Question 1

If one parent is living in a nursing home, and the other at home, can the parent in the nursing home divert money to the other to cover bills at home while living in a facility?

Accepted Answer

A special request can be made to DCF for something called “spousal diversion”.  Medicaid Made Easy can help you with this.

Question 2

If my family member is on SMMC-LTC Waiver, and lives in an Assisted Living Facility, does he/she get to keep any money for personal needs?

Accepted Answer

There is a current monthly amount allowed by the state for ALF members on the waiver program to keep towards these expenses. Let us know if you need more info!

Question 3

What is Patient Responsibility?

Accepted Answer

Patient responsibility in medical billing is the part of a healthcare bill a patient, must pay out-of-pocket. With Medicaid, the Patient responsibility is determined by an income assessment, including an evaluation of allowable deductions, patient liability (Share of Cost), and payment responsibility. Medicaid Made Easy can help you to better understand this.

Question 4

Once DCF determines a patient responsibility that seems to be too high or low, is there a way to have it checked to see if it is correct?

Accepted Answer

There is a simple calculation that DCF uses to calculate patient responsibility. At Medicaid Made Easy, we can help you understand this and so much more!

Question 5

If patient responsibility does appear to be wrong, is there any way to have it corrected?

Accepted Answer

Yes. Medicaid Made Easy can help you review your patient responsibility and walk you through the next step towards a correction!

Question 6

If nothing has changed, does Medicaid have to be applied for each year?

Accepted Answer

Yes. It is a requirement for all Medicaid programs to be reapplied for annually to maintain eligibility. Medicaid Made Easy can help with renewals. Let us take the stress off of you!

Question 7

Can I apply for food stamps if I live in an Assisted Living Facility?

Accepted Answer

Every case is different, but Florida uses the federal SNAP rules and also checks your living arrangement and whether you eat most meals at the facility, in addition to income and asset limits. Seniors and people with disabilities in Florida can get SNAP when they live in a community or certain group settings, as long as they meet the financial and living‑arrangement criteria. Call Medicaid Made Easy today to further discuss this!

Question 8

If you are eligible for Medicaid, doesn’t that mean you are automatically eligible for SNAP (aka Food Stamps)?

Accepted Answer

No. SNAP (aka Food Stamps) has different income guidelines than the Medicaid programs. Each has its own eligibility criteria. You may or may not be eligible for both. Medicaid Made Easy can help you understand the guidelines.

Question 9

Once Medicaid is denied, even if everything that was requested was sent, is there anyway to fight the decision?

Accepted Answer

Yes. In Florida you have the right to challenge a Medicaid denial through an appeal/fair hearing process, and in some cases denials do get reversed when errors or missing information are corrected. Medicaid Made Easy can help you with this too!

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Other Resources

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