Idaho Application for Presumptive Eligibility for Medicaid

State:
Multi-State
Control #:
US-0538BG
Format:
PDF
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Description

Use this form to find out quickly if you qualify for presumptive eligibility for Medicaid. Presumptive eligibility offers you and your family immediate access to health care while you apply for regular Medicaid or other health coverage.
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How to fill out Application For Presumptive Eligibility For Medicaid?

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FAQ

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

Who is served by Medicaid Expansion? As of January 2023, around 145,000 Idaho residents are enrolled in Medicaid Expansion. These are individuals who have a monthly income of $1,563 or less, or a family of four with a monthly income of $3,192 or less. Most of them, over 80%, have reportable income.

After submission, application processing may take up to 45 days. We will let you know if additional documentation is needed. Other Medicaid programs (EPSDT, Katie Beckett, YES, and Children's Developmental Disabilities) require additional forms to be completed.

Who is eligible for Idaho Medicaid? Household Size*Maximum Income Level (Per Year)1$19,3922$26,2283$33,0644$39,9004 more rows

Who is eligible for Idaho Medicaid? Household Size*Maximum Income Level (Per Year)2$26,2283$33,0644$39,9005$46,7374 more rows

Presumptive eligibility is a policy option that allows hospitals to provide temporary Medicaid coverage to individuals likely to qualify for Medicaid.

Parents of Dependent Children: Eligibility levels for parents are presented as a percentage of the 2023 FPL for a family of three, which is $24,860. Other Adults: Eligibility limits for other adults are presented as a percentage of the 2023 FPL for an individual, which is $14,580.

In Idaho, the income limits and asset thresholds for Medicaid eligibility vary depending on factors such as age, disability status, and household size. A single applicant for Medicaid must meet the income limit of $17,131 annually and have a maximum asset amount of $2,000 (2023).

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Idaho Application for Presumptive Eligibility for Medicaid