Medicaid Qualifications during and after Application Process

Important Florida Medicaid Facts:

·         Medicaid applicant available asset limit in 2012 is $2,000.

·         Medicaid applicant gross income limit in 2012 is $2,094.

·         Community spouse available asset limit in 2012 is $113,640.

·         Assets below the Medicaid limit one day of the month of application.

Qualifications for Florida Institutional Care Program (ICP) Medicaid

·         Appropriately placed in a nursing home.

·         Determination by personal physician.

·         Evaluation done by CARES unit of Department of Elder Affairs (DOEA).

·         Assets for Medicaid applicant under $2,000 one day of every month of Medicaid benefits.

·         Income for Medicaid applicant under $2,094 or a Qualified Income Trust (QIT) in place and funded.  

·         Gross income includes any deductions such as Medicare Part B premium deduction from Social Security.

·         Qualified Income Trust must be established and gross income deposited in QIT account the first month of qualification.

·         Income must be deposited into QIT account each month.

·         Under no transfer penalty.

·         A transfer of assets for less than market value to somebody other than a spouse causes a period of ineligibility.

·         Application for Medicaid benefits is not made until all of the above criteria have been met.  Applying too soon may cause additional disqualification for benefits.