What Are Some Eligibility Requirements for Medicaid?


Quick Answer

To be eligible for Medicaid, applicants must have U.S. citizenship, reside in the state where they are applying and have a social security number, according to LongTermCare.gov. Applicants must also meet various age circumstantial and financial criteria for eligibility.

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Full Answer

The requirements for Medicaid eligibility are divided into two categories: general requirements and financial requirements. General requirements include gender, age and disability status, as LongTermCare.gov explains. For women, pregnancy status is also a factor. Children and their parents or caretakers can also qualify for Medicaid plans. An applicant’s disability should be in line with the definition from the Social Security Administration.

Financial eligibility requirements are determined by the income level group and medical needs of applicants, according to LongTermCare.gov. Different states determine income levels differently, but generally, regular benefit payments such as salaries, wages, pensions, veteran's benefits and dividends from bonds and stocks determine income levels. Others include interest from bank accounts, returns from certificates of deposit, disability payments and social security retirement payments.

Things such as food stamp nutrition assistance, federal government housing assistance and home energy assistance are not included as relevant income. Most states provide coverage for the special income level group, states LongTermCare.gov. To be eligible under this group, an applicant must be 65 years and above, blind or disabled. He must also be in a care institution such as nursing home for 30 consecutive days or more.

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