Americans with limited income and resources are provided with a health care safety net through Medicaid, the jointly funded program regulated by the federal government and administered by each state. In Indiana, over 1.3 million residents are enrolled in the state Medicaid program, including adults with disabilities and the elderly.
Those who meet the program’s eligibility requirements are covered for a full range of medical services, including primary and specialist care, inpatient, outpatient and emergency hospital services, prescription drugs, X-rays, lab tests and institutional nursing home care.
Qualifying for Indiana Medicaid
To qualify for Medicaid coverage for long-term care, applicants must be U.S. citizens or legal immigrants. They must be assessed as needing a nursing-home level of care and aged 65 or older or blind or disabled if aged 64 or younger. Those eligible for Supplemental Security Income are automatically enrolled in Indiana Medicaid when they apply for benefits. All other residents must have:
- $2,313 or less in monthly income per individual
- $2,000 or less in countable assets if single or $3,000 if married and applying with a spouse
All sources of income count toward the limit, but a few assets are disregarded, including a principal home valued at up to $585,000, household effects, personal belongings, one automobile and irrevocable burial trusts.
If only one spouse applies, the non-applicant’s income isn’t counted. The spouse remaining at home may also receive up to $3,160.50 of the applicant’s monthly income and keep up to $126,420 of the couple’s joint assets. These spousal
living and resource allowances can reduce an over-limit applicant’s income and asset levels so they qualify for Medicaid coverage.
Elkhart County seniors can
apply for Indiana Medicaid online or call (800) 403-0864.
Indiana Aged and Disabled Waiver The state Medicaid program only covers long-term care in nursing homes as an entitlement, but it does provide an alternative for home and community-based care through the
Aged and Disabled waiver. To qualify, seniors must be Medicaid-eligible and require the level of care normally provided in a nursing home but be physically and cognitively able to live in a community setting.
Those enrolled in the A&D waiver receive comprehensive Medicaid medical coverage plus necessary support services provided in their home, an assisted living facility or licensed adult foster home. Each person receives case management services and a personalized care plan that may include goods and services, such as:
- Transition assistance to relocate back to the community from a nursing home
- Personal care and help with activities of daily living
- Assisted living services
- Specialized medical equipment and supplies
- Nutritional supplements
- Prepared meals and snacks
- Transportation
Seniors who meet the eligibility requirements may have to wait to receive A&D waiver services due to statewide enrollment caps.
Seniors in Elkhart County who wish to enroll in the program should
apply for Indiana Medicaid and then contact
REAL Services, Inc. at (574) 284-2644 to schedule an assessment.