Medicaid Qualifications

Medicare is a free or nearly free insurance program paid for by the states. Medicaid generally covers people who are in medical need, who are aged 65 and over, blind, disabled, pregnant, and children. State Medicaid insurance is also known as Title 19.

If you have medical need, but you make too much money to qualify for Medicaid, you may qualify by doing what is known as a spend down. A spend down is something like an insurance deductible. Medicaid allows you to have $660 a month income. If your income is $800 a month, you will have made $140 a month too much. In 6 months you will have to have at least $840 of unpaid medical bills in a six month period to be eligible for Medicaid.

Medicaid provider qualifications state that pregnant women are eligible for Medicaid if they are financially needy or medically needy. A pregnant woman may have too much income to qualify, but if she has no other insurance, and she may qualify for Medicaid if she meets the criteria for medical need.
People over aged 65, who don't own any property, may be eligible for Medicaid. Medicaid will pay part of a nursing home stay under the right conditions. The person in a nursing home cannot own any assets that could be liquidated to use to pay the nursing home stay. Medicaid would not pay the bills if the nursing home resident owns property or has money.

Financial qualifications for Medicaid are quite strict. For instance, a person who goes into a nursing home cannot transfer property into someone else's name to be eligible for Medicaid. This would be fraud if anyone tried to do this.

Nursing home stays are paid by Medicaid, only after other sources of insurance, or moneys have been paid. For instance, if a resident has Social Security income, or Supplemental Security Income (SSI) or retirement, these moneys would be used first to pay the nursing home costs. All of the moneys will be used, except for $30 which will be given to the resident's account for spending.