Health

Will Your Medicaid Pay For Your Nursing Home Care?

Nursing homes provide senior citizens with excellent treatment and 24-hour surveillance. Nursing homes tend to be more costly options for elderly living due to their extensive services. Medicaid is a popular source of funding for supported living costs. With this article, you can learn more about how Medicaid can help pay for nursing care costs, as well as outline the eligibility criteria and application procedures.

Will nursing home care expenses be paid by Medicaid?

Medicaid is a joint federal-state health insurance program that mostly helps low-income individuals, including qualified individuals who are 65 years of age or older. Medicaid is a state-managed program; thus, each state may have distinct requirements for eligibility, benefits, and coverage.

It is essential to keep in mind that Medicaid and Medicare are two distinct programs, even if they sometimes provide comparable benefits and have identical names.

Nursing homes—as opposed to skilled nursing facilities—usually provide long-term care, skilled nursing, and rehabilitation services to those with severe physical or mental health issues. Residents are monitored 24 hours a day, seven days a week, in secure facilities supervised by competent professionals.

Yes, for qualified beneficiaries residing in skilled facilities, Medicaid can reimburse for the expenses of nursing home care, also referred to as nursing facility services. Medicaid usually pays 100% of nursing home expenses; however, the amount that Medicaid pays varies from state to state and even from the institution through which your loved one is receiving Medicaid.

Affordable care facilities that take Medicaid usually designate specific categories of their beds as Medicaid beds, implying that Medicaid will cover the cost of these beds.

How to make Medicaid pay for nursing home care

Getting Medicaid to reimburse you for the amenities provided at a nursing home might take a while. In order to be qualified for Medicaid and the Medicaid nursing facility benefit, your loved one has to meet certain conditions.

Medicaid has various requirements as it is a dual federal-state program that is managed by each state. To find out the exact requirements in the state where your loved one wants to apply, visit the Medicaid website.

What happens when Medicaid covers nursing home care?

You may be thinking about what will be paid and how having Medicaid could affect your loved one’s position in the future if they have been accepted for Medicaid-paid nursing home care.

Services covered under Medicaid:

  • Specialized rehabilitative services
  • Pharmaceutical services
  • Nursing and related services
  • Emergency dental services
  • Routine dental services
  • Medically-related social services
  • Common personal hygiene items and services
  • Bed and room maintenance services

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