Cheria, like Jo Ann posted it’s really important to know just which Medicaid program your mom is trying to get eligibility for. LTC Medicaid in a facility, like a NH, quite different than community based Medicaid. What type of Medicaid are you thinking mom could need? BUT if your ? is actually more about your wanting Medicaid to pay you for in home caregiving for her, that’s way way WAYYY different. Your profile says you moved in with them a year+ ago & are her caregiver.
In home paid by Medicaid will totally be unique for how your state runs its Medicaid programs. Some states - like CA - have well established IHHS programs that train & pay for family living in the home without their own full time job, to be their caregiver. Based on what others have posted on this site, IHHS seems to be abt 12-20/24 hrs max a wk and at slightly above state minimum wage. It’s all legit, with FICA, reporting and the person at need has a copay (paid to the state) based on their income. They get a needs assessment done by the state to determine # of hours too. It will never ever be for full time caregiving. The only exception to this seems to be if you live in a very expensive place - like NYC or Alaska- where in home FT is actually more cost effective than being in a facility. Other states have in-home done first & foremost by whatever MCO (managed care organization) that is the provider for the community based Medicaid for your state or county. Some states don’t have in home programs.
if your ? is abt your needing $. Please realize that Your parents have income each month, like their Social Security $, plus they probably have savings as well, they can do a personal care contract (drawn up by an attorney) with you to pay you from their $ to caregive. Needs to be legit, with taxes, FiCA, etc.
Medicaid for what, a Nursing home, in home care or health insurance?Each has a different criteria.
Nursing home and in home both require you being pretty much poor. In a NH situation if the spouse remains in the home, they are considered the Community Spouse. Assets are split with the spouse needing care split needing to be spent down. I think "in home" care has similar criteria.
So like Jar said, maybe Dad wants to hold on to the assets they have together. Maybe they have enough assets that Medicaid feels that Mom can pay her own way. The house sometimes exempt when it comes to assets own, I think not so if its worth a lot of money.
What you need to find out is why Mom was turned down. Medicaid is slightly different in each state.
You will need to get expert legal advice from someone who specializes in Missouri LTC Medicaid to see if anything can be done.
I suspect the likely issues are that she doesn't want or qualify for nursing home care or that her husband would like to keep access to more than the spousal minimum.
There may or may not be ways to get access to non-nursing home benefits or to let her husband increase his share of income.
BUT
if your ? is actually more about your wanting Medicaid to pay you for in home caregiving for her, that’s way way WAYYY different. Your profile says you moved in with them a year+ ago & are her caregiver.
In home paid by Medicaid will totally be unique for how your state runs its Medicaid programs. Some states - like CA - have well established IHHS programs that train & pay for family living in the home without their own full time job, to be their caregiver. Based on what others have posted on this site, IHHS seems to be abt 12-20/24 hrs max a wk and at slightly above state minimum wage. It’s all legit, with FICA, reporting and the person at need has a copay (paid to the state) based on their income. They get a needs assessment done by the state to determine # of hours too. It will never ever be for full time caregiving. The only exception to this seems to be if you live in a very expensive place - like NYC or Alaska- where in home FT is actually more cost effective than being in a facility.
Other states have in-home done first & foremost by whatever MCO (managed care organization) that is the provider for the community based Medicaid for your state or county.
Some states don’t have in home programs.
if your ? is abt your needing $. Please realize that Your parents have income each month, like their Social Security $, plus they probably have savings as well, they can do a personal care contract (drawn up by an attorney) with you to pay you from their $ to caregive. Needs to be legit, with taxes, FiCA, etc.
Nursing home and in home both require you being pretty much poor. In a NH situation if the spouse remains in the home, they are considered the Community Spouse. Assets are split with the spouse needing care split needing to be spent down. I think "in home" care has similar criteria.
So like Jar said, maybe Dad wants to hold on to the assets they have together. Maybe they have enough assets that Medicaid feels that Mom can pay her own way. The house sometimes exempt when it comes to assets own, I think not so if its worth a lot of money.
What you need to find out is why Mom was turned down. Medicaid is slightly different in each state.
I suspect the likely issues are that she doesn't want or qualify for nursing home care or that her husband would like to keep access to more than the spousal minimum.
There may or may not be ways to get access to non-nursing home benefits or to let her husband increase his share of income.
https://www.medicaid.gov/medicaid/section-1115-demo/demonstration-and-waiver-list/Waiver-Descript-Factsheet/MO
https://mydss.mo.gov/prevention-of-spousal-impoverishment
I wish you well.