Medicaid for persons who are aged, blind, or disabled (ABD)

Adults who are age 65 or older or are disabled or blind may qualify for full Medicaid. A resource test may be required for the applicant. A person who does not qualify for full Medicaid because their income is over the limit may “spenddown” their income limit on certain medical bills. They must have a certain amount in medical bills before they can be approved for Medicaid. The amount of medical costs needed to qualify depends on household size and income.

Medicare Savings Programs

Medicare Savings Programs help Medicare members with low income pay their Medicare premiums. In some cases, the programs also help pay deductibles and co-pays. There are four levels of Medicare Savings Programs. The level depends on the person’s or couple’s income.

Medicaid Works

The Medicaid Works program is for people who are blind or disabled and are at least 16 but less than 65 years old. The person can work and earn a higher income and still qualify for Medicaid.

Long-Term Services and Support

Medicaid covers long-term care provided in a facility or in a community based setting to individuals whose physical or mental condition requires nursing supervision and assistance with activities of daily living. An authorization (screening) is needed to determine the level of care required and if Medicaid will pay cover the cost of long term care services. In addition to the non-financial requirements for Medicaid, income and resources are requested and evaluated to determine eligibility. If approved, a patient pay is calculated to determine the amount an individual has to pay towards care.

DD Waiver

Medicaid Member Handbook

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