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


A person is eligible if their income and assets would be inadequate to fund a nursing facility stay for more than 180 days. Premium payments equal to 25 percent of the monthly service costs are paid by some enrollees (those with assets greater than $10,000). There is no cost-sharing obligation if an individual's available income is less than 150 percent of the FPL.

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