Medicaid

Income of the Community Spouse

The law protects a Community Spouse with low income. It does this by diverting a portion of the applicant's income…

3 years ago

Income Eligibility

On the income side, there are three pathways to Medicaid eligibility for nursing home residents. First, SSI recipients are almost…

3 years ago

Nursing Home Medicaid and HCBS Waivers – Financial Eligibility

In evaluating financial eligibility for Medicaid, both monthly income and resources must be considered. The basic rule is everything having…

3 years ago

Financial Eligibility Overview

Categorical and medical eligibility is covered in Chapter 2. Here we begin an aerial fly-over of financial eligibility. In this…

3 years ago

Medical Eligibility

Only those persons with a medical need are eligible for Medicaid and not all persons needing help receive Medicaid. In…

3 years ago

More on State of Residence

With few exceptions (such as the existence of an interstate compact), a Medicaid applicant must be a resident of the…

3 years ago

More on Citizenship

An applicant must be a U.S. Citizen or a legally admitted alien to receive Medicaid. 42 CFR § 435.406. In…

3 years ago

Categorical Eligibility

In addition, to establish technical eligibility for nursing home Medicaid, an applicant must be (i) a U.S. Citizen or lawfully…

3 years ago

Aged, Blind or Disabled

Individuals who are aged (age 65 or older), blind or disabled may be entitled to Medicaid if they are medically…

3 years ago

What does it mean to be “Disabled” Under the Social Security Act?

The Rule 42 U.S. Code § 1382c(a)(3)(A) states: "an individual shall be considered to be disabled for purposes of this…

3 years ago