Medicaid FAQs

The FAQ list below will help answer some of your more common questions about Medicaid.

Do we need to spend down all our loved one’s assets so they’ll qualify for Medicaid?

While Medicaid is designed to support low-income individuals, that doesn’t mean you have to be destitute to qualify. In reality, there are many assets seniors can own and still be eligible. In addition, there are established, legal methods for restructuring other assets so they’re exempt from the applicant’s income. The experts at Medicaid Filing Connection can help you legally protect as much of your loved one’s savings as possible, only spending down what’s necessary.

Can we simply transfer our loved one’s assets to a family member and then apply for Medicaid?

You may have heard that transfers are an easy way to ensure Medicaid eligibility. However, if you gift or sell any assets for less than fair market value within five years of applying for Medicaid nursing home services, the Texas Health & Human Services Commission will divide the value of the asset by $213.71 (2020 daily rate). This number is how many days Texas will withhold payment. We can guide you on how to protect assets using the new transfer rules as a part of your “spend down” plan.

Will Medicaid take my loved one’s home after they pass away?

While it’s true that the Medicaid Estate Recovery Program (MERP) has the ability to claim the home through Probate Court after your death, this is not inevitable. We can help you create a deed (often called a Lady Bird Deed or Enhanced Life Estate Deed) that will protect your home from MERP.

Will our loved one’s spouse be left with no money?

Under “spousal impoverishment” rules, Texas Medicaid protects the healthy spouse. This is called the Spousal Protected Resource Allowance (SPRA). The SPRA consists of 50% of the couple’s total combined resources. However, there are certain exclusions such as the primary residence, one vehicle, personal goods, household items, and more. Our team can strategize on ways to protect more assets than allowed in the maximum SPRA.

Does Medicaid only cover care in a nursing home?

No. In Texas, there are two Medicaid programs that allow for services in the home. STAR+PLUS program is a Medicaid waiver that allows seniors 65 or older to receive care at home, in adult foster care, or in assisted living. Community First Choice includes assistance with activities of daily living, personal emergency response systems, and health maintenance.

Aren’t nursing homes that accept Medicaid low-quality compared to others?

The vast majority of nursing homes accept Medicare, Medicaid, and private payment reimbursements in order to stay in business. Many Texas nursing homes certified for Medicaid have excellent care ratings.

Medicaid Filing Connection FAQs

The FAQ list below will help answer some of your more common questions about our company.

Do you offer a free consultation?

Yes. We encourage you to set up a complimentary call with one of our Medicaid Eligibility Specialists who can do a full assessment to determine the issues you may encounter with Medicaid eligibility and discuss possible solutions. They can also answer any questions regarding Medicaid that you may have.

How do you charge for your services?

After your consultation, we’ll establish a flat fee upfront so you can budget in confidence. We want our services to be predictable and affordable. We don’t want you to worry about high hourly rates or retainers, and we want to be as transparent as possible.

Do you offer a guarantee?

While we cannot guarantee that you’ll qualify for Medicaid since the decision is ultimately out of our control, we have 15 years experience serving families across Texas and a long track record of success. If for whatever reason you are denied (for example, if Medicaid finds assets you didn’t know were there) we will continue to help you work through those issues and reapply at no additional cost. We are with you through the end. We do guarantee that if you are denied because Medicaid finds an asset that you didn’t know about, we will work with you to form a revised plan and refine at no additional cost.

How do you communicate during the process?

Your Family Support Specialist will check in with you every week while your case is open – or more often if there’s a need. However, you can contact us at any time.

Is Medicaid planning a legal process?

Yes, Medicaid planning is legal under both federal and Texas law. It’s similar to the process you’d use with a tax preparer to maximize deductions and reduce your overall tax liability. However, in this case, you’re trying to preserve and extend your assets as you plan for the sizable costs of long-term care.

I am a licensed attorney and I am interested in using your company to process my Medicaid Applications, how can I get more information?

We love working with attorneys all over Texas to process applications as efficiently as possible. Contact us and we can set up a consultation. All legal work must be completed by a licensed attorney.

I am the owner of a Nursing Home and am interested in having you process all our renewals/applications, how can I get more information?

We pride ourselves in creating custom solutions tailored to each situation. Contact us to set up a consultation so we can learn more about the challenges you are facing and how we may provide solutions.