The Basic Rules of Nursing Home Medicaid Eligibility in Michigan
Medicare will pay for doctor and hospital bills and may pay up to 100 days of skilled rehabilitation services in a nursing home. Medicare may pay for all of the first 20 days of the skilled rehabilitation care. After 20 days of skilled rehabilitation care, there is a $133.50 daily copayment that the patient must pay. This copayment will usually be covered by a Medigap insurance policy, provided the patient has one.
Medicaid will pay for the long term care in a nursing home if you meet the Six Tests to Qualify for Medicaid.
There are Six Tests to Qualify for Medicaid |
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1. Medical Need | A doctor has to say you need custodial care in a nursing home. |
2. Age | You have to be age 65 or older (with some exceptions). |
| 3. Citizenship and Residence | You have to be a United States citizen and a resident of Michigan. |
| 4. Income | Your income from Social Security and Pension must be $20 less than the nursing home's monthly private pay rate. (If married, the income of the spouse who is not living in the nursing home is not counted). |
| 5. Assets | The nursing home resident's countable assets must be below $2,000. If married, the spouse who is not living in the nursing home can have between $20,880 and $104,400 in assets |
| 6. Application | You have to apply for Medicaid and Medicaid has to verify that you pass the first five tests. |