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 for waiver services:

    • Group A includes individuals who are eligible because they are receiving SSI.

    • Group B includes persons with incomes up to the special income standard of 300 percent of SSI, which is $1656.

  • Asset limits for both groups are $2,000 for an individual and $3,000 for a couple.

  • The state does not allow spend-down to waiver eligibility levels. For individuals with income that exceeds the institutional limit, federal policy requires the state to allow the use Qualified Income Trusts, known as Miller Trusts, to become eligible for Medicaid.

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