Some Basic Guidelines for Long Term Care Medicaid

For most families who are considering the necessity of more care for their loved ones, the costs for advanced care can be extremely scary.

The State offers a program, Long Term Care (LTC) Medicaid, which will assist in paying for the care your family member may need.

The individual needing care must meet a functional, nursing home level of care which will be assessed by a qualified case manager with the county. This does not mean that the client must go to a nursing home.  In-home care, assisted living facilities, or nursing facilities are all options open to clients based on their functional needs.

Additionally, the client (and spouse, if applicable) must submit a financial application to verify they meet limits and guidelines provided by the State.  It’s in this area that JG Medicaid Consulting can assist in explaining the red tape and helping to guide your family thru the eligibility process.

Many people have questions pertaining to the client(s) resources.  Can we keep our home?  We worked all our lives and have a small nest egg.  Can we keep our life savings?   I hope to expel some of the concerns you may have.

  1. Married couples with only one person applying for Long Term Care (LTC) Medicaid can retain up to $125,600 (as of 01/2018) in assets.
    1. A single individual can retain $2,000 in assets.
    2. A married couple who are both applying for LTC Medicaid can retain up to $3,000.

 

  1. Resources include, but are not limited to, checking, savings, IRA’s, bonds, investments, life insurance cash values, vehicles of all types over the one Medicaid allows as exempt, other real property aside from the home of residence, time shares, mineral rights, etc.

 

  1. The home in which the person(s) resides is considered exempt. The home should be listed in the person(s) name(s).  If, however, the home was “signed over” (aka “gifted”) to the client’s children within the past five years, a penalty period will be initiated. There are options to correct this penalty so don’t panic.

 

  1. One vehicle is considered exempt for LTC Medicaid. If more vehicles are owned by the client(s), the fair market value of each will be calculated by the county. One vehicle, usually the highest valued, will be exempted.  The other vehicle’s values will count toward the total resources for the person(s) applying.

 

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Editor’s Note: This article was submitted by Joell Gray, owner of  JG Medicaid Consulting, LLC . She may be reached at 970-216-4999  or by email at:  Jg.ltc.med@gmail.com