What You Need To Know About the Medicaid Waiver Program

What You Need To Know About the Medicaid Waiver Program

The older you get, the harder you should focus on developing healthy habits. An integral part of being a healthy senior citizen is receiving the medical care you need. Without a comprehensive health insurance policy, you will have tons of out-of-pocket costs. For years, senior citizens around the United States have relied on a government program known as Medicaid to get the health insurance they need. Qualifying for Medicaid and Medicare can be difficult for some people, which is why strides have been made to make this government health insurance program more accessible.

The Medicaid Waiver Program provides states with the ability to tailor-make healthcare options for at-need people in the community. By waiving certain requirements and rules, the wider array of people who actually need healthcare coverage are approved. Here are some things you need to know about the Medicaid Waiver Program and what it offers.

In-Home Care Is Covered Under This Program

As previously mentioned, the federal government has left who gets this type of in-home and community healthcare coverage to the states. With these waivers, people who would not normally qualify for this government healthcare program are granted special access.  Under the guidelines of this program, states are allowed to issues as many waivers as they deem necessary if they meet certain criteria like:

  • The waiver is designed to offer a care-centered plan for the individual
  • The services in question don’t cost more than they would at a hospital or other approved medical establishment
  • The medical services in question will improve a person’s health/welfare

These waivers are generally used for non-medical services like adult daycares, home health aides and personal care assistance. If you or a loved one is in need of home care services, the professionals at River Oaks Home Care are here to help.

Who Is Eligible For These Waivers?

One of the main things most people want to know when they find out about the Medicaid Waiver Program is who is eligible. A variety of states have more than one office that handles these waiver programs and the dispersal of the benefits they offer. You need to realize that not everyone will be able to qualify for this waiver program. The average applicant has to meet various medical criteria before they are approved. In most cases, you will have to prove that your medical condition is so severe that in-home/community care is needed on a consistent basis.

What Do You Need To Apply For One Of These Waivers?

If you are in dire need of in-home care and have no way to pay for it, then applying for a Medicaid Waiver is crucial. While the application process for these waivers will vary from state to state, the information you have to provide to get approved is basically the same.

Ideally, you want to take in a report from your doctor that adequately describes your medical condition and the justification for the in-home/community care you are requesting. If you are ready to start this application process and get the in-home care you need, visit the Medicare/Medicaid website to find out how to contact an office in your state.

If you are curious about how in-home care can benefit you, it’s time to talk to a member of our staff.

0 replies

Leave a Reply

Want to join the discussion?
Feel free to contribute!

Leave a Reply

Your email address will not be published. Required fields are marked *

19 − thirteen =