Community Medicaid is a program that covers the cost of care that is provided in the home to help individuals and their families pay for a home health aide as well as necessary medical supplies. To qualify for Community Medicaid an applicant may have no more than $15,150 in assets. Community Medicaid does not have a look back period, which allows an individual to be eligible for benefits within one month of applying. In addition, the $15,150 does not include qualifying retirement accounts where the individual is taking monthly-required distributions. A primary residence is exempt, as well as an irrevocable pre-paid funeral. In addition, an individual may have no more than $845.00 in monthly income.
Once an individual is approved to receive Community Medicaid, he or she will be required to enroll with a Managed Long Term Care Company (MLTCC). A MLTCC will conduct an evaluation to determine the number of hours per day that a person is entitled to receive in-home care to assist with basic needs such as bathing, toileting, cooking, and housekeeping. Community Medicaid can also cover the cost of transportation for doctor’s visits, Adult Day Health Care, and even specialized therapies such as speech and language.
Community Medicaid also assists individuals and families in covering the cost of medical equipment and supplies such as a wheelchair, a hospital bed, an outdoor ramp, diapers, and wipes, among others. A physician can write the Medicaid recipient a script for the necessary supplies, which are then delivered to the person’s residence. The Medicaid recipient is not charged any delivery or pickup fees for these items. The Community Medicaid program provides benefits that are necessary to assist the aging population. Without the Community Medicaid program, many individuals would be unable to remain in their home, due to the cost of home healthcare, safety concerns, and well-being concerns.
In general, the Medicaid programs offer family members and loved ones excellent benefits that will allow them to receive the care he or she needs while preserving their assets. Medicaid pays for the largest share of home healthcare needs, but only if the individual meets the eligibility requirements. The Medicaid application and eligibility professionals at P&P Medicaid Consulting, Inc. assist Nassau County, Suffolk County, and Queens residents in preparing applications for Medicaid eligibility while taking advantage of programs and planning options that will protect their income and assets. For more information or to schedule a consultation, call our Long Island, New York Medicaid consulting office at (516) 541-4770.