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


  • Three groups are financially eligible for Medicaid:

    • Group A includes individuals eligible for SSI, who are automatically eligible for Medicaid with no separate application.

    • Group B includes individuals with incomes up to100 percent of the Federal Poverty Level of $749. (Effective April 1 2003)

    • Group C includes medically needy individuals who must spend down to $242, the protected monthly income amount.

  • Asset limits for all three groups are $2000 for an individual and $3000 for a couple.

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