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Pregnant, or. Be responsible for a child 21 years of age or younger, or. Blind, or. Have a disability or a family member in your household with a disability, or. Be 65 years of age or older.
You may qualify for free or low-cost care through Medicaid based on income and family size. In all states, Medicaid provides health coverage for some low-income people, families and children, pregnant women, the elderly, and people with disabilities.
1915(i) HCBS Waivers This waiver, which may be provided under a state's Medicaid plan, allows the state to provide certain HCBS to people who have incomes lower than 150% of the Federal Poverty Level and do not need to live in an institution to receive care.
A waiver program allows the state to waive some requirements to meet the needs of individuals. For example, a waiver may help a person with an increased likelihood of requiring long-term care, such as those with behavioral issues or technologically dependent children.
A waiver is the voluntary relinquishment or surrender of some known right or privilege. Regulatory agencies of state departments or the federal government may issue waivers to exempt companies from certain regulations.
Abstract: Federal waiver programs enable states to bypass the requirements of federal programs such as Medicare and Medicaid to experiment with different ways of financing, organizing, and delivering health care.
A very important distinction between nursing home Medicaid and Medicaid waivers is that nursing home Medicaid is considered an entitlement program, while waivers are not. Entitlement, in this situation means that if one meets the eligibility requirements, they are entitled to receive benefits.
Qualifying for Medicaid is not an easy process, and with state-by-state changes it is not getting any easier to register. Get all of the help you can from a financial advisor and a qualified elder care attorney before you begin this process to maximize your chances of acceptance.
Do You Qualify? The expanded Medicaid program is available to individuals between 19-64 with household incomes up to 138% of the federal poverty level (FPL). Individuals eligible for Medicare or Supplemental Security Income (SSI) are not eligible for coverage under Medicaid expansion.