|
Adult Medicaid
Medicaid Eligibility for Persons Under Age 64
Medicaid Eligibility for Persons Who are Blind or Persons with Disabilities Who are Under Age 64
Who is eligible?
If you are under the age of 64 and do not have dependent children, you must be determined blind or disabled by the Social Security Administration (SSA) standards.·
If you are eligible for Supplemental Security Income (SSI) from SSA then you will automatically receive Medicaid.
If you have not applied for SSI you should apply at a SSA field office.
If you are on SSI and have not been enrolled in Medicaid, please contact us.
Medicaid Eligibility for Persons Age 65 and Over
Information for Persons Aged 65 or Older
Who is eligible?
If you are age 65 or older and eligible for Supplemental Security Income (SSI) and/or Old Age Pension (OAP) state supplemental payments you will be eligible for Medicaid.
If you have not applied for SSI, you should at a Social Security Administration field office.
If you are on SSI and have not been enrolled in Medicaid or if you have not applied for OAP, please contact us.
The income limit is $699
The asset limit for an individual is $2,000 and $3,000 for a couple
Medicaid Long Term-Care Eligibility
Long Term Care Medicaid includes nursing facility care and home and community-based services where medical providers come into the home to render the necessary services to keep a disabled individual from being institutionalized in a nursing facility or hospital.
Disability Eligibility:
Individuals under the age of 65 requiring long term care services must meet the Social Security disability criteria either through Social Security Income (SSI) eligibility or Social Security Disability Income (SSDI) eligibility. Colorado also has a state contractor who can determine disability if an individual has not been determined disabled by the Social Security Administration.
Income Eligibility:
The income limit is $2,022 a month. For those individuals who are not hospitalized, an income trust can be established if one's income exceeds $2,022 a month. There are limits for the income trust which are dependent on the county in which the applicants reside.
Only individual applicant income is considered in the eligibility determination. An applicant's spouse's income is not considered.
Resource Eligibility:
The individual resource limit is $2,000.
The couple resource limit is $4,000 if both members of a marital couple are applying for long term care benefits and they are sharing the same room in a nursing facility or if both are going to receive home and community-based services.
The couple resource limit is $3,000 if both members of a marital couple are applying for long term care benefits are living in separate rooms in a nursing facility.
The couple resource limit is $109,560 (2009 limit) if one member of the couple is applying for long term care services and the other spouse is not applying for Medicaid and is not institutionalized.
Case management agencies evaluate applicants of long term care to determine if their medical condition qualifies them to receive long term care services.This approval is necessary for eligibility.
Additional Eligibility Requirements:
30 Consecutive Day Stay: Applicants of long term care Medicaid must receive long term care services for 30 consecutive days before eligibility can be approved.
Transfers without fair consideration: Applicants of long term care Medicaid cannot transfer assets for less than fair market value within 4 years of the date of application. If any transfers were made the applicant may be ineligible for long term care services for a period of time.
|
