ELIGIBILITY PROGRAM

DEFINITION

COVERED LIVES

Provisional Medicaid

Provisional Medicaid provides standard coverage (hospital and doctor care, medications, etc.) for individuals who are either age 65 and older or disabled. The person’s monthly income must be less than $750.

Currently Enrolled:
7,232

Medically Needy and Medically Needy Spend Down Programs

Covers Individuals or families.  To qualify, income must be at or below a set amount.

Qualifying income varies based on household size and where an individual lives.

If an individual or family has short-term or recurring medical expenses that far exceed their income, they may qualify for one of these programs.

Nursing Homes:
1,218

Community Homes
for DD:
8

Long Term Care Special Income Level

Provides Medicaid coverage for individuals who are aged, blind or disabled and who qualify for institutional level of care because of their medical needs. These individuals can receive care in long-term care facilities, or in their home or community through a waiver.

The income limit to qualify must be more than $750 per month.

Nursing Homes:
17,737

Community Homes
for DD:
2,683

Community-Based
Services:
7,240

PACE:
364