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Guidance and news from the senior care industry

What Happens When You Get a Medicaid Denial?

Since Medicaid has such strict financial requirements and a comprehensive application process, it's possible you might receive a denial. Fortunately, you have the right to appeal the unfavorable decision and request a fair hearing. Here's what to expect in the event of a denial.

How to Complete the Medicaid Application

If you are in the Medicaid planning process, the final step in your plan is to complete the Medicaid application. Your state's Medicaid agency will provide all the details you will need as you fill out your application. But we wanted to give you an overview of what to expect throughout the application process.

The Legislative History of Medicaid

The Medicaid program has been around for a while, but it's gone through several updates since it was first signed into law. Let's take a journey through those legislative changes to see how we got the Medicaid program we have today, specifically as it pertains to long-term care.

What are Medicaid’s Income Restrictions?

Since Medicaid is designed for individuals with limited means, you must meet specific asset and income limitations in order to qualify. It's important to understand these restrictions before establishing a Medicaid plan and applying for benefits. So, let's walk through the income restrictions for Medicaid.

What is Medicaid?

Medicaid is a government program funded on both the state and federal levels that is designed to provide health coverage for individuals with limited income and assets. Find out how Medicaid can help older adults pay for their long-term care.

What are the Medicaid Lookback and Penalty Periods?

If a Medicaid applicant has given a gift during the lookback period, they may be subject to a penalty period, during which they will be ineligible for benefits. Being aware of the lookback and penalty periods is crucial for anyone planning for long-term care.

What Happens When One Spouse Goes into a Nursing Home?

When only one spouse requires nursing home care, you may have trouble determining the best way to pay for care in order to prevent impoverishment for the spouse at home. Learn how each spouse has different financial qualifications for Medicaid.

What Does Medicaid Cover in a Nursing Home?

Medicaid coverage for nursing home care is unlimited as long as you remain financially eligible. Here's a breakdown of what Medicaid covers in a nursing home as well as some of the additional amenities you may be charged for.