Long Term Care

Long-Term Care Medicaid includes nursing facility care and Home and Community-Based Services where medical providers come into the home to provide the necessary services to keep a disabled individual from being institutionalized in a nursing facility or hospital.

    The income limit is $2,199 a month.

    • For those individuals who are not hospitalized an income trust can be established if income exceeds $2,130 a month. There are limits for the income trust which are dependent on which county the applicants resides.
    • Only individual applicant income is considered in the eligibility determination. An applicant's spouse's income is not considered.

    The individual resource limit is $2,000.

    • The couple resource limit is $4,000 if both members of a marital couple are applying for long-term care benefits and they are sharing the same room in a nursing facility or if both are going to receive Home and Community Based Services.
    • The couple resource limit is $3,000 if both members of a marital couple are applying for long-term care benefits are living in separate rooms in a nursing facility.
    • The couple resource limit is $119,220 (2016 limit) if one member of the couple is applying for long-term care services and the other spouse is not applying for Medicaid and is not institutionalized.

    Level of Care Eligibility

    • Case management agencies evaluate applicants of long-term care to determine if their medical condition qualifies them to receive long-term care services. This approval is necessary for eligibility.

    Additional Eligibility Requirements:

    • Applicants of long-term care Medicaid must receive long-term care services for 30 consecutive days before eligibility can be approved.
    • Applicants of long-term care Medicaid cannot transfer assets for less than fair market value within 5 years of the date of application. If any transfers were made the applicant may be ineligible for long-term care services for a period of time.

Medicaid May Also be Available if You:


 

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Contacts

Housing & Human Services

Phone: 303-441-1000
Fax: 303-441-1523
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Mailing Address

P.O. Box 471
Boulder, CO 80306

Boulder

Benefits: 3460 Broadway
Map & Directions
Housing: 2525 13th St, Suite 204
Housing Phone: 303-441-3929
Housing Fax: 720-564-2283
Hours: 8 a.m.-4:30 p.m. M-F

Longmont

515 Coffman St.
Map & Directions
Hours: 8 a.m.-4:30 p.m. M-F

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