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Sister lives in CT. Is on Medicaid. Living by herself and wants to be closer to me in CO.


How do we transfer Medicaid? Can we transfer Medicaid? Is there a waiting period?

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You can’t “transfer” her Medicaid, it’s not transferable. You have apply for Medicaid in CO.
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You can go to the government’s Benefits.Gov page:

https://www.benefits.gov/benefit/1621#:~:text=To%20be%20eligible%20for%20Colorado,income%20or%20very%20low%20income.

To be eligible for Colorado Medicaid, you must be a resident of the state of Colorado, a U.S. national, citizen, permanent resident, or legal alien, in need of health care/insurance assistance, whose financial situation would be characterized as low income or very low income.

You must also be one of the following:
-Pregnant, or
-Be responsible for a child 18 years of age or younger, or
-Blind, or
-Have a disability or a family member in your household with a disability, or
-Be 65 years of age or older.

To be eligible, you must have an annual household income (before taxes) that is below the following amounts:
--Annual Household Income Limits (before taxes):
--Household Size: 1 /  Maximum Income Level (Per Year): $16,971

To apply for Colorado Medicaid online, please visit the Colorado PEAK online application portal.

You may also find out if you qualify through the Marketplace application.

To learn more about the program, please visit the Colorado Medicaid page.

For more details, please visit the Basic Health Program page.

I "Googled" searched "colorado medicaid eligibility" and found this information.

As Alva stated, double check the information before moving your sister from CT to CO. Recently there was a poster who moved her daughter from one state to another state and even though she had verified the information given her, it was a completely different story once she move her daughter to that other state. Of course, she was dealing with health insurance companies and not Medicaid (I think).

You should also check into Medicaid Supplemental Insurance in Colorado.
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She will need to do things to establish herself a resident of CO, as Medicaid is administered by each state uniquely for the residents of their state. Then within each state, there will be many many types of Medicaid programs.... from loaning breast pumps to new moms to paying for LTC room&board board at a NH.... and each will have specific eligibility requirements as to being “at need” both medically and financially. It’s not like Medicare which is federal and portable all over the US as long as a provider accepts the type of Medicare you are on (Original or Medicare Advantage)

Personally I think that if Sissy is still living in the community, on her own maybe in an apt, or IL, or is high functioning AL resident & pretty good on being competent and cognitive and doing her ADLs (activities of daily living) but is on community based Medicaid as she’s low income for CT, then moving to another state and doing the whatevers to become ok for CO Medicaid requirements is feasible. Like she’s going to be able to go and open up a new bank account in CO and go online to change her SS to have a new direct deposit into this new CO bank account; can fly or drive with you to get to CO; help to empty out her place & pack, go down to get a new CO drivers license or ID; understand & sign off on whatever new legal needed for her (like will or codicil done for CO) and for you to be her DPOA & MPOA. She can do what’s needed to get ok for CO paperwork wise.
But if she’s already in a NH and she’s far enough into dementia that she cannot fill out paperwork, you are not already her DPOA & MPOA, she cannot be cognitive to understand stuff, cannot travel easily on her own, imho it’s going to be a beast in both time and $$$ to get her moved, find a NH for her, and get her eligible for CO LTC NH Medicaid.

So what’s Sissy like? What’s her health needs?

Also if she is currently in AL in CT and it’s Medicaid that is paying for it. Please please clearly look as to whether CO Medicaid pays for AL and if so, how many facilities actually participate in the waiver program for this and what type of lag time is usually needed before Medicaid pays for AL. Most states do not do AL Medicaid waivers and those that do tend to just a few beds set aside for the waiver so it’s ends up having a period of private pay needed before..... maybe 2 years...till a Medicaid bed opens up.
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Medicaid is a program that is jointly funded by states and by the Federal government. Each State has different rules. Essentially it is my understanding that your Sister will be giving up her medicaid through the State of CT and will have to reapply in the State of CO. The program might be very different state to state and I would recommend she explore this as well as possible before a move. It isn't a "transfer" in my understanding. 1-800-medicare will answer where to seek information on medicaid. There are many on forum (WorriedinCali for instance) who know much more about medicaid; I hope they will help you with your question. But be certain to check things on your own for accurate information.
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