There are primarily four hurdles to get over in order to achieve Medicaid eligibility.
A. CATEGORICAL REQUIREMENTS: A person must be at least 65 years of age, blind or disabled, and be a U.S. citizen. Certain resident aliens may also qualify. Undocumented aliens may only for coverage of an emergency medical condition.
B. MEDICAL NECESSITY: For the nursing home Medicaid program, the individual must have a medical need for licensed nursing care and meet the risk-assessment criteria for nursing home placement.
C. INCOME ELIGIBILITY: The applicant may not currently receive direct income of more than $2,022.00. If the amount exceeds the cap, a Miller Trust can usually solve the problem.
D. ASSET ELIGIBILITY: The baseline amount for eligibility is $2,000.00 subject to many exceptions as indicated later in this website. A person should not think that if the amount of assets greatly exceeds the $2,000.00 baseline amount that nothing can be done. There is usually an array of techniques available for legally preserving assets without losing it all. The base amount for both spouses entering a nursing home and applying for Medicaid is $3,000.00, also subject to many exceptions.
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