There are two factors that determine eligibility for Medicaid home care; medical need and financial need. For the medical need factor, an evaluation will be made to determine whether or not the applicant is in need of the services they're requesting. An individual who is no longer able to complete daily tasks such as personal care or cooking is considered to be in need of in-home care.
For financial eligibility, the requirements vary greatly by state; however, in order to qualify in any state, most individuals will need to have few assets and low income. New York State allows a single applicant to own only $15,900 (in 2021) in non-countable assets (a primary residence and some other assets don’t count) in order to be financially eligible for Medicaid in Nassau, Suffolk and surrounding New York counties. Other examples of assets that don’t count toward the $15,900 are certain life insurance policies and prepaid funeral and burial plots. Assets above this limit can be spent down on qualifying purchases to bring the Medicaid applicant under the asset limit.
This can get complex and the help of a Medicaid specialist is often recommended. Any income above these state brackets can be placed in a pooled income trust, which will not hinder Medicaid eligibility.
Contact us today to find out if you or your loved one is eligible to receive medicaid benefits in New York State.