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Medicaid

Medicaid Eligibility
THE OTHER OPTION TO PAY FOR CARE IS MEDICAID. A joint federal-state program, Medicaid provides medical assistance to low-income individuals, including those who are 65 or older, disabled or blind. Medicaid is the single largest payer of nursing home bills in America and serves as the option of last resort for people who have no other way to finance their long-term care. Although Medicaid eligibility rules vary from state to state, federal minimum standards and guidelines must be observed.

WHILE MEDICAID ELIGIBILITY with respect to long-term care was not difficult in the past, there has been a steady drift towards more complex and restrictive rules, the latest being the Deficit Reduction Act of 2005 which went into effect in 2006. These changes have resulted in complex eligibility requirements for those in need of Medicaid benefits. It’s no longer as easy as reviewing one’s bank statements. There are a myriad of regulations involving look-back periods, resource limits, transfer penalties and waiting periods requiring extensive planning.​


Medicaid Rules

There is a 5 year look back on transfers to determine accurate picture of assets & income.


Medicare covers rehabilitation care for people 65 years and older


Medicaid covers all types of healthcare needed by the poor. Therefore medicaid also covers 

longterm care. To be eligible, you must have income and assets under a set amount.


IRA & Pensions are exempt as assets, but are included as income.


Biggest expense for seniors is long term care. Nursing homes can cost up to $10,000 per month.