I notice many recurring questions throughout different forums, groups, and comment sections throughout the web on Medicaid, and I thought I should make a post regarding the matter.
WHAT IS MEDICAID?
Medicaid is a combined federal and state program that pays health care costs to certain low-income individuals and families. You must meet certain income guidelines to qualify for Medicaid.
MEDICAID AND ASYLUM MEDICAL SERVICE
Different rules apply only when people are applying for Medicaid and need to pay for medical care at home or in a nursing home. Find more information on the special rules below.
All residents of a nursing home must be approved for a standard of living in a nursing home, or Medicaid will not pay for such care. The nursing home must complete a Pre-admission examination and maintain a continuing review
Application forms for Medicaid programs are available from the Office of Eligibility Services. Applications by mail are accepted. Many hospitals and nursing homes have their applications in their private offices.
CAN I BE ON MEDICAID IF MY HUSBAND STILL LIVES IN THE HOUSE?
If a resident of a nursing home is married to a spouse who lives in the home, there are special rules that address the income how much and how many assets the spouse in the household can meet. The person whose spouse enters an institution is protected from having to exhaust the couple’s assets for the institutionalized spouse to qualify for Medicaid.
There are a minimum amount and a maximum amount of permitted resources that are required by law. The amount is increased every year. If you are married and you or your spouse has to go to an asylum, you should call the Office of Eligibility Services and ask for an evaluation of the resources. The worker will tell you how much of the resources of the spouses are protected.
CAN I CONTINUE TO OWN MY HOME AND BE ON MEDICAID?
Owning a home can make Medicaid eligibility more complicated. Understanding the rules is important. The general rule is the house where you live and all of the next property surrounding you are exempt from the Medicaid exam.
The problem arises when the homeowner needs medical attention at home. The household is still exempt as long as:
- Intends to return to live in the home
- If the property is co-owned and that of another person, its sale could cause extreme difficulties, due to the loss of housing, to the co-owner.
- A doctor says that you are likely to return home within six months of admission to the nursing home.
Reliant relatives are family members who depend on you for financial aid, medical help, or any other reason, such as child, stepchild, grandchild, parents, stepparents, in-laws, Brothers, half brothers, stepbrothers, grandparents, aunt, uncle, nephew, niece, cousin.
However, if the value of your home is more than $ 500,000, it will not be off Medicaid quality unless your spouse, residing in the home, or your minor child, or blind, or disabled child, lives in the home. Another good resource that can explain this concept further is: https://www.familyassets.com/resources
CAN I GET RID OF MY ASSETS AND QUALIFY FOR MEDICAID?
When you or your spouse transfers assets or income for less than a fair price, Medicaid can “look-back” for 60 months to determine if you are eligible. A fair price means the price at which you could have sold to a willing buyer. If they decide that you disposed of the assets for less than a reasonable price, Medicaid will not pay for long-term care services during what determines the applicable penalty period.
Their ability to access health care is critical. It’s hard, if not impossible, to determine what kind of health care it takes five years from now. Think twice and seek legal help, before the transfer of assets – including your home, for less than fair market value.
Medicaid is a complex program. Some of the rules change every month. You need to work directly with the Medicaid office to get the complete information.