In South Dakota, how does the five-year "look back" period work for Medicaid?

In 2006, the Deficit Reduction Act (“DRA”) changed the Medicaid rules. As a result, all transfers after February 8, 2006 are now subject to a 5-year "look back" period. If the gifts were made outside the "look back" period, then there is no disqualification period. However, if any gifts were made during the "look back" period, then Medicaid will not pay for nursing home care during the disqualification period. You should note that the disqualification period does not begin until the person actually moves to the nursing home and would otherwise be eligible for Medicaid.  Also, if the assets are returned or partially returned, the disqualification period can be shortened or eliminated.