This database is currently sponsored by the Wisconsin chapter of the National Academy of Elder Law Attorneys and Krause Financial. I thank them for their support!
Search All Decisions
- Searches the full text of all decisions on this site
- Use quotes to search for an exact phrase
- Use “NOT” to search for results that exclude a word or phrase
- Currently covers all decisions from 2020 to date, plus select decisions going back to 2000; I am continually adding more (514 decisions published as of 12/11/25)
- Only decisions relevant or useful to elder law attorneys are included
- Have a decision that should be published? Email it to ben@bswright.com (or click here to upload as many decisions as you want in one go)
Introduction: How to Research and Use Fair Hearing Decisions
Recently Published
- FCP 218679 (09/02/2025) Life insurance was unavailable until guardian granted authority to access
- MGE 218412 (08/25/2025) Multiple attempts to get spouse’s cooperation required for undue hardship waiver
- MGE 218539 (08/20/2025) Automatic IRIS disenrollment with no advance notice was incorrect
- MGE 218599 (08/15/2025) Missed nursing home payment put petitioner over assets
- MGE 218218 (08/06/2025) Community spouse asset share increased due to low income, annuity purchase not required
- CWA 216468 (08/04/2025) IRIS backdated when ADRC delay made petitioner ineligible for expedited re-enrollment
- MDV 217177 (07/11/2025) Appeal filed untimely, despite notices mailed to old address
- FCP 218663 (07/24/2025) Family Care backdated when computer system error delayed renewal
- CWA 217265 (07/22/2025) IRIS benefits not backdated when delay caused by caregiver background check
- MNP 218271 (07/21/2025) Notice sent one day before effective date was insufficient
- MGE 216988 (07/14/2025) Transfer of life insurance proceeds to honor deceased’s wishes was divestment
- FCP 217755 (07/11/2025) MCO failed to show cost-effectiveness of moving petitioner out of AFH
- FCP 217978 (07/09/2025) IM had duty to screen for other MA programs before disenrolling
- CWA 217260 (07/08/2025) Petitioner disenrolled from IRIS for living in his car, ineligible living arrangement
- FCP 217040 (06/27/2025) Family Care backdated due to ADRC email error
- CWA 218281 (06/25/2025) IRIS backdated when state database glitch caused disenrollment
- CWA 216899 (06/18/2025) IRIS benefits backdated due to delay of Fiscal Employer Agency switch
- CWA 216814 (06/18/2025) IRIS benefits not backdated when primary cause of delay was Fiscal Employer Agency switch
- MGE 217686 (06/17/2025) Month application was reopened determined backdating
- FCP 218179 (06/16/2025) Notice specific to Family Care disenrollment was required before ending benefits
- MGE 217517 (06/12/2025) Bank account unavailable when bank refused access to guardian
- CWA 217048 (06/10/2025) IRIS enrollment backdated when it took 77 days to get appointment with ADRC
- MDV 216455 (06/06/2025) Undue hardship waiver approved when daughter-POA refused to return property
- CWA 217567 (06/06/2025) IRIS disenrollment improper when ICA failed to provide sufficient information at renewal
- MGE 215302 (06/02/2025) Petitioner disenrolled for failure to verify “verbal” trusts
- FCP 216960 (05/30/2025) Family Care backdated when agency failed to test eligibility after MAPP disenrollment
- CWA 216462 (05/30/2025) Family Care backdated, ADRC failed to send enrollment form for 17 days
- FCP 217860 (05/28/2025) Use of adaptive aids for bathing, mobility counted as needing assistance
- CWA 216813 (05/09/2025) IRIS disenrollment for cluttered house, health and safety
- CWA 217415 (05/05/2025) Petitioner disenrolled from IRIS for lack of behavioral support plan
- MGE 216015 (04/11/2025) Family Care not backdated, petitioner died before enrolling
- MGE 216305 (03/24/2025) Two Social Security deposits in one month did not put petitioner over asset limit
- MLL 216316 (03/06/2025) Home not transferred to caretaker child before death was subject to estate recovery lien
- MGE 216363 (02/28/2025) Despite agency’s misleading, petitioner ineligible due to excess assets
- MGE 216012 (02/18/2025) Inst. MA backdated nearly a year due to inadequate notice of denial, inability to verify
- MGE 215913 (02/14/2025) Irr. burial trust over $4,500 was countable, except for cost of casket
- MQB 216374 (02/10/2025) SLMB+ not compatible with MAPP
- MGE 215891 (02/04/2025) Community spouse asset share increased to $249k to compensate for low income
- MAP 216062 (02/04/2025) Agency cannot exclusively require self-employment income report
- MDV 215927 (02/03/2025) Annuity that could be sold on secondary market was countable, available
- CWA 215899 (01/30/2025) Issue preclusion and untimeliness defeated appeal
- FCP 215537 (01/24/2025) Move to community denied because nursing home safer
- CWA 215921 (01/22/2025) Agency inaction on application for restraint waiver not appealable
- MGE 215615 (01/06/2025) Payments to children were divestments, no written, notarized agreement
- MGE 214684 (01/02/2025) Royalties considered unearned self-employment income, prorated
Browse all recently published decisions
Decisions by Issue
Note: This outline is loosely based on the Medicaid Eligibility Handbook and will be tweaked as this database matures. For now, many entries will have no related fair hearing decisions.
1 / Applications and Renewals +
2 / Nonfinancial Eligibility +
3.4 / Spousal impoverishment +