was able to pay for that doctor, then he must have enough money to pay for all his other medical visits. Let’s cancel his Medicaid altogether.”. To potentially avoid the above situation, can I just receive a $9000 “gift” from my mother to pay for this doctor. I ask, because, as of this writing, “gifts” don’t qualify as income that counts toward Medicaid eligibility. If possible to go this route, how does one “prove” that the $9000 medical bills were paid with money received from a gift? Is it just done so on “the honor system”? I know that it’s under the $15,000 threshold that would have to be surpassed for my mother to have to claim the “giving of the gift” on her taxes. Is this something where NY State of Health wouldn’t even inquire? Should I just ask my mother to do a quick 1-page write up where she explains that she’s giving me the gift (not necessarily even explaining what the funds are for), and then get it notarized (just in case)? What would be the best way to tackle this situation so that I DON’T have my Medicaid taken from me yet? Any help would be very appreciated. Thank You for your time.
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