12Law Arrow 12Law Arrow  Easy Questions  
12Law Arrow 12Law Arrow Instant Legal Documents
 
 
FINANCIAL & MARITAL

Cohabitation Agreement coming soon!
Separation Agreement coming soon!
No-Fault Divorce coming soon!
Bankruptcy coming soon!
 
 

Rules of Eligibility on Medicaid in Zip Code 94970

Rules of Eligibility on Medicaid in Zip Code 94970


You don't get to choose how you're going to die, or when. You can only decide how you're going to live.
 
- Joan Baez


Medicaid, which is distinct from Medicare, provides health coverage to nearly 60 million children, families, pregnant women, the elderly, and people with disabilities. Medicaid covers US citizens and eligible immigrants and is generally provided for low income citizens.

Medicaid can pay for nursing home costs for senior citizens with few assets and low income. In some cases, this applies to senior citizens who have already spent almost all their savings paying their residential facility or home care and cannot sustain the expense.

In the case where one spouse lives at home and the other in a long term care facility, Medicaid can allow more assets to be retained while still qualifying for Medicaid. Planning plays an important role so that Medicaid can pay the nursing costs of for an elderly patient in a medical facility.

When does Medicaid Pay for Assisted Living or Nursing Home?

Medicaid provides for people with low income and limited assets. The program is a joint project by the state and federal government to assist senior citizens in terms of their assisted living care or nursing home needs. The state administers the program and has certain requirements for an elderly to qualify for the benefits.

Long Term Care Requirements

Long term care consists not only of medical care but also personal services for people who are ill and disabled.

State Provided Medicaid

Medicaid recipients will avail of the nursing facilities provided by every state for free. The state will also pay for the home health care services of the recipients who qualify for nursing home care. Medicaid funding can be used by the state to provide long term care services like health aides to those who are not qualified for assisted living facilities and in-home services.

Facilities Accepting Medicaid

Since Medicaid has certain mandatory federal requirements, not all nursing home or assisted living facilities accept Medicaid payments. There are facilities that accept Medicaid and they are subject to periodic inspection to make sure they meet the federal standards set by the state. You need to check with the facility to determine if they take Medicaid patients.

Medical Eligibility

Seniors are not the only persons assisted by Medicaid. Adults and young children who have needs for a nursing home care are also medically eligible for Medicaid after satisfying the requirements of the state. As long as it is proven "medically necessary" for a patient to be placed in a nursing home or health care facilities, and you meet the asset and income criteria, Medicaid will shoulder the expenses.

Financial Eligibility

Depending on the state where you are residing, Medicaid eligibility is set by the federal SSI (Supplemental Security Income). SSI also set the income limits.

Income Limits

Flexible medical guidelines are available in most state for long-term Medicaid reimbursement. These income guidelines depend upon the type of the long term program being applied for and used.

"Medically Needy" Guidelines

"Medically needy" refers to those people who have high income and assets yet their medical expenses are also very high. This means that their income is reduced. In Medicaid terms, this is referred to as "spending down".

Resource Limits

A person who has "spent down" would be eligible to qualify for Medicaid assistance. This is after a person's assets are higher than the Medicaid resource limit.

Asset Transfer

You can diminish your assets or do whatever you like while you are "spending down", getting below the qualifying asset criteria for Medicaid. However, you may not give away assets for less than market value. Medicaid will track your finances for the past five years to determine if your transferred assets in order to qualify for Medicaid. If they determine that you have done so, you will be ineligible to apply for Medicaid for a certain period. Penalty charges may also apply, even after restrictions are lifted and you will legally qualify for Medicaid assistance.

Contribution to Cost of Care

Before Medicaid pays for your care, they expect your available income would go to the long term medical care at a nursing home or other healthcare facility and you will only be allowed to keep a small fixed amount for your "personal needs allowance". The amount that you will be allowed to keep will depend on state laws and the arrangement you made with your healthcare facility. Arrangement can also be made for persons with more than what is allowed for Medicaid eligibility assets to put it in a trust in order to qualify for Medicaid. When the person dies, the trust proceeds will be paid to any long term medical care that was provided for by Medicaid. The rest, which may not be much, will go to the heirs.

Spousal Improvised Protection

Married couples who have one member needing a long-term care services will not be required by Medicaid to give up assets and income in order for the other who need health care to qualify for Medicaid. The healthy spouse is still allowed to live in the community and keep assets ranging from $22,000 to $110,000 depending on the state rules.

Future Medicaid Claim against Your Estate

Medicaid will claim your estate only if:

• You are 55 year old and receiving long-term medical care

• You are permanently institutionalized before you turn 55 year old

• If you pass away, Medicaid will have a claim on your estate for the amount they have spend to care for you (Medicaid estate recovery)

Medicaid will only claim your estate after your remaining spouse dies and you have not left behind any minor or disabled children.

 
Personalize & Print a Free CA Living Will Create This Document
Page 1
Page 2
Page 3
Page 4
Page 5
Page 6
Page 7
Page 8
Related Legal Services near Zip Code 94970
Germain Law
945 Morning Star Dr
Sonora, CA 95370
(209) 536-9577
Attorneys, Real Estate Attorneys, Bankruptcy Law Attorneys
Borden Mark -
86 S Green St
Sonora, CA 95370
(209) 536-9535
Attorneys,  Drug Charges Attorneys,  Criminal Law Attorneys,  Sex Offense Attorneys,  Family Law Att
Western Pacific Company
9041 Valley Blvd
Rosemead, CA 91770
(626) 287-9476
Paralegals, Legal Document Assistance
Chou Steven
14111 Freeway Dr # 300
Santa Fe Springs, CA 90670
(562) 407-9333
Attorneys, Probate Law Attorneys, Wills, Trusts & Estate Planning Attorneys, General Practice Attorn
Peterson Rollie
2377 Gold Meadow Way
Gold River, CA 95670
(916) 635-9300
General Practice Attorneys, Attorneys
Browne Kathie
41750 Rancho Las Palmas Dr # L-6
Rancho Mirage, CA 92270
(760) 837-9292
Corporation & Partnership Law Attorneys, Attorneys, Business Law Attorneys
Smith Maurice B
11231 Gold Express Dr
Gold River, CA 95670
(916) 438-9167
Attorneys,  Wrongful Death Attorneys,  Personal Injury Law Attorneys,  Accident & Property Damage At
A A Attorney Assisted
15605 Carmenita Rd
Santa Fe Springs, CA 90670
(562) 404-9023
General Practice Attorneys,  Bankruptcy Law Attorneys,  Attorneys,  Bankruptcy Services
Donaldson Brad W
11341 Gold Express Dr # 110
Gold River, CA 95670
(916) 631-8746
Attorneys, Legal Service Plans
Commonwealth Law Group
71843 Highway 111 Ste. B
Rancho Mirage, CA 92270
(760) 552-8699
Criminal Law Attorneys, Attorneys, Legal Clinics
Dedina Steven J
35900 Bob Hope Dr # 215
Rancho Mirage, CA 92270
(760) 202-8600
Attorneys Referral & Information Service, Attorneys, General Practice Attorneys
Winn Joseph R
11231 Gold Express Dr # 108
Gold River, CA 95670
(916) 631-8585
Divorce Attorneys, Attorneys, Family Law Attorneys, Legal Service Plans
Pacific Dynasty Regl Ctr Inc
3501 Hart Ave
Rosemead, CA 91770
(626) 288-8538
Immigration Law Attorneys, Immigration & Naturalization Consultants, Attorneys
Salisbury Susan
8461 Drayer Ln
Rosemead, CA 91770
(626) 571-8445
Attorneys, Legal Service Plans
Spitze Cherie A
81 N Washington St
Sonora, CA 95370
(209) 532-8396
Attorneys,  Family Law Attorneys,  Divorce Assistance,  Legal Service Plans,  Estate Planning Attorn
James Wm. Webster
36 N Washington St
Sonora, CA 95370
(209) 532-8390
Attorneys,  Accident & Property Damage Attorneys,  Personal Injury Law Attorneys,  Criminal Law Atto
Patrick B Greenwell
945 Morning Star Dr
Sonora, CA 95370
(209) 588-8233
Attorneys,  Bankruptcy Services,  General Practice Attorneys,  Legal Service Plans,  Bankruptcy Law
Tran Henry
4213 Rosemead Blvd
Rosemead, CA 91770
(626) 285-8200
General Practice Attorneys, Attorneys, Legal Service Plans
Tweedy Charles A
11341 Gold Express Dr
Gold River, CA 95670
(916) 538-7937
Attorneys, Corporation & Partnership Law Attorneys, Business Law Attorneys, General Practice Attorne
Walters & Zinn Law Offices
2377 Gold Meadow Way
Gold River, CA 95670
(916) 363-7840
Attorneys,  Employment Opportunities,  Employee Benefits & Worker Compensation Attorneys,  Divorce A
Brady, Matthew V
2339 Gold Meadow Way
Gold River, CA 95670
(916) 538-7826
Attorneys,  Mediation Services,  Business Law Attorneys,  Administrative & Governmental Law Attorney
Brady Matthew V
2339 Gold Meadow Way
Gold River, CA 95670
(916) 538-7826
Attorneys, Mediation Services, Business Law Attorneys, Administrative & Governmental Law Attorneys,
Toledo Leticia G
909 Laurel St
San Carlos, CA 94070
(650) 591-7352
Attorneys, Estate Planning Attorneys, Real Estate Attorneys, Legal Service Plans
Tans General Services
8905 Garvey Ave # A9
Rosemead, CA 91770
(626) 288-7108
Paralegals
12Law.com   |  NASHVILLE, TN USA   |  CONTACT US