Max was going about his daily life when suddenly he got a call he’d been dreading. His Great Aunt Maude was critically ill, and Max soon learned that she would need 24/7 nursing care. She doesn’t have any insurance or savings accounts, and public benefits will have to pay – if she’s eligible. In addition to comforting his great aunt, Max had to scramble to apply for emergency Medicaid.
Alabama Nursing Home Medicaid Eligibility
This government-funded benefit offers assistance if applicants meet the following conditions:
- Applicant must prove nursing home care is due to a medical condition.
- Most applicants must live in a nursing home for at least 30 continuous days.
- The applicant’s monthly income must be below limit, which is set in January each year. The current limit is $2,205 per month.
- The value of applicant’s resources must be below a limit set by Medicaid. The limit for an individual is $2,000, but there are special exceptions if the applicant’s spouse will continue to live in their home.
- The applicant must be a S. citizen living in Alabama.
While this may sound simple, regulations also contain exceptions and special situations. It’s best to consult with an attorney who understands the Medicaid application process.
The Application Process
Completing an application, either online or in paper format, is just the first step.
Applicants are required to include a lot of information and documentation. A Medicaid caseworker will review the application. By law, they must review income and expense documents starting 5 years before the date of the application.
The application, along with all supporting documentation, is then submitted to Medicaid for review. It’s important to send the application to the right office, which can be found by calling Medicaid or searching online. Mailing the application to the office that handles Medicaid for Pregnant Women or Children, for example, could delay approval of the application.
Medicaid mails a decision letter to applicants at the address shown on the application. Sometimes applicants will be asked for more information or for clarification before Medicaid can approve or deny the application.
Don’t let Medicaid eligibility issues creep up on you.
Finding out that you need emergency Medicaid during a medical crisis is tougher than you can imagine. Know where you stand now, and how to plan for Medicaid eligibility before illness strikes.
Talk to an Alabama attorney with experience and training to handle your concerns. Contact Adams Miller, LLP at 256-251-2137 to schedule an appointment. Though our offices are located in Anniston and Birmingham, we assist clients in surrounding communities like Talladega, Gadsden and Vestavia Hills