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Medicaid Long Term Care Handbook...

Delaware Medicaid Long Term Care Handbook, Planner, and State Resource Guide

Name: Delaware Medicaid Long Term Care Handbook, Planner, and State Resource Guide
Brand: US Legal Forms
Rating: 4.86 (368 reviews)

Category:

Insurance - Medicaid and Retirement Planning

State:

Multi-State

Control #:

US-005HB

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Saving enough to retire comfortable and leave a legacy to your loved ones requires sound investment and planning. However, many overlook what could be their most costly expense related to aging: paying for long term care. Long term care is expensive whether you receive care in a nursing home, assisted living facility, or in your home. Many people do not have the resources to pay for long term care, including individuals who did well for themselves in their working years. This leaves Medicaid as the only viable option many have to pay for their long term care needs.
Medicaid qualified individuals can receive care: in a traditional nursing home; in a hospice; in their home through a Home and Community Based Services (HCBS) Waiver; through a Program of All Inclusive Care for the Elderly (PACE); or through long term care insurance purchased through a state insurance partnership if you live in New York, Connecticut, Indiana, or California. This is an excellent guide to help you understand Medicaid, the benefits it provides for long term care, and who may qualify. The guide also contains tips and strategies to help you with your long term care planning, a planner to help you estimate your eligibility, and a state resource guide with state .gov websites, addresses and telephone numbers. Title: Delaware Medicaid Long Term Care Handbook, Planner, and State Resource Guide: Comprehensive Guide to Accessible Healthcare Assistance Description: The Delaware Medicaid Long Term Care Handbook, Planner, and State Resource Guide serves as an indispensable tool for individuals seeking comprehensive information about accessing long-term care assistance through Delaware Medicaid. Packed with important details and easy-to-understand explanations, this guide offers valuable insights into the various aspects of long-term care planning, eligibility criteria, benefits, and key resources available within the state. Keywords: Delaware Medicaid, Long Term Care Handbook, Planner, State Resource Guide, long-term care assistance, eligibility criteria, benefits, key resources Types of Delaware Medicaid Long Term Care Handbook, Planner, and State Resource Guide: 1. Delaware Medicaid Long Term Care Handbook: The Delaware Medicaid Long Term Care Handbook provides an extensive overview of the state's Medicaid program, specifically addressing long-term care services. Within this handbook, readers can find detailed information regarding eligibility requirements, financial considerations, Medicaid application process, and a comprehensive list of available long-term care services covered under the program. Keywords: Delaware Medicaid, Long Term Care Handbook, long-term care services, eligibility requirements, financial considerations, application process 2. Delaware Medicaid Long Term Care Planner: The Delaware Medicaid Long Term Care Planner is tailored to help individuals and families plan for their long-term care needs effectively. This planner provides step-by-step guidance on preparing for Medicaid eligibility, estate planning, exploring different long-term care options, and maximizing available resources. It aims to empower readers with valuable insights and strategies to make informed decisions regarding their long-term care journey. Keywords: Delaware Medicaid, Long Term Care Planner, Medicaid eligibility, estate planning, long-term care options, available resources 3. Delaware Medicaid State Resource Guide: The Delaware Medicaid State Resource Guide serves as a comprehensive directory of valuable resources available to individuals seeking long-term care assistance through Medicaid. This guide lists essential contacts, agencies, and organizations within Delaware that can offer support, information, and services related to long-term care. It includes details about local caregiver support groups, assisted living facilities, home healthcare providers, and other key resources. Keywords: Delaware Medicaid, State Resource Guide, long-term care assistance, caregiver support groups, assisted living facilities, home healthcare providers, key resources Whether you are an individual planning for your long-term care needs or a caregiver seeking assistance for a loved one, the Delaware Medicaid Long Term Care Handbook, Planner, and State Resource Guide provides an all-encompassing roadmap to navigate through the complex landscape of long-term care services, eligibility, and available resources within Delaware.
Title: Delaware Medicaid Long Term Care Handbook, Planner, and State Resource Guide: Comprehensive Guide to Accessible Healthcare Assistance Description: The Delaware Medicaid Long Term Care Handbook, Planner, and State Resource Guide serves as an indispensable tool for individuals seeking comprehensive information about accessing long-term care assistance through Delaware Medicaid. Packed with important details and easy-to-understand explanations, this guide offers valuable insights into the various aspects of long-term care planning, eligibility criteria, benefits, and key resources available within the state. Keywords: Delaware Medicaid, Long Term Care Handbook, Planner, State Resource Guide, long-term care assistance, eligibility criteria, benefits, key resources Types of Delaware Medicaid Long Term Care Handbook, Planner, and State Resource Guide: 1. Delaware Medicaid Long Term Care Handbook: The Delaware Medicaid Long Term Care Handbook provides an extensive overview of the state's Medicaid program, specifically addressing long-term care services. Within this handbook, readers can find detailed information regarding eligibility requirements, financial considerations, Medicaid application process, and a comprehensive list of available long-term care services covered under the program. Keywords: Delaware Medicaid, Long Term Care Handbook, long-term care services, eligibility requirements, financial considerations, application process 2. Delaware Medicaid Long Term Care Planner: The Delaware Medicaid Long Term Care Planner is tailored to help individuals and families plan for their long-term care needs effectively. This planner provides step-by-step guidance on preparing for Medicaid eligibility, estate planning, exploring different long-term care options, and maximizing available resources. It aims to empower readers with valuable insights and strategies to make informed decisions regarding their long-term care journey. Keywords: Delaware Medicaid, Long Term Care Planner, Medicaid eligibility, estate planning, long-term care options, available resources 3. Delaware Medicaid State Resource Guide: The Delaware Medicaid State Resource Guide serves as a comprehensive directory of valuable resources available to individuals seeking long-term care assistance through Medicaid. This guide lists essential contacts, agencies, and organizations within Delaware that can offer support, information, and services related to long-term care. It includes details about local caregiver support groups, assisted living facilities, home healthcare providers, and other key resources. Keywords: Delaware Medicaid, State Resource Guide, long-term care assistance, caregiver support groups, assisted living facilities, home healthcare providers, key resources Whether you are an individual planning for your long-term care needs or a caregiver seeking assistance for a loved one, the Delaware Medicaid Long Term Care Handbook, Planner, and State Resource Guide provides an all-encompassing roadmap to navigate through the complex landscape of long-term care services, eligibility, and available resources within Delaware.

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Delaware Medicaid recipients can receive long term care benefits in a nursing home, in their home, the home of a loved one, an adult foster care home, a residential care home or an assisted living facility and through one of three programs ? Nursing Home / Institutional Medicaid, Home and Community Based Service (HCBS) ...

What are long-term services and supports? LTSS are medical and non-medical care provided to people who are unable to perform basic activities of daily living (ADLs). ADLs include activities such as dressing and bathing. LTSS can be provided at home, in the community, in assisted-living facilities or in nursing homes.

Delaware contracts with three managed care plans ? AmeriHealth Caritas, Delaware First Health and Highmark Health Options. The Medicaid MCO provides almost all of the care for Medicaid members who join their plan.

Routine eye exams ? covered annually and more often if medically necessary. Eye glasses or contact lenses ? eye glasses or contact lenses every 12 months. Behavioral health and substance use disorder services. Children (ages 17 and under): 30 outpatient visits per year; visits above 30 are provided through DSCYF.

Ing to the Department of Health and Human Services' Federal Poverty Guidelines, the poverty threshold for a family with one parent and two children was $23,030 in 2022.

Delaware Medicaid Medicaid pays for: doctor visits, hospital care, labs, prescription drugs, transportation, routine shots for children, mental health and substance abuse services. Apply for Medicaid.

Information Family SizeAnnual Income 100% FPLMonthly Income 142% FPL5$35,140$4,1586$40,280$4,7677$45,420$5,3758$50,560$5,9826 more rows

Q. Can I use my Medicaid coverage in any state? A: No. Because each state has its own Medicaid eligibility requirements, you can't just transfer coverage from one state to another, nor can you use your Medicaid coverage when you're temporarily visiting another state, unless you need emergency health care.

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This guide is based on Federal law and the laws of the State of Delaware. ... How do I begin the process for Medicaid payment for long-term care services? Services. The Division of Medicaid & Medical Assistance provides the following Long Term Care services: Steps to Long Term Care Guide; Medicaid Nursing ...This guide provides general information about Long Term Care (LTC) Medicaid policy and program requirements. It includes information regarding Federal law ... The Medicaid Long Term Care Unit's Pre-Admission Screening team performs a level of care determination for individuals in hospitals or in the community who will ... Medicaid is a health insurance program that pays medical bills for eligible low-income families and for eligible aged, blind and/or disabled people whose income ... If you receive a Delaware Medicaid renewal form, complete it and return it by following the instructions on the form. Note: Mailed renewal notices will come ... Information · Income Eligibility Levels · Resource Levels · Reasonable Limits on Amounts for Necessary Medical or Remedial Care Not Covered Under Medicaid · Methods ... Other people will need to take action and complete the renewal packet to see if they still qualify for Medicaid coverage. There is assistance available and you ... Downloads · Chapter 1 -- General · Chapter 2 -- State Organization · Chapter 3 -- Eligibility · Chapter 4 -- Services · Chapter 5 -- Early and Periodic Screening ... Medicaid State Plan Amendments · Access to Care · Access Monitoring ... In 2014, 53% of all Medicaid long term care spending was on home & community based ...

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Law summary

Medicaid Long Term Care Handbook, Planner, and State Resource Guide
Medicaid was established in 1965 by Title XIX of the Social Security Act to furnish medical assistance to the needy. It is a cooperative venture jointly funded by the federal and state governments (including the District of Columbia and the Territories) and is administered by the states. Within broad federal rules, each state decides what groups are eligible, what services to provide, what to pay service providers, and its operating procedures. Payments for services are made directly by the state to the providers providing care.
The Omnibus Budget Reconciliation Act of 1993 (OBRA 93) revised the federal guidelines for Medicaid eligibility. Its provisions are generally effective after August 10, 1993. The Deficit Reduction Act, effective on February 8, 2006 (DRA 2005), contains several provisions affecting Medicaid services, eligibility, and asset transfers.
To qualify for Medicaid long term care, you must:
Be a U.S. citizen or an alien lawfully admitted for permanent residence
Be a resident of the state where you are applying
Meet your states functional criteria (65 or older, blind or disabled) and be certified by the attending physician as needing institutional care
Apply for and accept all benefits for which you may be entitled (e.g., VA, disability, or retirement benefits)
Not have monthly resources (assets) or income exceeding the amount specified by your state for the applicable Medicaid category
In 1988, Congress enacted provisions to help prevent the impoverishment of the spouse remaining at home (Community Spouse) while the other spouse is institutionalized. These provisions protect the income and assets of the Community Spouse up to an amount set by your state within federal limits.
If you have too many assets to qualify for Medicaid long term care, you cant just give them away to become eligible. You cant transfer assets for less than fair market value (FMV) either. Transferring assets for less than FMV includes: transfers or cash gifts to family members; payment for education of grandchildren; donations to charitable organizations; and other ordinary transactions. Medicaid also has strict rules covering trusts and annuities. The look-back period is 60 months for transfers made after February 8, 2006. Some transfers made prior to February 8, 2006 may only be subject to a 36 month look-back period
In 1993, Congress made it mandatory for states to seek recovery for Medicaid payments from the probate estate of Medicaid long term care recipients. Recently, Congress allowed states, at their discretion, to: (1) expand their definition of an estate to include nonprobate assets; and (2) place a lien against real property preventing a sale until the lien is satisfied utilizing TEFRA liens. This means states may seek recovery from resources that were exempt in determining eligibility such as a recipient's home. Some states pursue estate recovery much more aggressively than others.
There are strategies you can use to qualify for Medicaid long term care and still leave a legacy to your loved ones. Thes strategies include:
Spending Down Countable Resources
Converting Countable Resources to Excluded Resources
Federally Sanctioned Transfers
The long-term care insurance and transfer strategy
Converting excess resources into income
Less common strategies such as life estates, family reverse mortgages, and care agreements.

Legal definition

Medicaid Long Term Care Handbook, Planner, and State Resource Guide

Medicaid was established in 1965 by Title XIX of the Social Security Act to furnish medical assistance to the needy. It is a cooperative venture jointly funded by the federal and state governments (including the District of Columbia and the Territories) and is administered by the states. Within broad federal rules, each state decides what groups are eligible, what services to provide, what to pay service providers, and its operating procedures. Payments for services are made directly by the state to the providers providing care.
The Omnibus Budget Reconciliation Act of 1993 (OBRA 93) revised the federal guidelines for Medicaid eligibility. Its provisions are generally effective after August 10, 1993. The Deficit Reduction Act, effective on February 8, 2006 (DRA 2005), contains several provisions affecting Medicaid services, eligibility, and asset transfers.
To qualify for Medicaid long term care, you must:
Be a U.S. citizen or an alien lawfully admitted for permanent residence
Be a resident of the state where you are applying
Meet your states functional criteria (65 or older, blind or disabled) and be certified by the attending physician as needing institutional care
Apply for and accept all benefits for which you may be entitled (e.g., VA, disability, or retirement benefits)
Not have monthly resources (assets) or income exceeding the amount specified by your state for the applicable Medicaid category
In 1988, Congress enacted provisions to help prevent the impoverishment of the spouse remaining at home (Community Spouse) while the other spouse is institutionalized. These provisions protect the income and assets of the Community Spouse up to an amount set by your state within federal limits.
If you have too many assets to qualify for Medicaid long term care, you cant just give them away to become eligible. You cant transfer assets for less than fair market value (FMV) either. Transferring assets for less than FMV includes: transfers or cash gifts to family members; payment for education of grandchildren; donations to charitable organizations; and other ordinary transactions. Medicaid also has strict rules covering trusts and annuities. The look-back period is 60 months for transfers made after February 8, 2006. Some transfers made prior to February 8, 2006 may only be subject to a 36 month look-back period
In 1993, Congress made it mandatory for states to seek recovery for Medicaid payments from the probate estate of Medicaid long term care recipients. Recently, Congress allowed states, at their discretion, to: (1) expand their definition of an estate to include nonprobate assets; and (2) place a lien against real property preventing a sale until the lien is satisfied utilizing TEFRA liens. This means states may seek recovery from resources that were exempt in determining eligibility such as a recipient's home. Some states pursue estate recovery much more aggressively than others.
There are strategies you can use to qualify for Medicaid long term care and still leave a legacy to your loved ones. Thes strategies include:
Spending Down Countable Resources
Converting Countable Resources to Excluded Resources
Federally Sanctioned Transfers
The long-term care insurance and transfer strategy
Converting excess resources into income
Less common strategies such as life estates, family reverse mortgages, and care agreements.

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Form Packages

Adoption

Bankruptcy

Contractors

Divorce

Home Sales

Employment

Identity Theft

Incorporation

Landlord Tenant

Living Trust

Name Change

Personal Planning

Small Business

Wills & Estates

Packages A-Z

Form Categories

Affidavits

Bankruptcy

Bill of Sale

Corporate - LLC

Divorce

Employment

Identity Theft

Internet Technology

Landlord Tenant

Living Wills

Name Change

Power of Attorney

Real Estate

Small Estates

Wills

All Forms

Forms A-Z

Form Library

Customer Service

Terms of Service

DMCA Policy

About Us

Affiliates

Contact Us

Privacy Notice

Delete My Account

Site Map

All Forms

Search all Forms

Industries

Forms in Spanish

Localized Forms

Legal Guides

Real Estate Handbook

All Guides

Prepared for You

Notarize

Incorporation services

Our Customers

For Consumers

For Small Business

For Attorneys

Our Sites

US Legal Forms

USLegal

FormsPass

pdfFiller

signNow

airSlate workflows

Social Media

Call us now toll free:
1-877-389-0141

As seen in:

© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232

Delaware Medicaid Long Term Care Handbook, Planner, and State Resource Guide

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