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Medicaid and In-Home Care: Eligibility, Benefits & State Rules

Details: With regular state Medicaid, also referred to as original Medicaid and classic Medicaid, the federal government requires that states make home health benefits available to those in need. Personal care assistance (help with bathing, dressing, eating and other non-medical care) in the home, which is not federally mandated, is also offered by many

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MI Health Link HCBS Waiver Program

Details: Overview of the MI Health Link HCBS Waiver Program. MI Health Link is a managed care program through which “dual eligible” aged and disabled Michiganians can receive all of their Medicare and Medicaid benefits. The term “dual eligible” is used for persons who are eligible for both Medicaid and Medicare.

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Medicaid Planners: Pros & Cons of Public and Private

Details: State Health Insurance Programs Counselors. State Health Insurance Programs Counselors, often called SHIPs Counselors, are individuals who are usually volunteers, trained by the state to be knowledgeable about the existence of public benefits, such as Medicare and Medicaid.

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Michigan’s MI Choice Medicaid Waiver Program

Details: Each agency functions as a Prepaid Ambulatory Health Plan (PAHP) and has their own network of care providers. Program participants receive services via these providers. Essentially, it is managed care plan. However, there is some flexibility of providers for program beneficiaries. There is a self-determination option that allows persons to hire

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Missouri Medicaid Eligibility: 2021 Income & Asset Limits

Details: Medicaid, which is called MO HealthNet in Missouri, is a wide-ranging, jointly funded state and federal health care program. Through MO HealthNet, many groups of low-income people, including pregnant women, families, and the blind, disabled, and elderly are able to …

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Oregon Medicaid Eligibility: 2021 Income & Asset Limits

Details: Benefits include adult day health, home modifications, meal delivery, and more. 5) Spousal Pay Program – This is a unique program that pays non-applicant spouses to assist their senior applicant spouses with daily living activities. This program …

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Federal Poverty Guidelines / Levels for 2021 & Their

Details: It is this report that is used by the Department of Human and Health Services to establish the Federal Poverty Guidelines. What are Federal Benefit Rates (FBR)? The Federal Benefit Rate, abbreviated as FBR, is the maximum amount to which an aged, blind or disabled person who qualifies for Supplemental Security Income (SSI) is able to receive in

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Can Medicaid Take My Home

Details: Important: It is mandatory for all states to attempt to recover costs Medicaid paid for nursing home care (regardless of the recipient’s age) and home and community based long-term care, including services such as assisted living through a Medicaid Waiver for persons 55 years of age and over.This is done through the Medicaid Estate Recovery Program (MERP), in which all states try to …

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Mississippi Medicaid Eligibility: 2021 Income & Asset Limits

Details: Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income individuals of all ages. While there are several different eligibility groups, the focus of this page is strictly on Medicaid eligibility for elderly Mississippi residents, aged 65 and over.

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Dual Eligibility for Medicare and Medicaid: How It Works

Details: While Medicare is a federal health insurance program for seniors and disabled persons, Medicaid is a state and federal medical assistance program for financially needy persons of all ages. Both programs offer a variety of benefits, including physician visits and hospitalization, but only Medicaid provides long-term nursing home care.

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Colorado Medicaid Eligibility: 2021 Income & Asset Limits

Details: Medicaid is a wide-ranging health care insurance program for low-income individuals of all ages. Jointly funded by the state and federal government, it provides health coverage for diverse groups of Colorado residents, including pregnant women, parents with dependent children, adults with no dependent children, disabled individuals, and seniors.

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Delaware Medicaid (Diamond State Health Plan) Eligibility

Details: Medicaid is a wide-ranging health insurance program for low-income individuals of all ages. Jointly funded by the state and federal government, it provides health coverage for various groups of Delaware residents, including pregnant women, parents and caretaker relatives, adults with no dependent children, disabled individuals, and seniors.

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California Medicaid (Medi-Cal) Eligibility: 2021 Income

Details: California Medicaid (Medi-Cal) Definition. Medicaid is a wide-ranging, federal, health care program for low-income individuals of any age. However, this page is focused on Medicaid eligibility, specifically for California residents, aged 65 and over, and specifically for long term care, whether that be at home, in a nursing home, or in assisted living.

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Texas Medicaid Community Attendant Services Program

Details: The Texas Health and Human Services Commission (HHSC), an agency within Texas Health and Human Services (HHS), administers the Community Attendant Services Program. It was previously administered by the Department of Aging and Disability Services (DADS). However, in 2017, DADS was abolished.

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What is Medicaid Managed Long Term Care: How it Works

Details: With the Medicaid managed care delivery system, state Medicaid agencies contract with managed care organizations (MCOs), essentially private health insurance companies, who provide health care plans. For each program participant, a set monthly rate, formally called a capitation rate, is paid to the MCO to cover the services and supports

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Criteria for Nursing Home Placement Level of Care

Details: 2. Health Issues / Medical Needs One’s health, or medical needs, are also frequently considered when determining if a senior meets a nursing home level of care. Examples includes needing assistance with injections, catheter care, and intravenous (put into a …

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Idaho Medicaid Eligibility: 2021 Income & Asset Limits

Details: Medicaid is a wide-ranging health insurance program for low-income individuals of all ages. Jointly funded by the state and federal government, it provides health coverage for various groups of Idaho residents, including pregnant women, parents and caretaker relatives, adults with no dependent children, disabled individuals, and seniors.

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Washington State / Apple Health Medicaid Alternative Care

Details: Benefits of WA Medicaid Alternative Care (MAC) Program. WA State Medicaid Alternative Care Program participants can receive up to a maximum of approximately $736 / month in services and supports. Follows is a list of potential benefits. – Adult Day Care / Adult Day Health Care. – Health Maintenance / Therapy Supports – to enable a

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Medicaid Waivers & How They Help Seniors Live at Home

Details: Medicaid is a jointly funded state and federal health care program for low-income persons of all ages. The rules governing Medicaid are federally set and require that all states provide assistance to specific groups of people, such as pregnant women, disabled persons, and seniors, who meet the eligibility requirements.

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Arizona Medicaid Eligibility: 2021 Income & Asset Limits

Details: In Arizona, Medicaid is called the Arizona Health Care Cost Containment System (AHCCCS), and the program that provides long term care for the aged, blind, and disabled is called the Arizona Long Term Care System (ALTCS). Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income individuals of all ages.

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Medicaid Definitions: HCBS, Waivers and Medicaid vs. Medicare

Details: Medicare is an optional health insurance program available to all Americans aged 65 or older. Stated very clearly, income and assets are not considered for eligibility purposes. On the other hand, Medicaid is health insurance specifically designed for …

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Powers of Attorney & Medicaid: What You Need to Know

Details: Durable Health Care Power of Attorney. A durable health care power of attorney (HCPA), also called a durable power of attorney for health care, healthcare proxy, or medical power of attorney, legally designates an agent to make medical decisions on behalf of the principal if he / she is unable to do so himself / herself.

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Alabama Medicaid Eligibility: 2021 Income & Asset Limits

Details: Alabama Medicaid Definition. Medicaid is a wide-ranging health insurance program for low-income individuals of all ages. Jointly funded by the state and federal government, it provides health coverage for diverse groups of Alabama residents, including pregnant women, parents and caretaker relatives, adults with no dependent children, disabled individuals, and seniors.

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Wisconsin Medicaid Eligibility: 2021 Income & Asset Limits

Details: Wisconsin Medicaid Definition. Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income people of all ages, including pregnant women, children, families, disabled individuals, and seniors.

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Georgia Medicaid SOURCE Program: Benefits & Eligibility

Details: – Adult Day Health Care – supervised medical care and specialized therapies (physical, occupational, or speech) in a group setting – Alternative Living Services – around the clock supervision and personal care assistance in a personal care home – Financial Management Services – for program participants directing their own personal care

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Hawaii Medicaid Eligibility: 2021 Income & Asset Limits

Details: Medicaid is a wide-ranging health insurance program for low-income individuals of all ages. Jointly funded by the state and federal government, it provides health coverage for various groups of Hawaii residents, including pregnant women, parents and caretaker relatives, adults with no dependent children, disabled individuals, and seniors.

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State Specific Medicaid Eligibility Requirements

Details: State Specific Medicaid Eligibility Requirements. Last updated: March 18, 2021. Click on your state name link below to see Medicaid eligibility requirements for nursing homes, Medicaid waivers and regular Medicaid for seniors in your state. Alternatively, determine eligibility using our Medicaid …

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What is Long Term Care at Home and Does Medicaid Pay for It

Details: They include obvious services such as home health care, and less obvious ones such as non-medical assistance with activities of daily living (eating, dressing, bathing etc) and financial assistance for home modifications to enable aging in place. Medicaid pays for a variety of care services for elderly individuals in their homes.

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Frequently Asked Questions on Medicaid Long Term Care

Details: Home health care must be provided by all state Medicaid programs, and personal care assistance, also called attendant care, is available through many state’s regular Medicaid program. (For the elderly and disabled, the regular state Medicaid program is often called Aged, Blind and Disabled (ABD) Medicaid).

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Washington State Medicaid (Apple Health) Community Options

Details: Learn about the Washington State Apple Health’s COPES Medicaid Waiver, the available long-term services and supports to prevent nursing home admissions, the eligibility criteria, and the application process. MedicaidPlanningAssistance.org is a free service provided by the American Council on Aging

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Kentucky Medicaid Eligibility: 2021 Income & Asset Limits

Details: In Kentucky, the Kentucky Cabinet for Health and Family Services’ Department for Medicaid Services is the agency that administers the state’s Medicaid program. Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income individuals of all ages. However, the focus of this page is strictly on Medicaid

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How Nursing Home Quality Measures / Ratings Work

Details: State health inspections, also called state health surveys or standard health inspections, are unannounced, occur approximately once a year and take a few days to complete. The most current inspection carries more weight, meaning it will impact the rating more than an older health inspection. The areas of assessment are extensive.

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American Council on Aging – About Us

Details: American Council on Aging - About Us. The American Council on Aging, working in collaboration with a variety of Medicaid planning and Medicaid eligibility experts, has teamed up to provide this free service to help potential Medicaid candidates better understand the challenges in qualifying for Medicaid. In addition, our objective is to help

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Washington State Medicaid (Apple Health) New Freedom (NF

Details: To apply for the New Freedom Medicaid Waiver, WA State residents must be enrolled in Medicaid / Apple Health. Persons can apply online or via their Pierce County or King County Home and Community Services (HHS) office. The Pierce County office can be reached at 1-800-442-5129 or 253-476-7200. The King County office can be reached at 1-800-346

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Getting Paid as a Caregiver by Medicaid

Details: While every state has a state Medicaid plan, it might be called by a different name depending on the state in which one resides. For instance, in California, Medicaid is called Medi-Cal, in Massachusetts, it is called MassHealth, in Missouri, it is MO HealthNet, and in Washington, it is called Apple Health.

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Minnesota Medicaid Eligibility: 2021 Income & Asset Limits

Details: Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income individuals of all ages. However, this page is focused on Medicaid eligibility for Minnesota elderly residents, aged 65 and over, and specifically for long term care, whether that be at home, a nursing home, an adult foster care home, or an assisted

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Virginia’s Commonwealth Coordinated Care Plus Waiver (CCC+)

Details: Benefits of Virginia’s CCC+ Waiver . In addition to care coordination, medical benefits, such as preventative care, physician appointments, laboratory work, x-rays, and hospitalization, mental health benefits, and durable medical equipment, a variety of long-term services and supports (LTSS) to prevent nursing home placement are available via the CCC Plus Waiver.

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North Carolina Medicaid Eligibility: 2021 Income & Asset

Details: North Carolina Medicaid Definition. Medicaid is a wide-ranging, jointly funded state and federal health care program for low-income people of all ages, including pregnant women, children, families, disabled, and the elderly.

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Understanding Nursing Home Discharges & Evictions

Details: Medicaid, a state and federal program that provides health insurance for low-income persons, will cover long-term nursing home care. Nursing home Medicaid, also called institutional Medicaid, is an entitlement program in all 50 states and the District of Columbia.

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