Medicaid is the nation’s largest health care program, serving over 72 million low-income people, including families with children, pregnant women and the elderly, blind and disabled. This wide-ranging program is a joint initiative of the federal and state governments with federal regulation and oversight of individual state-administered plans.
The South Carolina Medicaid plan known as Healthy Connections is administered by the Department of Health and Human Services and provides essential health care services to over 900,000 state residents. Services covered include physician and specialist care, emergency and inpatient hospital care, lab and X-ray services, prescription drugs and long-term care in nursing home facilities.
North Augusta seniors can qualify for Medicaid coverage if they’re aged 65 and older or younger than age 64 and blind or disabled and:
- A U.S. citizen or legal resident
- Have a monthly income of $2,313 as an individual and $4,626 as a married couple
- Have countable assets valued at less than $2,000 if single and $4,000 as a married couple
Medicaid considers
income from all sources, but some assets are disregarded, such as a principal home, household furnishings, one automobile, personal belongings including jewelry and a non-revocable burial trust.
Married seniors who are over these limits may still qualify for coverage if their spouse doesn’t apply. Medicaid allows the transfer of up to $3,160.50 of an applicant’s monthly income as a non-applicant spousal living allowance. A non-applicant spouse can also keep up to $66,480 of the couple’s joint assets.
Other seniors whose income exceeds the Medicaid cap may qualify for long-term care coverage by setting up a non-revocable
Income Trust. Their over-limit monthly income is deposited into the trust account and must be used to pay medical bills or long-term care expenses.
North Augusta seniors and those with disabilities can apply for Healthy Connections Medicaid coverage
online or by contacting the Aiken County
Department of Social Services at (803) 202-3500.
Community Long-Term Care Choices Waiver The Healthy Connections program only covers long-term care in nursing facilities. However, it does offer a
Community Long Term Care Choices waiver that may provide some financial relief to seniors who want to avoid nursing home placement and reside in an assisted living setting. Although the waiver doesn’t pay for room and board expenses, it does cover other services such as:
- Case management
- Assistance with personal care and daily living activities
- Attendant or companion services
- Wellness checks
- Periodic skilled nursing services
- Transportation
- Necessary medical equipment and supplies
- Nutritional supplements
South Carolina seniors aged 65 and older may qualify for the Choices waiver if they meet Medicaid’s income, asset and residency requirements. Additionally, applicants must need a nursing home level of care but be able to safely live in a community setting with the services and supports provided under the waiver.
The waiver program has an enrollment cap, so those who qualify may have to wait until a slot opens up to receive services.
Seniors can
apply for the Choices waiver online, by calling (803) 202-3500 or in person at the
Aiken County DSS office.