Medicaid is a state and federal program that provides health coverage to low-income people, including elderly adults, pregnant women, people with disabilities and children. In Utah, a wide variety of health care services are covered by Medicaid. These include hospital visits, nursing home care, personal care, vision care and physical therapy.
Seniors who live in Orem may be able to qualify for Utah Medicaid if they meet certain eligibility requirements. They must be 65 years of age or older, and must also be one of the following: a U.S. citizen, U.S. national, legal alien or permanent resident. In addition, they must be in need of health care and have an income that’s below the state’s limit for Medicaid eligibility. Single seniors must earn less than $16,146 per year before tax. For couples, the yearly income limit is $21,892 before tax.
The Medicaid Medically Needy program, also known as the spend-down program, may help seniors who have high medical bills and an income that is higher than the Medicaid limit. Seniors who qualify for the program need to “spend down” their income so that it reaches the Medicaid income limit. Seniors can do this by either paying medical bills or paying their excess income to the state of Utah.
To apply for coverage through Utah’s Medicaid program, seniors can apply online through the state’s myCase portal. Seniors who aren’t able to apply online can download an application form from the state’s website. Completed forms can be faxed to the Department of Workforce Services (DWS) at (801) 526-9505 or dropped off at any DWS office in Utah. Seniors can also choose to mail their completed application to the following address:
Department of Workforce Services
P.O. Box 143245
Salt Lake City, UT 84114.
Seniors who have questions about their eligibility for Medicaid or the application process can call (801) 526-0950 to speak to a DWS representative.
The Aging Waver, a Medicaid waiver program, may help eligible seniors pay for their care in assisted living facilities. This program does not pay for room and board costs, but it pays for a variety of personal care services that seniors may receive in assisted living facilities. These services include chore services, homemaker services and personal attendant services.
To be eligible for the Aging Waiver, seniors must be 65 years or older and require the level of care that would be provided in a nursing facility. They must also be financially eligible for Medicaid. This waiver isn’t an entitlement program; it serves a limited number of seniors, and there may be a waiting list to receive services. To apply or learn more, seniors can call the Division of Aging and Adult Services at (801) 538-3910.