What Is Medicaide Title XIX?

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Posted by: Unknown on Thursday, January 25, 2018 at 12:00:00 am

Medicaid Payment for Nursing Home Care (Title 19)

What is Medicaid?

Medicaid is a federal health insurance program. It pays medical bills for people and families with low income and few resources. In Connecticut, the state Department of Social Services (DSS) runs Medicaid.

The rules are very complicated, and there are special rules for people who are

    65 or older,
    disabled,
    under 21, or
    in a nursing home.

Is Medicaid different from Medicare?

Yes. Medicaid and Medicare are both federal health insurance programs that may help pay for nursing home care, but they do not provide the same coverage.

    Medicaid will pay for your nursing home care and most of your costs at the nursing home.
    Medicare only pays for a nursing home in some situations, and then for only up to 100 days.

You should apply for Medicaid if

    Medicare does not cover your situation, or
    you do not have enough money to pay for nursing home care.

Who can get Medicaid (Title 19)?

Medicaid covers people and families with low income and few resources. To decide if you qualify, DSS will look at your situation, including how much income, money, and property you have.

What does Medicaid pay for?

Medicaid pays for medical care for people who do not have enough money to pay their medical bills.

Nursing home care is only one type of care paid by Medicaid.

If you qualify, Medicaid will pay for your nursing home care and most of your costs while you are in a nursing home, including

    doctor visits;
    medicine;
    hospital care;
    your room (shared, not private);
    meals;
    tests and treatments; and
    equipment your doctor says you need.

Will Medicaid cover other types of health care?

Yes. If you qualify, Medicaid will pay for other medical bills, too.
If I have property or money, can I still get Medicaid to pay for a nursing home?

Maybe. When you apply, Medicaid looks at your assets (money and property). If your assets are too high, you may not qualify.

Remember:Medicaid is a very complicated law. It is always best to talk with a qualified consultant.  Contact CT Fiduciary Services for a free consultation