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 $2,920.00 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 $3,853.50 for the at-home spouse and income from the applicant will be diverted to the at-home spouse up to $3,853.50.
Resources
Applicants with no spouse can own:
- Home (up to $713,000.00 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 $151,140.00. If the at-home Spouse’s monthly income is under $3,853.50 after diversion of income, the applicant may be able to establish an expansion of the $151,140.00 cap so the at-home spouse can generate more investment income.