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Medicaid: Who Is Eligible For Medicaid?

Income Limits

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The amount of an applicant's income is usually determined in a manner very similar to Supplemental Security Income (SSI). Medicaid programs look at:

  • Wages
  • Unearned income
  • Gifts
  • Items or services that substitute for money, such as free rent, direct bill payments or food provision.

The income of a spouse with whom you are living is added together with the income of the person in need of medical care. There are different rules for the situation in which a spouse needs long term custodial care such as in a nursing home. To learn more, see: Medicaid: Custodial Care.

In many states, people who are members of one of the eligible groups, but have an income or resources greater than permitted to qualify for Medicaid, are allowed to qualify for Medicaid by reducing their countable income ("spending down") with medical charges. People who take advantage of this system are known as "Medically Needy."

To learn the income limits in your state, see: http://covertheuninsured.org/stateguides/. offsite link

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