Adult Medicaid programs
Persons under age 64
Individuals eligible for Supplemental Security Income (SSI) from the Social Security Administration automatically receive Medicaid.
Individuals 18-64 not receiving Medicare could be approved for Magi Adult Medicaid. Individual income must be below 133 percent of the federal poverty level.
Medicaid buy-in programs: working adults with disabilities
Adults who earn too much income, or have too many resources to qualify for regular Medicaid, may pay a monthly premium based on income. There is no resource limit for this program.
- Must be age 16, but less than 65.
- Must be employed.
- Must have a qualifying disability determination
- Have an income limit below 450 percent of the federal poverty level.
- Must pay a monthly premium to Medicaid, ranging from $0 to $200 per month, based on income.
Persons age 65 and older
Individuals age 65 or older who are eligible for Supplemental Security Income (SSI) and/or Old Age Pension (OAP) state supplemental payments, will be eligible for Medicaid.
Individuals who have not applied for SSI may contact the local Social Security Administration office in Glenwood Springs at 1-866-220-7898 to apply.
Long-term care Medicaid
This include nursing facility care, assisted living facilities, and home- and community-based services, in which medical providers render necessary services to keep a disabled individual from being institutionalized in a nursing facility or hospital.
- Monthly income limit; if a client is over this limit, they still may qualify if an income trust is established. There are limits for the income trust. Only the individual applicant income is considered in the eligibility determination.
- Resources below the current limit:
$2,000 for an individual.
$4,000 for a couple, both needing long-term care services, and share the same room.
$3,000 for a couple, if one needs long-term care services and they are in separate rooms/facilities.
$120,900 for a couple when one needs long-term care services and the other is not applying.
- Transfers without fair consideration – long-term care applicants cannot transfer assets for less than fair market value; there is a five-year look-back period.