*All of a beneficiary’s monthly income, minus a monthly personal needs allowance of $40, Medicare premiums, and potentially a monthly income allowance for a non-applicant spouse, must go towards nursing home costs. IMPORTANT: Not meeting all the criteria does not mean one is ineligible or cannot become eligible for Medicaid in Maine.
Alternatively, taking the Medicaid Eligibility Test can prove helpful. The table below provides a quick reference to allow seniors to determine if they might be immediately eligible for long term care from a MaineCare / ME Medicaid program. Various long-term care services, such as personal care assistance or adult day care, may be available. More on Waivers.ģ) Regular Medicaid / Aged Blind and Disabled – This is an entitlement program Meeting the eligibility requirements guarantees one will receive benefits. Intended to delay nursing home admissions, benefits are provided at home, adult day care, or in assisted living. Benefits are provided only in nursing homes.Ģ) Medicaid Waivers / Home and Community Based Services – These are not entitlement programs There are a limited number of participants. Further complicating eligibility are the facts that the criteria vary with marital status and that Maine offers multiple pathways towards eligibility.ġ) Institutional / Nursing Home Medicaid – This is an entitlement program Anyone who is eligible will receive assistance. These programs have medical (functional) and financial eligibility requirements, although the exact requirements differ, as do the programs’ benefits. There are several different Medicaid long-term care programs for which Maine seniors may be eligible. The American Council on Aging now offers a free, quick and easy Medicaid eligibility test for seniors. What is the Medicaid Estate Recovery Program.Miller Trusts / Qualified Income Trusts.
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