Medicaid Fee-For-Service – Long Term Care
The Medicaid Fee-For-Service Program provides coverage of long term care services to eligible recipients. Long term care are nursing home level of services provided in a nursing home or other medical institution and home and community based waiver services. There are special eligibility, coverage and recovery provisions that only apply to long term care applicants and recipients.
- All countable assets owned by a married couple will be considered. The spouse that does not need long term care can shelter some of the assets. The unsheltered assets cannot exceed $2000.
- Only the income of a spouse who needs long term care will be used in determining eligibility.
- The income of parents of a child who needs long term care will count only in the first month of long term care.
The penalty period will be determined by dividing the amount of the transfer by the average cost of nursing home services in Hawaii. The application of a penalty will depend on when the asset was transferred.
- Minor child
- Disabled or blind adult child
- Adult child not blind or disabled who resided in the home 24 months prior to the institutionalization of the applicant and provided services that delayed the need for long term care
- Sibling with an equity interest in the property who resided on the property a year prior to the institutionalization of the applicant