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Medicaid Planning Services

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About Medicaid

About 70% of people over 65 will likely need some form of long term care. A majority of those will access long term care through their states’ Medicaid program. Medicaid benefits are generally “means tested”, meaning that an applicant must meet the income and asset limits to qualify. All state Medicaid programs are different. Different states offer different services and have different qualification criteria. 

Navigating the maze of Medicaid qualification can be challenging even in circumstances that seem simple. We do a comprehensive review of our clients’ individual circumstances and priorities, and help our clients find the path out of the maze.

Need Medicaid Assistance?

Assess Medicaid Qualifications

Long term care Medicaid qualification includes residency requirements, medical necessity evaluations, and financial assessments. Assisting with Medicaid qualification requires a tailored approach for each applicant. Because each individual’s income, assets, and family situation is unique, a unique approach is required for each client.

Medicaid Application Assistance

Meeting the qualification for long term care benefits is only the first hurdle. Putting together a successful application that shows the state that someone meets the criteria is time consuming and requires knowledge of the application process. We review all the documents that prove qualification and organize them to assist the state in making the correct decision for qualification.

FAQs

Medicare will cover some rehabilitation after an acute event, but it does not pay for skilled nursing care over a long period of time.

Yes. If you otherwise qualify for Medicaid, you can apply to Medicaid to cover the gap between your income and long-term care insurance and the cost of your care. Medicaid will always be the payor of last resort. That means that first your income will go toward your payment, then your long-term care insurance will pay your contracted rate, and any remaining balance would be covered by long-term care Medicaid.

Every state has different laws and the internet does a poor job of distinguishing what laws apply in which state and even where the information is coming from. In addition, the internet gives “one size fits all” advice. Planning for long-term care is unique to the individual and their circumstances. It is always wise to consult a qualified attorney.