Questions About What Medicaid Covers

1. Does Medicaid pay for funerals?

   Question - No, Medicaid does not pay for cremation or funerals. However, the Social Security program can make a payment for funerals and burials, and Medicaid has qualifying rules which allow you to put aside your own money for funeral and burial expenses, so maybe the funeral home's site was jumbling up this information...
   1 Expert Answer, 3 Community Answers

2. Can Medicaid or Medicare provide part-time home care?

   Question - Medicare coverage for home care is extremely limited. In order to qualify for Medicare-covered home care, your mother must be confined to her home and have a medical need for doctor-prescribed skilled nursing care or rehabilitative physical or speech therapy...
   1 Expert Answer

3. Does Medicaid Cover Long-Term In-Home Care?

   Question - All states provide some kind of long-term care for certain people, including the elderly, who live at home and who would require nursing home care if they didn't receive these services. These programs aren't technically part of Medicaid but are funded by Medicaid through waivers of normal Medicaid rules...
   FAQ 1 Expert Answer, 3 Community Answers

4. Will Medicaid pay for an electric wheelchair?

   Question - Both Medicare and Medicaid can help pay for an electric wheelchair, with Medicaid paying the portion of the costs that Medicare doesn't. Medicare Part B can pay either to rent or buy a power wheelchair if prescribed by your father's doctor and if medically necessary for him to get around (not just going outside, but to get around the house, too)...
   1 Expert Answer, 1 Community Answer

5. Will Medicare pay for hearing aids?

   Question - Medicare, no, Medicaid, maybe. Medicare Part B does not cover routine hearing exams or hearing aids. Medicaid , however, may cover some of the cost of hearing aids, depending on the state you live in. That's because each state operates its own Medicaid program, and each program has slightly different rules and coverage...
   1 Expert Answer, 1 Community Answer

6. FAQ: What Kinds of Home Equipment and Modifications Are Covered by Medicare, Medicaid, or the VA?

   Question - Excellent information on paying for medical equipment and home modifications. I would add that the limits for HISA grants have been raised to $6,800 for service connected disabilities and $2,000 for non service connected disabilities.
   FAQ 2 Expert Answers

7. Will Medicaid pay for my dad's ventilator and skilled nursing care in my home?

   Question - The answer probably depends on how much actual skilled care he needs. Medicaid coverage varies from state to state. But in all states, the extent of home care Medicaid will cover is far less than what is provided -- and paid for by Medicaid -- in a nursing home...
   1 Expert Answer, 1 Community Answer

8. Is Medicare or Medicaid transferable from state to state?

   Question - The short answer is that traditional Medicare coverage IS transferrable from state to state but that Medicaid coverage is NOT transferrable from one state to the other. But there are several parts to Medicare, so the full answer is a little bit more complicated.
   1 Expert Answer

9. Does Medicare or Medicaid pay for home modifications?

   Question - The installing of a walk-in tub is a modification of a home that neither Medicare nor Medicaid usually covers. That's because it involves a physical change to the home, rather than the addition -- through purchase or rental -- of medical equipment or supplies, which Medicare Part B and Medicaid do cover...
   1 Expert Answer, 1 Community Answer

10. Does Medicaid or Medicare cover a CNA to care for the blind?

    Question - Medicare and Medicaid are both set up to provide medical coverage, and unfortunately neither program provides much in the way of non-medical assistance with the activities of daily living (ADLs). However, Medicaid -- if someone meets the financial eligibility standards -- might provide very limited part-time assistance...
    1 Expert Answer

11. Will Tennessee Medicaid or TennCare pay for an assisted living facility?

    Question - Will Tennessee Medicaid or TennCare pay for an assisted living facility? If so, which facilities will accept Medicaid payments?

12. Will Medicare and Medicaid cover overnight in-home care after a lung transplant?

    Question - After a lung transplant will Medicare or Medicaid pay for a caregiver for the night shift or all 3 shifts?

13. What happens if someone has no one to care for her and no money to pay for care?

    Question - A good friend of ours (age 49) just suffered a major stroke 4 nights ago. She is in the hospital and seems to have lost her verbal skills and use of her right leg and arm. She has been unemployed and on Medical for the past year. She can barely afford her rent, and has no assets...

14. Who pays if Medicaid won't due to look-back period?

    Question - If a person transfers assets to children and later applies for Medicaid to go into a nursing home, there is a penalty assessed during a look-back period. One question I've never seen answered is this: If the person has run out of money and needs to go into a nursing home but Medicaid won't pay because of the penalty period, then who DOES pay...

15. What health issues qualify someone for Medicaid nursing home benefits?

    Question - There are no specific health conditions that qualify someone for Medicaid coverage of long-term nursing home care. Instead, Medicaid looks at whether nursing-home level care on a daily basis is "medically necessary" for the person applying for coverage...
    1 Expert Answer

16. Can I turn my parents' house over to Medicaid for nursing home repayment?

    Question - I understand that my parents' house equity can be used to repay Medicaid for the nursing home expenses that they incurred before their death. Is it the responsibility of the family to try and sell the house or can it be just turned over to Medicaid? The house is worth less than the amount paid by Medicaid for their care...

17. How can I get my brother into a facility using his Medicaid?

    Question - Hello, I'm concerned about my brother who lives alone, recently laid off from a postal job, suffers from hypertension n diabetes, hads a stroke this past july and now he's facing eviction from his apartment because he's two months behind n his rent...

18. Can Dad's nursing home come after our house if his name is on the taxes?

    Question - My father is about to go into a nursing home. The house that I am living in was bought and paid for by my Mother who passed away two years ago, but the taxes are in his name. I have the release information from the mortgage company that is in her name.. now everyone is saying that the nursing home will come and take my mother's home from me...

19. Does Medicaid cover hearing aids in Kansas?

    Question - Hi,
    1 Community Answer

20. Does Medicaid cover respite care in Massachusetts?

    Question - For the quickest answer, contact the Massachusetts Lifespan Respite Program. They coordinate all the respite resources in the state and should be able to provide that information to you. For contact information, visit the ARCH National Respite Network website at www.archrespite.org and click on the Lifespan Respite Program tab on the left hand menu...
    1 Community Answer

21. Social Security caused her Medicaid to cancel. What can she do?

    Question - My daughter has had 2 strokes and got Medicaid. She first got $1002.00 from Social Security, but then when it went to $1006.00, her Medicaid was stopped.

22. If Dad moves back home, will Medicaid still pay for his nursing home stay?

    Question - You're right that there are two different sets of eligibility for Medicaid nursing home coverage and Medicaid medical care coverage. If your father applied for Medicaid nursing home coverage when he entered the nursing home, and Medicaid ultimately approves his application, Medicaid will pay his nursing...
    1 Expert Answer

23. Will VA benefits be considered income and cause my mom to lose Medicaid?

    Question - My mother receives VA benefit to the caregiver. Will this be considered income and make her rent increase and loose medicaid? The money is paid to the caregiver as the fiduciary.

24. Does Medicaid cover lap band surgery, in Georgia?

    Question - Does medicaid cover lap band surgery, in the state of GA?

25. How will Medicaid treat the loan proceeds that are coming to me?

    Question - Mom added my name to her deed more than five years ago. Four years ago, we took out a new mortgage in her name only for which I would make the payments (she willed the home to me alone, and I also have durable POA, and agreed to care for her as long as physically possible). We paid her debts, put a new roof on her house, paid off an existing mortgage...

26. Will we need to reimburse Medicaid after my mother passes, because they are currenting paying for all her care?

    Question - My mother has been in a nursing home for over a year. She is receiving Medicaid and they are paying for her care. We wwere told that she would have to pay a share of cost and Medicaid would pay the rest. This has not happened - Medicaid is paying for all of her care. When my mom passes is Medicaid going to come to her family to reimburse them...

27. Does Medicaid pay for bariatric surgery?

    Question - Each state runs its own Medicaid program, with separate rules and procedures, under the umbrella of a national Medicaid program. In general, Medicaid programs cover bariatric surgeries for some patients under circumstances that are very close to the rules set up by Medicare for its coverage of these surgeries...
    1 Expert Answer

28. How will being in charge of my mother's assets and care affect Medicaid when she goes on it?

    Question - Whether your mother's transfer of the house to you affects her Medicaid eligibility may depend on which Medicaid program she applies for. But probably it would not affect her in any way.
    1 Expert Answer

29. How do I find out if my mother has been accepted by Medicaid?

    Question - I was just reading to see if mine was too It said 45 days from the application date and if your disabled its 90 days so much for being sick by them
    1 Community Answer

30. Can the nursing home come after me again for the difference between what Medicaid will pay and Mom's income?

    Question - It sounds like you signed as financial guarantor when you signed the admission papers for the nursing home. If you did not, then the nursing home cannot come after you for your mother's bills.
    1 Expert Answer

31. Can we sell Mom's car without getting penalized by Medicaid?

    Question - Mom is in nursing home in Florida. She is on medicaid. She has a 2003 Malibu that she will never drive again. Can we sell it without penalty?

32. Do we need to report my father's insurance policy money to Medicaid?

    Question - my father is in a nursing home and receives medicaid. He is turning 96 and an insurance policy he has will mature and pay him the face value on his birthday. This policy was intended for his heirs but will pay out to him. Does this need to be reported to medicaid?

33. Can Medicaid make us pay for mom's care and make us sell her home?

    Question - We live in Ohio & my father is recently deceased (1yr ago 6/10/11) and my mother has about $100.000 from his accounts and life ins combined. She gave each of us 4 children $10.000 once the estate was settled. She has put approximately $50.000 in my sister's name(did this this year 2011)and she has a will for the house and other monies...

34. Will Medicaid pay for a home help aid over night?

    Question - The straight answer to your question is that Medicaid does NOT provide long-term overnight caregivers. Medicaid budgets are extremely limited and being cut more every year. Medicaid can provide short-term in-home medical care, and some long-term in-home care under special waiver programs called Home...
    1 Expert Answer, 2 Community Answers

35. Will owning a home affect whether Medicaid will accept my parents?

    Question - There are two different parts of Medicaid that your patents might be eligible for, and your parents' home is considered differently by each part of the Medicaid program. First, let's look at the Medicaid medical coverage program, which would apply to each of your parent's short-term stay in SKILLED nursing care...
    1 Expert Answer

36. Does Medicaid have a maximum lifetime benefit?

    Question - Hi, I am trying to help a family in OK, having problems with Medicaid after receiving a letter they had benefits (and hospital bill being paid) they are now being denied. They are being told they are not elgible suddenly, despite the only income being SS disability. They do not qualify for Medicare for over 1 year...

37. Will Mom's Medicaid cover assisted living if she moves from New York to New Jersey?

    Question - My mother has Medicaid and living in Queens, NY. Does Medicaid cover assisted living if she moves from NY to NJ? Thanks.

38. Can my mom still get on Medicaid with very few assets?

    Question - Neither your parents' reverse mortgage nor their spending of the money from the mortgage should affect your mother's eligibility for Medicaid. When Medicaid decides on eligibility, it looks at an individual's, or in this case both your parents', income and assets, which have to be very low...
    1 Expert Answer

39. My mom's nursing home is sending me the bill because of some unfilled paperwork, what can I do?

    Question - My mother was in a nursing home Aug - Nov. In Jan. she started on Medicaid and has dollars left from her SS check after paying her board and rent in a nursing home alternative home. In Feb the nursing home sent a bill for $2400. in copays for her Aug - Nov. stay. There is no money to pay this...

40. Does Medicaid repayment have time limit?

    Question - Looking at your case from a practical point of view, if you have not heard from Medicaid after 13 years, there is no need to worry about estate recovery. In addition, since your mother owned the house before your father died and there was no lien on it, the state has no claim to the property...
    1 Expert Answer

41. Will our shared assets affect his Medicaid eligibility?

    Question - Whether your sharing in your uncle's assets will affect his eligibility for Medicaid may depend on which of Medicaid's programs he applies for. If he is just applying for Medicaid medical coverage, which pays for all regular medical care, Medicaid will not bother to look at what he has done with his assets in the past...
    1 Expert Answer, 1 Community Answer

42. How do we write a personal care contract for Medicaid?

    Question - The key thing Medicaid will want to know when it considers payments your father has made to you is whether those payments were the fair market value of what he received for them. In other words, will the $2,700 per month he pays you be a reasonable amount for the care, shelter, food and other things you provide him...
    1 Expert Answer

43. Can my mother drop the Medicaid waiver program and get back on hospice?

    Question - Yes, fortunately although in the past administrators of Medicaid Waiver Programs often discontinued services when Medicare beneficiaries selected hospice care, this is no longer the situation following the enactment of regulations that went into effect in December of 2008...
    1 Expert Answer

44. How long is Medicaid's look back period?

    Question - It's either 3 years or 5 years, depending on when the transfers were made. The Medicaid "look-back" rules have to do with whether giving away assets, or transferring them for less than full value, will disqualify your mother from Medicaid coverage of her nursing home costs...
    1 Expert Answer, 1 Community Answer

45. How does Medicaid look at monetary gifts made to children?

    Question - If your mother qualifies for Medicaid coverage of residence in a nursing home, Medicaid pays the entire cost (and in some states, for a Medicaid-participating assisted living facility). But to qualify for Medicaid nursing home coverage, she has to have very low income and assets...
    1 Expert Answer, 2 Community Answers

46. How do I find the coverage details for hearing aids with Medicare and Medicaid in Ohio?

    Question - Unfortunately, Medicare does not cover hearing aids, in Ohio or anywhere else. However, it appears that Ohio's Medicaid program does cover at least "conventional" hearing aids, for both ears; if you require special hearing aids, Medicaid may cover it if you (through your doctor) demonstrate a "special...
    1 Expert Answer

47. I signed on to be the responsible party for my grandmothers...

    Question - I signed on to be the responsible party for my grandmothers nursing home. She orginally went in after a three day stay at the hospitial and I know that Medicare covered a portion and then we got her approved for Medicaid that covered it until she died. However, now they are comming after me for some financial cost that was billed before Medicaid got involved...

48. If my mother passes away before her Medicaid approval changes from "pending" to "approved", will they still for previously accrued nursing home expenses?

    Question - Yes, once someone is approved for Medicaid coverage, that coverage may be retroactive not only back to the date of application but even to the three months prior to application. How far back the retroactive coverage goes, though, depends on during how much of that retroactive period the applicant would have been eligible for Medicaid...
    1 Expert Answer

49. im on ssi and medicaid im also on 24/7 care given to me bymy...

    Question - The Indiana Health Coverage Program (IHCP) operates Medicaid and related programs in Indiana which provide assistance with medical and long-term care for people with low incomes and few assets. Part of the IHCP is Home and Community Based Waiver Programs that pay reimbursement for reasonable and necessary...
    1 Expert Answer

50. Is there a fund under Medicaid that will help pay for cremation costs

    Question - I have a cousin who lives in Houston, TX, with her 16 year old daughter. The cousin is single and on Medicaid. She has very little money coming in on partial disability and has not received child support--the state can never catch up with her daughter's irresponsible father...

51. What happens when patients run out of Medicare days?

    Question - Help him apply for Medicaid, or apply for him, immediately. Even if it seems that he's "over the limit," he may qualify anyway. That's because he may be able to "spend down" the amount that he's over the Medicaid eligibility limit by paying that amount to the nursing home, with Medicaid paying the rest...
    1 Expert Answer, 1 Community Answer

52. How can I get my mother the help she needs?

    Question - There are several government programs your mother might turn to. The first is Social Security Disability Insurance (SSDI). If your mother has worked outside the home for periods of time during her lifetime, even if she made very little money, she might qualify for monthly SSDI benefits...
    1 Expert Answer

53. Does Medicaid pay for assisted living?

    Question - Medicaid is the federal program, administered individually by each state, that provides medical benefits for seniors and others with low-income and few assets. In every state, Medicaid pays the full cost of care in a nursing facility for someone eligible for the program...
    1 Expert Answer, 1 Community Answer

54. Will Medicare assisted living cover facility costs?

    Question - The only non-hospital inpatient care Medicare pays for is a very limited amount of skilled nursing facility care while recovering from an illness or injury following a hospital stay. It doesn't cover any of the cost of residence in an assisted living facility.
    1 Expert Answer, 4 Community Answers

55. Will Medicaid pay for nursing home care?

    FAQ 1 Expert Answer, 1 Community Answer

56. FAQ: Can Medicaid Coverage Be Retroactive?

    Question - Yes, Medicaid (called Medi-Cal in California) medical, home care, and nursing home coverage can be retroactive. If someone is approved for Medicaid, coverage can go back not only to the date of application but also to three months prior to the application. But retroactive coverage is not automatic...
    FAQ 1 Expert Answer, 1 Community Answer

57. What are the "do's and don'ts" of home care under Medicaid?

    Question - Unfortunately the question does not have a simple answer. If you are referring to the qualifications and competencies of personal care workers under Medicaid, federal law leaves most of that up to the individual states to determine. And the services provided are confusing, but relative to the scope of...
    1 Expert Answer

58. What is covered with Medicare's and Medicaid's prescription drug plans?

    Question - My brother is 54 and on Medicare disability and Medicaid. He has a AARP RX card for prescriptions. He doesn't remember how he got it or what the benefits are. When he presents his card with his Medicaid card at the pharmacy, he usually pays around $2.40 for each refill. He recently received a check for $117...

59. How long does it take for Medicare or Medicaid to pay me as a caregiver?

    Question - How long does it take for Medicare or Medicaid to pay me as a caregiver? I've been doing it for about six months.

60. How do I find out of an assisted living facility accepts Medicaid?

    Question - As you've already found out, many assisted living facilities in Texas do not accept any residents who depend on Medicaid. And even when a Texas facility does accept Medicaid coverage for a resident, there are usually strict limits on what Medicaid will pay -- a special Medicaid waiver program in Texas...
    1 Expert Answer

61. Can I move my Medicaid coverage to another county?

    Question - Hello, I am 63 years-old and receive SSI as a disable individual. My current income payments are 674.00.

62. Can Medicaid charge me for Mom's nursing home?

    Question - No, it's not true that you'll be responsible for your mother-in-law's nursing home costs. When someone goes into a nursing home and applies for Medicaid coverage, Medicaid considers only that person's own income and assets (and that of a spouse, if living with the Medicaid applicant)...
    1 Expert Answer

63. What Medical Services Does Medicaid Cover?

    Question - Every state's Medicaid program covers basic medical care, to the same extent that Medicare Part A and Medicare Part B do. This includes:
    FAQ 1 Expert Answer, 1 Community Answer

64. Can other health coverage affect Medicaid eligibility?

    Question - My father is in a nursing home and I believe he is eligible for Medicaid. Does the fact that he also has Humana coverage (which does not pay any more than Medicare for this) count against him as far as eligibility?

65. Will Medicare cover a hospital stay for dental work?

    Question - You're stuck in that no-man's land between medical care (which Medicare covers) and dental care (which Medicare doesn't cover). If your oral surgeon is not a physician, whether Medicare covers your treatment, including hospitalization, depends on the kind of procedure being performed...
    1 Expert Answer

66. Am I financially responsible for my ex-husband's nursing home expenses?

    Question - I am recently divorced. My ex-husband is in a nursing home in Arkansas. Medicaid has not approved his application in 4 months. Am I responsible for his nursing home bills? The divorce gave me all of our assets.

67. Are children's finances considered when their father qualifies for Medicaid?

    Question - It sounds like you mean a long term care nursing home, not foster home. Your father's eligibility for Medicaid for coverage of his long term care in a nursing home depends on his income and assets. If he has low enough income and few enough assets, Medicaid can cover the entire cost of his nursing home care for as long as he needs it...
    1 Expert Answer

68. How do you hide money from Medicaid?

    Question - First of all, it is illegal to "hide" assets when planning to apply for Medicaid; it's considered fraud. However, Medicaid does permit some transfers of assets prior to applying for coverage in a nursing home or assisted living facility.
    1 Expert Answer, 2 Community Answers

69. Does a living trust protect money from Medicaid consideration?

    Question - When Medicaid decides whether your mother is eligible for Medicaid coverage of nursing home care, it looks to see whether her income and assets are below her state's Medicaid limits. A living trust would not protect any of your mother's assets from consideration by Medicaid because she would still control how the trust funds are spent...
    1 Expert Answer, 2 Community Answers

70. What do I need to apply for Medicaid?

    Question - To apply for Medicaid for your mother, you have to provide records of your mother's income and assets (if the final guardian report is not very recent, you might have to update it for Medicaid). Certain portions of your mother's income isn't counted in determining her Medicaid eligibility, nor would her home be counted as an asset if she still lives in it...
    1 Expert Answer

71. Is there a program in Iowa that will pay you for taking care of a family member?

    Question - Many states have programs that can pay a family member to take care of a frail senior at home. These family caregiver payment programs -- often called Cash and Counseling but sometimes another name -- directly pay low-income seniors who would otherwise qualify for Medicaid coverage from a home care agency...
    1 Expert Answer

72. Can my home be taken if my mother lives there but her care must be paid for?

    Question - The state cannot take your mother's former home since she no longer owns it, and the transfer to you by your mother two years ago should not affect her Medicaid eligibility because you are her disabled child. So, if your mother has to enter a nursing home, you will be able to apply for Medicaid for her without worrying about loss of your home...
    1 Expert Answer

73. Is there a program in Kentucky to help pay for assisted living?

    Question - Medicaid in a few states covers residence in an assisted living facility, but not in most states. And apparently not in Kentucky. According to the Kentucky Department for Aging and Independent Living (DAIL) Web page on assisted living in Kentucky, neither Medicaid nor any other state program covers assisted living in that state...
    1 Expert Answer, 2 Community Answers

74. Can I recoup caregiving costs?

    Question - Let's take your questions one at a time. There is probably good news for you about both.
    1 Expert Answer, 3 Community Answers

75. Is it possible I can receive financial help so I may be her full time caregiver?

    Question - It's possible, but it depends her having low income and few assets. There may be a program in your state that provides payment directly to a low-income person who needs regular home care. If your mother qualifies for such payment, she can use it to pay you, or anyone else, to provide care.
    1 Expert Answer

76. What assets are considered for Medicaid?

    Question - This involves some fairly complicated legal rules from two different states, but the simple answer is that your father's wife's money probably will not affect his eligibility for Medicaid.
    1 Expert Answer

77. With both parents in assisted living, will Medicaid still cover costs?

    Question - In some but not all states, special Medicaid programs cover some of the cost of assisted living at participating facilities for people who qualify. It sounds like you have already learned that in your state there is such a program, and that the particular assisted living facility you are interested in...
    1 Expert Answer

78. Is there a time limit on making a revocable trust before entering a nursing home?

    Question - Medicaid pays for over half of the nation's nursing home costs. To be eligible for Medicaid coverage of nursing home care, a person must have very low income and assets. Some people try to give away or hide their assets before applying for Medicaid, hoping by that strategy to keep their savings in their family but still have Medicaid pay for long-term care...
    1 Expert Answer, 1 Community Answer