Montana Medicaid Home and Community Based Services Waiver
What are Medicaid Waivers?
Medicaid pays for long term care services in nursing homes. For nursing home qualified persons that choose to live at home or in a residential community, Medicaid will pay for those services if they can be obtained at a lower cost. These are called Home and Community Based Services, Waiver Funded Services, Medicaid Waivers or simply Waivers.
Overview of the Home and Community Based Services Waiver
This Montana Medicaid program allows individuals that require nursing home level care to receive that care in their home or community in place of in a nursing home. This waiver is also referred to as the Elderly/Physically Disabled Waiver. Under this waiver, Montana residents have the option of self-direction or consumer direction. Meaning, participants have the right to choose their care providers (care providers are subjected to approval by the state). Interestingly, certain family members are eligible to be hired as personal care attendants. Typically, spouses are excluded from this option but the adult children who are caring for aging parents can be paid as caregivers.
Qualifications for the Home and Community Based Services Waiver
In addition to being 65+ years old, residents must require a nursing home level of care and be financially qualified to receive Medicaid.
Qualifying for Medicaid is a complicated process involving a review of a family’s income, assets and asset transfers as far back as 5 years. Rules change by state and there are many exceptions, but typically monthly income cannot exceed $2,000 and “countable asset” limits, excluding the car and home, range from $2,000 to $8,000.
Not qualifying for Medicaid can be devastating to the comfort of an individual, their family’s finances and even their health. For these reasons, Medicaid planners exist to ensure families have the best chance of acceptance into the program. With care costing $1000’s / month, there is a strong incentive to use a Medicaid Planner. Find assistance applying for Medicaid.
Qualifying for Medicaid is a complicated process involving a review of a family’s income, assets and asset transfers as far back as 5 years. Rules change by state and there are many exceptions, but typically monthly income cannot exceed $2,000 and “countable asset” limits, excluding the car and home, range from $2,000 to $8,000.
Not qualifying for Medicaid can be devastating to the comfort of an individual, their family’s finances and even their health. For these reasons, Medicaid planners exist to ensure families have the best chance of acceptance into the program. With care costing $1000’s / month, there is a strong incentive to use a Medicaid Planner. Find assistance applying for Medicaid.
Services Provided under the Home and Community Based Services Waiver
- Adult Residential Living
- Adult Day Health
- Case Management
- Environmental Adaptations
- Habilitation Services
- Homemaker Services
- Personal Assistance
- Personal Emergency Response
- Private Duty Nursing
- Psychosocial Consultation
- Respite Care
- Transportation
Availability of the Home and Community Based Services Waiver
This program is available in all Montana counties.
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