Medicaid is seen as a backstop
for individuals or families who have inadequate support for healthcare. Health
centers, however, need to determine who can take advantage of it and those who
cannot; as such, the onus is on you to determine your eligibility for Medicaid.
Prime Selection
Medicaid program rules, in
general, note that potential beneficiaries must have a monthly income between
$2,000 and $3,000. The total value of their assets should be somewhere between
$2,000 and $15,000; however, this value does not account for the house,
personal items, or a car, among others. A couple applying for Medicaid must
have a total asset value of no more than $101,540.
Some situations may arise where
the amounts for income or assets exceed the cap, thus causing ineligibility. A
workaround may be to convert the excess into a Medicaid annuity facilitated
with an insurance firm.
Localized Issues
Sometimes, states or counties
will have their own eligibility caps for the program. Your patients and their
loved ones must be educated on them to ensure less complications. There can be
cases wherein the applicant doesn’t have enough assets but the income is within
the threshold, which will make them eligible for Medicaid support in case the
health care costs are above their means.
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