Nevada Medicaid Waiver for Assisted Living (AL): Qualifications and Services
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.
Assisted Living Waiver Description
This is one of several Nevada Medicaid waivers designed to help older state residents. Under the AL waiver program, services are provided to the elderly in assisted living residences in the interest of preventing or delaying the need for nursing home care. Generally speaking, families prefer their loved ones to reside in assisted living over nursing home residences as assisted living offers increased mobility and better social activities. State officials prefer it as well albeit for different reasons. The cost to care for an individual in assisted living is less expensive than nursing home care.
In addition to being 65+ years old, Nevada residents must require nursing home level care, but reside in or be willing to move into an assisted living community. They must also be financially qualified. The AL Waiver has the same financial restrictions as Nevada Medicaid.Nevada Medicaid Income Limits
- applicants must have monthly income less than 300% of the federal poverty level. For 2013, this equals to $2,130. Persons who have income over this amount can possibly still qualify by transferring excess income to their husband or wife provided they are not also seeking Medicaid. Alternatively, income over the limit can be allocated to a qualifying income trust. This can effectively lower their countable income to a Medicaid acceptable level. Nevada Medicaid Assets Limits
- single applicants have a countable resource limit for 2013 of $2,000. This figure can be somewhat misleading as many high-value assets are or can be considered exempt. For example, the applicant's home and real estate, provided it is valued at less than $536,000 and lived in by at least one of the title holders, is not counted. As with income, joint assets can be transferred to a husband or wife who is not applying for Medicaid assistance up to $115,920 in 2013. Past Asset Transfers
- applicant's asset transfers (other than those made to a husband or wife as previously described) are reviewed to ensure the applicant did not simply transfer their assets from their name to qualify for the Assisted Living Waiver. This asset review looks at the previous 60 months preceding application.
Persons interested in obtaining Nevada's Assisted Living Waiver but are unsure if they will qualify financially should contact a Medicaid planning professional
for assistance prior to application.
In addition to case management, Nevada's Assisted Living Waiver provides for assistance with the activities of daily living in a residential care environment. This include personal help with bathing, grooming, eating, medication reminders and mobility.
Availability / How to Apply
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Page Reviewed / Updated - Feb. 2013