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MEDICAID ELIGIBILITY

Four requirements to be eligible for Medicaid

Medical necessity - – to achieve eligibility for the Medicaid nursing home program, the applicant must have a medical need for licensed nursing care and meet the risk assessment criteria for nursing home placement.

 

Age and citizenship - to achieve this Medicaid eligibility a person must be 65 years of age, blind or disabled, and be a U.S. citizen.

Income eligibility  - The monthly income limit for a single applicant in the State of Texas is $2,829.  Calculated annually, applicants must earn less than $33,948.   If the applicant’s monthly income exceeds the cap amount, then a Miller's Trust (Qualified Income Trust) can be an avenue to eliminate this problem.

Asset eligibility – Divorced, widowed or otherwise single applicants are allowed “countable assets” valued up to $2,000.  If both spouses are entering a nursing home, the asset cap is $3,000.   There are many exceptions to these asset limitations.  Let us help you develop a strategy.

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