Using Medicaid to Cover Services for Elderly Persons in Residential Care Settings: State Policy Maker and Stakeholder Views in Six States. Financial Criteria


  • Two groups are financially eligible.

    • Group A includes persons with incomes no higher than the Federal poverty level (FPL), which is $749 as of July 2003. Individuals receiving federal Supplemental Security Income benefits (SSI) or state supplement payments (SSP), or who have incomes no higher than the combined SSI/SSP level ($552 + $81 = $633) are automatically included in this group.

    • Group B includes medically needy individuals who spend down to 75 percent of the FPL. There is no upper limit on income, but income can be no greater than $562 after deducting medical expenses. The applicant may choose a 1 month or 6 month budget period for determining medical need.

  • Asset limits for both groups are $3,000 for an individual and $6,000 for a couple.12

12, Asset limits for the Minnesota Supplemental Aid program are lower, i.e., $2,000 for an individual and $3,000 for a couple.

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