What is Medicaid Pending
Medicaid pending is a term referred to a period of time when individuals have successfully submitted applications but have not received determination letters from Medicaid. While waiting for a decision, individuals could still receive Medicaid benefits in some nursing home facilities if they meet the retroactive eligibility. Retroactive Medicaid allows applicants to be retroactively covered for up to three full months prior to the application date. In other words, Medicaid applicants in pending status are expected to pay a portion of the income first to receive nursing home care and get reimbursed later by Medicaid when their applications are approved. However, nursing homes would collect the unpaid bills from applicants who are turned down by Medicaid and these applicants have the right to request a reversal or make an appeal if they think they have been wrongly denied.
