What are the requirements to get Medicaid for nursing home care in South Carolina?

One of Medicaid’s many programs is its Nursing Home program. The Nursing Home program pays for long term care for persons who reside in skilled or intermediate care facilities. In order to qualify for this program, an applicant needs to meet certain financial and medical criteria. As we’ve discussed in previous blog posts, applicants must receive less that $2,163 in monthly income while having assets valued at no more than $2,000. If you would like to check out that post, you can do so by clicking here.

Aside from the financial qualifications, applicants must also be unable to perform two out of five activities of daily living (ADLs), which include  feeding oneself, dressing oneself, bathing oneself, being able to use the bathroom by oneself (incontinence), and freely moving about without help (ambulation).

Medicaid is a program administered jointly by the state and federal government. This means that while the laws are similar, the requirements vary slightly from state to state. However, an applicant must be a U.S. Citizen residing in South Carolina in order to qualify for South Carolina’s Medicaid Program. You will also often be asked to provide a significant number of financial records for the five years leading up to the application. Typically, this means an Applicant will have to provide bank statements, tax returns, account statements from other financial institutions, and any relevant deeds, just to name a few. Lastly, all applicants applying for nursing-home coverage must be over the age of 65.

Applying for Medicaid is a time consuming process that requires strict adherence to Medicaid’s application guidelines. Although not everyone is able to qualify for Medicaid, we’ve been able to help many clients who believed they would not qualify for Medicaid obtain coverage.

To see if you or a loved one might qualify for Medicaid coverage in South Carolina, call us today to set-up a free consultation or fill out the box to your right.