FAQs

Got questions? Find answers about our services, Medicaid eligibility, and support for long-term care. Check out our FAQs for clarity.

FAQ's

Frequently Asked Questions (FAQs) ?

We have shared some of the most frequently asked questions to help you out.

General Information

  • What is Medicaid's long-term care plan?

    Medicaid’s long-term care (LTC) plan provides financial assistance for eligible individuals who require long-term medical and personal care services, such as in-home care, assisted living, or nursing home care.

  • How does Medicaid differ from Medicare in terms of long-term care?

    Medicare primarily covers short-term rehabilitation and medical care, while Medicaid covers long-term custodial care for those who meet financial and medical eligibility requirements.

  • What types of long-term care services does Medicaid cover?

    Medicaid covers nursing home care, home and community-based services (HCBS), personal care assistance, adult day care, and hospice care.

  • Does Medicaid cover home health care services?

    Yes, Medicaid offers home health services, including skilled nursing care, personal care assistance, and therapy services, depending on state-specific programs.

  • Can Medicaid pay for assisted living costs?

    In many states, Medicaid helps cover some assisted living costs through Home and Community-Based Services (HCBS) waivers, but it does not typically cover room and board.

  • Does Medicaid cover nursing home care?

    Yes, Medicaid is the largest payer of nursing home care in the U.S. It covers room, board, and medical services for eligible individuals in certified nursing facilities.

  • What is the difference between Medicaid and private long-term care insurance?

    Private long-term care insurance is purchased separately and covers costs based on policy terms. Medicaid provides coverage based on financial need and medical eligibility.

  • How do Medicaid long-term care benefits vary by state?

    Each state administers its own Medicaid program, so eligibility requirements, covered services, and reimbursement rates vary.

Eligibility & Application

  • Who qualifies for Medicaid long-term care?

    Eligibility is based on income, assets, and medical need. Generally, applicants must have low income and limited assets, though exemptions apply.

  • What are the income limits for Medicaid long-term care?

    Income limits vary by state. In 2024, many states set a limit around $2,829 per month for individuals, but some allow a “Medicaid spend-down” process.

  • What are the asset limits for Medicaid long-term care?

    Most states allow individuals to keep up to $2,000 in countable assets, though some assets, like a primary home (up to a certain value), may be exempt.

  • Can I give away assets to qualify for Medicaid?

    Medicaid has a five-year look-back period for asset transfers. Giving away assets below market value can result in a penalty period of ineligibility.

  • How does Medicaid determine medical eligibility for long-term care?

    Applicants must undergo a medical assessment to determine if they require a nursing-home level of care or similar support services.

  • Can Medicaid deny coverage for long-term care?

    Yes, Medicaid can deny coverage if an applicant does not meet income, asset, or medical eligibility requirements.

  • How do I apply for Medicaid long-term care?

    Applications are submitted through state Medicaid agencies, online, by phone, or in-person at local offices.

  • How long does it take to get approved for Medicaid long-term care?

    Approval can take 30 to 90 days, but processing may take longer if there are complications.

  • What happens if my Medicaid application is denied?

    Applicants can appeal a Medicaid denial by requesting a fair hearing through their state Medicaid office.

Medicaid Planning & Financial Considerations

  • What is Medicaid planning?

    Medicaid planning involves structuring assets and income legally to qualify for Medicaid while preserving wealth for a spouse or heirs.

  • Can I keep my home if I qualify for Medicaid long-term care?

    Yes, Medicaid allows a primary residence exemption if the applicant intends to return home or if a spouse or dependent relative lives there.

  • What happens to my assets when I go on Medicaid long-term care?

    Medicaid may require individuals to use personal assets to cover care costs until they reach asset limits, but exemptions apply.

  • What is a Medicaid spend-down?

    A spend-down allows individuals with excess income to reduce it to Medicaid-eligible levels by paying for medical expenses.

  • Can Medicaid take my house after I die?

    Under Medicaid Estate Recovery, states may attempt to recover costs paid for long-term care from the recipient’s estate after death.

  • Can a spouse keep assets if their partner goes on Medicaid?

    Yes, a spouse is entitled to retain a portion of the couple’s assets under Medicaid’s spousal impoverishment rules.

  • What is the "community spouse resource allowance" (CSRA)?

    The CSRA allows the non-applicant spouse to keep a portion of the couple’s assets, usually between $29,724 and $154,140 (as of 2024).

  • Are there Medicaid trusts to protect assets?

    Yes, irrevocable Medicaid asset protection trusts can help protect assets, but must be established at least five years before applying.

  • Can I prepay funeral expenses to qualify for Medicaid?

    Yes, Medicaid allows applicants to set up irrevocable funeral trusts to reduce countable assets.

  • Can I use an annuity to qualify for Medicaid?

    Certain Medicaid-compliant annuities can convert assets into income streams to help a spouse while preserving eligibility.

Coverage & Services

  • Does Medicaid cover memory care for Alzheimer’s or dementia patients?

    Yes, Medicaid covers memory care services in nursing homes and through HCBS waiver programs.

  • Can I choose my own caregiver under Medicaid?

    Some Medicaid programs allow individuals to hire family members as paid caregivers through consumer-directed care options.

  • What home modifications does Medicaid cover?

    Medicaid may cover home modifications, such as wheelchair ramps and bathroom safety improvements, under HCBS waivers.

  • Does Medicaid cover hospice care?

    Yes, Medicaid covers hospice care for terminally ill individuals.

  • Are prescription drugs covered under Medicaid long-term care?

    Yes, Medicaid covers prescription drugs, often through Medicaid Managed Care or Medicare Part D.

  • Does Medicaid cover transportation for medical appointments?

    Medicaid provides non-emergency medical transportation (NEMT) in many states.

Transfers & Relocations

  • Can I move to another state and keep Medicaid?

    No, Medicaid does not transfer between states. You must reapply in your new state of residence.

  • Can Medicaid force someone into a nursing home?

    No, Medicaid does not force placement, but individuals must qualify for institutional care if seeking coverage.

  • Does Medicaid cover out-of-state nursing home care?

    Generally, Medicaid only covers care within the state where the individual qualifies.

Special Circumstances

  • Can I qualify for Medicaid if I have a life insurance policy?

    It depends. Policies with a cash value may count as assets unless transferred or reduced.

  • Can Medicaid pay for care if I have a reverse mortgage?

    Yes, but the reverse mortgage proceeds may count as income.

  • Can veterans receive both VA benefits and Medicaid?

    Yes, veterans can receive both, but VA Aid and Attendance benefits may affect Medicaid eligibility.

  • What happens if I receive an inheritance while on Medicaid?

    A lump sum inheritance may disqualify you until the funds are spent down.

Appeals & Rights

  • Can Medicaid decisions be appealed?

    Yes, applicants can appeal denials through their state’s Medicaid agency.

  • Are Medicaid long-term care services guaranteed?

    No, they depend on eligibility, funding, and availability.

Final Considerations

  • Is Medicaid long-term care permanent?

    Coverage continues as long as eligibility requirements are met.

  • Can Medicaid be revoked?

    Yes, if eligibility changes.

  • Can Medicaid cover short-term rehab stays?

    Yes, but typically for limited periods.

  • Can Medicaid cover adult daycare?

    Yes, through HCBS waivers.

  • Does Medicaid cover palliative care?

    Yes, in most states.

  • Does Medicaid require re-certification?

    Yes, typically annually.

  • Can Medicaid cover 24-hour in-home care?

    Can Medicaid cover 24-hour in-home care?

  • Can I switch between Medicaid programs?

    Yes, depending on need.