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What Is Community Medicaid?

September 28, 2022 By Barry Crimmins

Nurse taking blood pressure of senior patient at home.Medicaid is a federal program administered on a state-by-state basis. There are several types of Medicaid — including Community Medicaid.

Community Medicaid covers care and medical services that enable a recipient to remain in their home or community as long as possible instead of entering a skilled nursing facility or other institution. Community Medicaid can cover home health care, private nursing, personal care, assisted living programs, doctor appointments, wellness visits, hospital care, prescription drugs, laboratory services, occupational therapy, and more.

Are You Eligible?

Applicants for Community Medicaid must meet specific eligibility criteria. First, they must be disabled or over the age of 65. Second, they must not exceed certain income and asset thresholds to receive benefits. These criteria vary from state to state and adjust year to year. Excess income or assets can disqualify an individual or couple from qualifying for Medicaid benefits. However, there are legal planning mechanisms available to allow people to qualify.

Medicaid Waivers

Alternatively, there may be a Medicaid waiver program available in your state that allows you or a loved one to qualify for Community Medicaid. Medicaid waivers allow states to waive certain rules so more people can be eligible for specific programs.

In the case of Community Medicaid, waivers can offer long-term home and community-based services to more seniors or disabled persons who need help to remain at home or in their community. These waivers may allow them to access home attendants or health aides, adult day care, respite care, accessibility modifications to cars or homes, personal emergency response devices, medical equipment, and homemaker services.

Many of these benefits enable the elderly, disabled, or people with Alzheimer’s disease or dementia to receive long-term care services and live independently in familiar, comforting environments. So, while a person may have to pay for their housing, they can still receive care and support in their home, a relative’s home, assisted living facilities, specialized programs, or other “home-like” environments.

For more information on how your loved one may be able to qualify for Community Medicaid, reach out to an elder law attorney in your area.

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Elder Law News, October 2023

Getting older comes with opportunities and challenges, but fear not, we have your back! Are you concerned about Alzheimer’s? While there’s no known cure, proactive steps can help with prevention. Meanwhile, guess what? Signing up for Medicare Savings Programs just got simpler! The Feds have streamlined the process, making it easier to tap into helpful benefits.

Elder Law News, July 2023

Looping our readers in on the issues that impact the senior community is always a priority. And this month, there’s much to share.

June newsletter

Elder Law News, June 2023

As a trusted counsel for all things relating to eldercare in Massachusetts, I wanted to share pressing topics impacting our beloved seniors.

march newsletter

Elder Law News, March 2023

As the generation of Baby Boomers ages, many are finding their adult children aren’t in the financial position to provide support if long-term care is needed.

BRC Newsletter March

Elder Law News, September 2022

As the generation of Baby Boomers ages, many are finding their adult children aren’t in the financial position to provide support if long-term care is needed.

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