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Medicaid Planning · District of Columbia

District of Columbia Medicaid look-back rules

Medicaid look-back rules rules for District of Columbia.

Published: Not yet published. Last checked: September 5, 2026.

Look-back period

60 months

Source: District of Columbia Medicaid State Plan TN 09-04 [state-plan] — Approved November 2, 2009; effective July 1, 2009

Transfer-penalty divisor

Source unavailable. Check with the state Medicaid agency.

State Medicaid agency

How the state administers the rule

For transfers after February 8, 2006, the District reviews the preceding 60 months. A transfer for less than fair market value can create an ineligibility period for institutional or HCBS coverage, subject to the District's undue-hardship process.

Source: District of Columbia Medicaid State Plan TN 09-04 [state-plan] — Approved November 2, 2009; effective July 1, 2009 Additional authority: DC DHCF Undue Hardship Instructional Guide [state-medicaid-agency] — Posted May 23, 2025

Sources

Methodology & sources

Checked at least annually and whenever the state publishes a new transfer-penalty divisor or administration rule.

General information, not legal advice.