Medicaid Long Term-Care Eligibility
Long-Term Care Medicaid includes nursing facility care and Home and Community Based Services where medical providers come into the home to render the necessary services to keep a disabled individual from being institutionalized in a nursing facility or hospital.
Individuals under the age of 65 requiring long-term care services must meet the Social Security disability criteria either through Social Security Income (SSI) eligibility or Social Security Disability Income (SSDI) eligibility. Colorado also has a state contractor who can determine disability if an individual has not been determined disabled by the Social Security Administration.
Only individual applicant income is considered in the eligibility determination. An applicant's spouse's income is not considered.
The couple resource limit is $115,920 (2013 limit) if one member of the couple is applying for long-term care services and the other spouse is not applying for Medicaid and is not institutionalized.
Case management agencies evaluate applicants of long-term care to determine if their medical condition qualifies them to receive long-term care services. This approval is necessary for eligibility.
Additional Eligibility Requirements: