Today I’d like to talk about Medicaid Qualification. Most people when they think of qualifying for Medicaid assistance, they think about the financial aspect of it. Whether or not they have to spend down all of their assets or what things they can do to help protect their assets from the Medicaid spend-down. But really, before we can even talk about the financial aspect of Medicaid Application we need to look at does the person qualify functionally for Medicaid Assistance. What that means is, there are six Activities of Daily Living (ADL) that Medicaid looks at. Those are:
Now, does a person need assistance in at least two of those Activities of Daily Living (ADL)? If they do, if they have a deficit and they need a certain level of care then they can qualify functionally for Medicaid. The other two aspects are:
1. Are there behavioral assistance that they need? Do they need supervision from someone because of the behaviors that they exhibit?
2. Also, if someone has a cognitive or mental deficiency then they can qualify as well, without any other need for any assistance with any of the other ADLs. So, cognition and behavior can trump everything when looking at qualifying functionally for Medicaid.