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When Can You Use Medicaid to Pay for a Nursing Home?

If you have very few assets or limited finances and require assistance in paying for a nursing home, you do have a chance of getting financial assistance through Medicaid. Because Medicaid is a joint state and federal program, there is some room for flexibility in determining how benefits are given and the kinds of benefits that will be offered. 

You do not necessarily need to be an elderly person to quality for assistance through Medicaid if you require long-term care. However, before Medicaid will give any assistance in nursing home costs, you must be able to prove that the services of a nursing home are “medically necessary.” There are a variety of rules to govern this, which an attorney can speak to you about in greater detail, but the general idea is that you must get doctor certification that nursing home care is necessary for your wellbeing. 

There are also various standards of financial eligibility that you must satisfy. For one, most states have income limits to help determine whether or not a person is eligible for aid. In most states, you are able to make up to 300 percent of the Supplemental Security Insurance (SSI) income limit and qualify for Medicaid assistance for a nursing home. As of 2013, that limit would have been $2,130 a month. 

There are also “medically needy” guidelines, which deal with people who do not fit under resource or income guidelines. A person who is medically needy is someone whose assets and income exceed eligibility, but when you factor into account the medical expenses needed, they still require financial assistance. 

If you require additional information on acquiring Medicaid assistance for a nursing home, speak with the skilled Florida estate planning attorneys at the Charles Law Offices.

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