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How does medicaid find out how much cash is in their policy if the client never mentions it?
They usually ask. But I have some clients that tell me that their service worker has never asked or mentioned it.
Sometimes they find out by going over their bank account and see they are paying for insurance. The look at their bank accounts because money in a checking or savings account is a countable asset.
I send info to the Medicaid/food stamp/wics, etc. offices all the time for my clients. Some offices are really proactive and some are not.