What information is on an eligibility chart for Medicaid?


Quick Answer

Medicaid eligibility charts can vary by state, but typically the information includes regular income guidelines, Supplemental Security Income guidelines, residency requirements, immigration status and U.S. citizenship documentation requirements. Additionally, some states may also have waivers and rules for spousal impoverishment, trusts, transfer of assets, estate recovery and third-party liability.

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Full Answer

Under the Affordable Healthcare Act of 2010, many states have chosen to expand Medicaid services. In these cases, eligibility charts include additional classifications for increased coverage. These can include expanded income guidelines as well as low-cost or subsidized Medicaid options. Not all states have expanded Medicaid coverage in accordance with federal law, but all require applicants to use established health care exchanges.

For many eligibility groups, income is calculated as a percentage of the Federal Poverty Level guidelines. These guidelines are updated annually, so applicants should check regularly to know their status. Other groups' eligibility is set on nonfinancial criteria, such as those on financial assistance programs or SSI.

In some cases, eligibility can be retroactive for up to three months from the date of the application. Also, the requirements for repayment of services from an eligible party's assets can vary. Applicants should check with their states' eligibility charts to see if this applies to them.

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