Why Medicaid Eligibility Matters If You Need Nursing Home Care: A Guide for Annapolis Residents

ANNAPOLIS • MILLERSVILLE • BOWIE • WALDORF

WHY MEDICAID ELIGIBILITY MATTERS IF

YOU NEED NURSING HOME CARE

A Guide for Annapolis Residents

MANY SENIORS NEED NURSING HOME CARE

Around 70 percent of seniors 65 and up will eventually spend some time in a nursing home at

some point during their life.

A senior 65 or older has a 40 percent change of ending up

spending time in a nursing home, and a 20 percent chance of

spending five or more years in a nursing home

NURSING HOMES ARE EXPENSIVE

The median annual cost of a semi-private room in a Maryland nursing

home is $113,150.

The median annual cost of a private room in a Maryland nursing home is

$110,230

MOST INSURERS WON’T PAY FOR THE TYPES OF NURSING

CARE PATIENTS NEED

Most insurance providers, including Medicare, limit coverage for nursing homes to situations where skilled

services are needed.

Examples of skilled services could include changing bandages after

surgery.

The kinds of routine custodial care most nursing home patients need is

not going to be covered.

MEDICAID CAN PROVIDE COVERAGE

Medicaid may be the only available source of coverage for nursing care.

This could mean you end up paying privately for a nursing home out of your own pocket if you don’t qualify

for Medicaid.

MEDICAID HAS RESOURCE LIMITS

There are strict resource limits for Medicaid.

If you own too many assets- as many seniors do- you cannot get

benefits until you spend down your assets.

MEDICAID PLANNING CAN HELP

Medicaid planning can help you to get coverage while protecting your nest egg.

With assistance from a Medicaid planning lawyer, you may be able

to make sure you get covered while still keeping money and property to

leave a legacy for loved ones.

PLANNING ALSO PREVENTS ESTATE

RECOVERY

Making a Medicaid plan can also keep your assets safe from Medicaid estate recovery.

Medicaid estate recovery requires states to make claims against your estate to try to recoup Medicaid

money spent on your care if you’re over 55 or Medicaid money spend

on nursing homes.

ACTING IN ADVANCE TO MAKE YOUR PLAN

Medicaid looks back five years to see if you transferred any assets

when deciding if you’re eligible for Medicaid.

Asset transfers result in a period of disqualification.

This means you need to make a Medicaid plan early on.

GETTING LEGAL HELP

Contact an experienced Maryland Medicaid planning lawyer to make your plans and protect your assets.

Or visit our website www.sinclairprosserlaw.com

Nicole Livingston

Jon J. Gasior

Colleen SinclairProsser

Victor A. Lembo

Why Medicaid Eligibility Matters If You Need Nursing Home Care: A Guide for Annapolis Residents

Law

Medicaid Eligibility Handbook Release 17-03 · Medicaid Eligibility Handbook Release 17-03 WISCONSIN DEPARTMENT OF HEALTH SERVICES Division of Medicaid Services P-10030 (11/2017)

Medicaid Eligibility Final Rule Summary

REQUEST FOR PROPOSAL MEDICAID ELIGIBILITY …dhh.louisiana.gov/assets/docs/contracts/305PUR-DHHRFP-IVV-DATA-… · request for proposal medicaid eligibility data system independent

Assessing Asset Transfer for Medicaid Eligibility in New ...research.policyarchive.org/20305.pdf · Temporary and Disability Assistance (OTDA) administers the Medicaid eligibility

Medicaid Eligibility - Virginia · 4 Eligibility Process DMAS, DSS and the Department of Corrections (DOC) have established a process (effective in July 2013) for Medicaid eligibility

FINANCIAL ELIGIBILITY FOR MEDICAID AND THE MEDICAID SPEND-DOWN

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Transitioning Medicaid Eligibility Systems at the County Level

DHS Medicaid Online (DMO) Web-Based Eligibility/Enrollment

DMA Health Care Reform and Medicaid/NCHC Eligibility WSS Leadership Summit Carolyn McClanahan Chief, Medicaid Eligibility Division of Medical Assistance

Update: Medicaid Program Eligibility Changes under the ... R on... · Changes to Medicaid Eligibility ... the new eligibility category14 consisting of nonelderly adults ages 19-65

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Evolution of Medicaid Managed Care Systems and Eligibility ... · PDF fileEvolution of Medicaid Managed Care Systems and Eligibility Expansions Leighton Ku, ... through Medicaid expansions,

Create a medicaid eligibility SPA in MACPro · Medicaid Eligibility SPAs in MACPro Version 1.0 1 Medicaid & CHIP Business Information Solutions (MACBIS) Introduction This reference

Appropriateness of Medicaid Eligibility Determined by … · Appropriateness of Medicaid Eligibility Determined by the ... who had died after enrollment, ... system auditability and

Washington Apple Health (Medicaid) Eligibility Citizenship ......Washington Apple Health Maggie Clay Regional Eligibility Policy Representative Office of Medicaid Eligibility and Policy

Medicaid Eligibility Allen Bryan, Centers for Medicare and Medicaid (CMS) Bethany Hamm, MaineCare

Exchange/Medicaid/CHIP Eligibility Appeals · PDF fileExchange/Medicaid/CHIP Eligibility Appeals . Center for Medicaid and CHIP Services ... –Is receiving APTC –Then requests an