Medicaid is the nation’s largest health insurance provider, delivering vital services to more than 65 million low-income Americans. The program is regulated and jointly funded by the federal government and administered by each state to best meet the needs of its most vulnerable residents.
In Connecticut, the Medicaid program called HUSKY Health provides coverage for one-fifth of the state’s population, including pregnant women, families with young children, the elderly and disabled adults.
Qualifying for HUSKY Health
Eligible Fairfield County residents can receive numerous health care benefits, including inpatient and outpatient hospital care, emergency treatment, primary and specialist care, occupational and physical therapy, X-rays and diagnostic tests, prescriptions and long-term nursing home care.
Fairfield County residents who are American citizens or legal aliens and aged 65 or older — or aged 64 or younger if blind or disabled — can qualify for nursing home care through HUSKY Health if their monthly income is less than the established facility rate. Single applicants are limited to $1,600 in assets, and married spouses applying together may have $3,200 in combined assets.
All sources of income count toward the Medicaid limit, including pensions, wages, interest, stock dividends, Social Security and VA benefits. A number of assets are exempt, including personal belongings, one automobile, burial plots, prepaid funeral contracts, a primary home valued at $878,000 or less and household furnishings.
Exceptions to Income and Asset Limits
If only one spouse applies, they’re subject to the same income and asset limits as single people. The non-applicant may also receive up to $3,160.50 of their spouse’s income each month as well as $126,420 of the couple’s joint assets. These federally mandated spousal living and resource allowances may also reduce an applicant’s income and asset levels, so they’re able to qualify for HUSKY Health long-term care coverage.
Applicants with income over the limit may qualify for a spend-down that provides six months of coverage. Their exceeded amount of monthly income is multiplied by six to determine the spend-down figure, which must be used to pay allowable medical and care-related expenses to gain eligibility for coverage. These can include:
- Physician, clinic, dental and hospital bills
- Medical supplies and equipment
- Medical transportation services
- X-rays, lab work and diagnostic tests
- Prescription medications
Fairfield County seniors can
apply for HUSKY Health coverage online or call (877) 284-8759.
Connecticut Home Care Program for Elders Seniors who meet the eligibility requirements for HUSKY Health coverage and have been assessed as needing long-term care may qualify for the
CHCPE waiver if they have a monthly income of $2,313 or less. This home and community-based waiver offers a wide range of support and care services in a managed residential community setting. Program participants receive service coordination and additional supports based on their assessed needs, such as:
- One main meal per day
- Laundry and housekeeping services
- 24-hour security
- Wellness and preventive services
- Emergency transportation
- Assistance with personal care and daily living activities
- Nursing visits as needed
Depending on a participant’s income, they may receive waiver services at no cost or have to pay a 9% share of cost. Participants are responsible for paying their cost for room and board, which isn’t covered by the waiver. Those who are approved for the program may be placed on a waiting list to receive services due to enrollment caps.
For more information about the CHCPE waiver or to begin the application process, seniors in Fairfield County can contact the
Connecticut Department of Health and Human Services at (800) 445-5394.