Medical Assistance: Penalty Period for Gifts During the 5-Year Lookback Period

When a person applies for Medical Assistance (Medicaid) in Minnesota, the state looks to any uncompensated transfers (e.g. gifts to family members) during the past 5 years. This is called the “5-year lookback period.” Depending on the amount of the uncompensated transfer, the state will deny coverage for a period of time (“penalty period.”)

The calculation for the penalty period starts by determining the uncompensated transfer amount. The uncompensated amount of transfers is the amount of income transferred or the fair market value (FMV) of the asset transferred, less any encumbrances and compensation received, on the transfer date. Exceptions exist for an annuity, a life estate, and a trust.

For Medical Assistant applicants, the transfer penalty may be imposed for transfers made during the lookback period. The transfer penalty is calculated by adding together all uncompensated transfers and dividing that amount by the MA Statewide Average Payment for a Skilled Nursing Facility (SAPSNF) in effect in the month the applicant was found to be otherwise eligible for MA-LTC. For July 1, 2017 to June 30, 2018, the SAPSNF is $7,106. The penalty period is the full number of months plus any partial months resulting from this calculation.

Minnesota Medical Assistance (Medicaid) Uncompensated Transfers Penalty Period Table

For July 1, 2017 to June 30, 2018, here is a simple chart so you can see how long the penalty period is for uncompensated transfers:

Uncompensated Transfer AmountPenalty Period
$7,106Month 1
$14,212Month 2
$21,318Month 3
$28,424Month 4
$35,530Month 5
$42,636Month 6
$49,742Month 7
$56,848Month 8
$63,954Month 9
$71,060Month 10
$78,166Month 11
$85,272Month 12
$92,378Year 2
$99,484Month 14
$106,590Month 15
$113,696Month 16
$120,802Month 17
$127,908Month 18
$135,014Month 19
$142,120Month 20
$149,226Month 21
$156,332Month 22
$163,438Month 23
$170,544Month 24
$177,650Year 3
$184,756Month 26
$191,862Month 27
$198,968Month 28
$206,074Month 29
$213,180Month 30
$220,286Month 31
$227,392Month 32
$234,498Month 33
$241,604Month 34
$248,710Month 35
$255,816Month 36
$262,922Year 4
$270,028Month 38
$277,134Month 39
$284,240Month 40
$291,346Month 41
$298,452Month 42
$305,558Month 43
$312,664Month 44
$319,770Month 45
$326,876Month 46
$333,982Month 47
$341,088Month 48
$348,194Year 5
$355,300Month 50
$362,406Month 51
$369,512Month 52
$376,618Month 53
$383,724Month 54
$390,830Month 55
$397,936Month 56
$405,042Month 57
$412,148Month 58
$419,254Month 59
$426,360Month 60