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1.
How much income can I have and still be eligible
for Medicaid? |
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a.
Need Standards
i. Single Adult - $525
ii. Couple - $904
b. The need standard is subtracted from your
monthly income, if there is a balance
you may have a “spenddown.”
For example:
Your Income
605.00
Need Standard
525.00
Your Spenddown 80.00 |
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2.
What is a spenddown? |
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a.
A spenddown is basically a monthly premium that
you would have to pay for Medicaid coverage.
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3.
What is the limit of resources I can have and
still be eligible for Medicaid? |
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a.
There is a resource limit for Medicaid of
$1,500.00. Your home and one vehicle are exempt,
they do not count. Resources include (but are
not limited to) checking and savings accounts,
IRA or 401K accounts and the cash value of life
insurance policies. |
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4.
How much income can I have and still be eligible
for food stamps? |
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a.
The budget used to determine the amount of food
stamps is based on more that income alone. The
caseworker needs to complete an interview and
obtain your shelter and utility costs and review
your situation to see if any other deductions
can be made from your income. There is not a set
amount that can be quoted. |
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5.
What does the Medicaid card pay for? |
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a.
The most current information on this can be
found by calling the Medicaid Consumer Hotline
at 1-800-324-8680 (TDD:1-800-292-3572).
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6.
How can I find a health care provider who
accepts Medicaid? |
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a.
The Medicaid Consumer Hotline will be able to
provide you the most current provider listing.
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7.
Medicaid will not pay for a service that my
doctor says I need. What can I do? |
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a.
Although Medicaid will pay for most medically
necessary services, there are some, usually
medical equipment, that must have a “prior
authorization” form completed for Medicaid to
approve payment for a service. Your provider
would need to complete the “prior authorization”
form and submit it to Medicaid for approval or
denial. |
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8.
What can I do if I am denied benefits or I
disagree with an action taken on my case?
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a.
If you disagree with any denial made by Medicaid
you can request a State Hearing. State Hearing
Request forms are mailed with all notices your
caseworker generates to you. However, you do not
have to submit your request on an official form.
Please contact your caseworker for further
information on the appeal process. |
