Approximately 16% of Florida residents have no-cost basic health care coverage through Medicaid, the nationwide health protection program for low-income Americans. Funded by the state and federal governments, Medicaid covers primary and emergency health care services, health screening programs and long-term care for seniors.
In Florida, Medicaid is administered through the Agency for Health Care Administration. Seniors age 65 and older who earn no more than $2,313 a month and own $2,000 or less in countable assets may qualify for free Medicaid. The income limit for senior couples is $4,626 and the asset limit is $3,000.
Income from all sources is considered when applying for Medicaid, including wages, alimony, pensions and investment income. Most assets are also included; however, there are exemptions. One vehicle, a non-revocable burial trust, personal effects and a home in which the applicant lives worth up to $585,000 are exempt under Medicaid asset limit rules.
Qualified Income Trusts
Seniors with incomes that exceed Medicaid limits may establish a Qualified Income Trust, also referred to as a Miller Trust, in order to achieve Medicaid eligibility.
A QIT is a non-revocable legal agreement between a senior and the state. The senior must deposit their excess income into the QIT monthly while receiving Medicaid coverage, and the money in the trust can only be used to pay specific medical expenses. Upon death, any remaining funds are paid to the state up to the amount which the state paid on behalf of the senior.
Statewide Medicaid Managed Care Long-Term Care Program
Florida seniors who receive Medicaid coverage and need the type of care normally provided in a nursing home may qualify for the Statewide Medicaid Managed Care Long-Term Care Program.
This Medicaid waiver is designed to reduce nursing home placement rates by providing seniors residing in an assisted living facility with medically-necessary supports designed to keep seniors safe and as independent as possible.
Services through the SMMC LTC may include:
- Attendant care and personal care
- Home meal delivery
- Medication management
- Case management
- Medical supplies
- Home accessibility equipment
- Transportation assistance
- Skilled nursing
- Adult day health care
To qualify, seniors must complete an assessment conducted by a registered nurse or designated assessor through the
Comprehensive Assessment and Review for Long-Term Care Services program. The CARES program identifies long-term care needs and determines the most appropriate placement for seniors, which may include enrollment in the SMMC LTC program.
For more information about Florida Medicaid, QITs and the SMMC LTC program, contact the
Florida Elder Helpline, Pinellas County at (727) 217-8111.