Distinguishing the Different Medicaid Programs
Medicaid is an assistance program. It serves disabled and low-income people of every age. A small co-payment is sometimes required. Medicaid is a federal program and its eligibility criteria varies from state to state.
A Special Needs Trust preserves Supplemental Security Income and Medicaid. Eligibility is based on disability and income.
Why consider a Special Needs Trust?
Medicaid Coverage + Tax Free SSI + IHSS may be worth thousands of dollars every month!
(Also Know as a needs-based or traditional medicaid)
CLIENT MUST USE SPECIAL NEEDS TRUST OR SPEND THE MONEY WITHIN THE SAME CALENDAR MONTH TO PRESERVE BENEFITS
- Permanently disabled & unable to work
- Only Income Test Applies in California
- Income and Asset Test Applies - Needs based
- Supplemental Security Income (SSI) recipients
- In-Home Support Services (IHSS) recipients
- Home and community-based waiver participants
- Long Term Care Facility residents
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Income Based Medicaid
(Also Known as Expanded/MAGI Medicaid)
DOES NOT NEED A SPECIAL NEEDS TRUST (SNT)
- Able to work & income is below 138% of the Federal Poverty Level (FPL)
- MAGI Medicaid based on the household income
- Assets are not counted towards eligibility
- Parents / caretakers relatives
- Pregnant women
CLIENT CAN TAKE SETTLEMENT PROCEEDS WITHOUT LOSING BENEFITS
The Difference Between Medicaid and Medicare Programs
Please note that your client may be on both programs
Low-income families and children
People with disabilities
68.6 million Americans
Primary, specialty, acute, custodial and long-term care
No premiums or copayments for lowest-income beneficiaries
Oversight by CMS
People who work enough work quarters to qualify
People of any age with End-Stage
Renal Disease (ESRD)
58.1 million Americans
Primary, specialty, skilled, and acute care
Beneficiaries must pay premiums and deductibles
Federal government through CM
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