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.
Long Term Care
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:
- Are in the Colorado Works/Temporary Assistance to Needy Families (TANF) program
- Are a foster or adopted child placed in a home by Boulder County Housing & Human Services