Qualifying for Nursing Home Care

For the “Aged, Blind or Disabled” an applicant must:

  • Be a US citizen or lawfully admitted alien and be a resident of Texas.
  • Meet a health assessment that establishes need for daily attention of professional nursing staff.
  • Must have a Medicare Part A entitlement.
  • Be free of any penalties imposed by Medicaid for gifts made within 60 months prior to filing.
  • Meet Income and Resource guidelines.
  • An application cannot be submitted until the applicant has been in a nursing home Medicaid qualified bed for 30 days.

An applicant must:

  • Be a US citizen or lawfully admitted alien and be a resident of Texas.
  • Meet a health assessment that establishes need for daily attention of professional nursing staff.
  • Be entitled to Medicare Part A.
  • Be free of any penalties imposed by Medicaid for gifts/transfers made within 60 months prior to filing.
  • Meet Income and Resource criteria.
  • An application cannot be submitted until the applicant has been in a nursing home with Medicaid qualified beds for 30 days.

Income

  • Single Applicants: Gross income cannot exceed $2,382.00 per month. If income exceeds the limit, seek legal counsel about a Qualifying Income Trust (Miller).
  • Applicants with a Spouse at home: There is no income limit for the spouse at home. To satisfy Anti-spousal impoverishment laws, Medicaid has set a minimum income standard of $3,259.50 for the at-home spouse and income from the applicant will be diverted to the at-home spouse up to $3,259.50.

Resources
Applicants with no spouse can own:

  • Home (up to $603,000.00 in equity)
  • Irrevocable Burial provisions
  • Auto (currently no value restriction)
  • Personal property (with limits)
  • $2,000.00 in cash, savings, countable resources.

Applicants with an at-home spouse can also own additional resources to avoid impoverishment up to $130,380.00. If the at-home Spouse’s monthly income is under $3,259.50 after diversion of income, the applicant may be able to establish an expansion of the $130,380.00 cap so the at-home spouse can generate more investment income.

*The Federal Government and the Texas Health and Human Services Commission will provide financial support for long-term health care expenses for Texas residents who meet eligibility criteria. Please note: HHSC and Nursing Home Administrators are not allowed to give legal and financial advice on how to qualify, they can only help fill out forms.*

Contact Us Now for an Initial Consultation

There will be a $200.00 fee for an initial conference, payable at the time of booking. In order to make an appointment, you will need to provide a credit card. To cancel or reschedule your appointment, contact our office 24 hours prior to your scheduled time.

Call 281-419-8733 or complete the contact form linked here to arrange an initial consultation or case evaluation.

Our firm is also experienced in Bankruptcy; we help people file for bankruptcy relief under the Bankruptcy Code. Our services include personalized support with in regards to Chapter 7, Chapter 11, and Chapter 13 cases. For further information on these and our other Bankruptcy services visit: http://www.wyattpllc.com

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