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kellytalbot Asked September 2023

Only $177.22 over Medicaid income limits to qualify.

Social Security benefits are $177.22 over the limit to qualify for Medicaid. A patient has no other income and has dementia which has been declining rapidly over the last few months. Needs more care but has no funds to pay for the care.
Is there a way for him to qualify with so little over the limit?

JoAnn29 Sep 2023
If your State allows it an Elder lawyer can set up a Miller Trust or a Qualifying Income Trust. The overage will go into the Trust with Medicaid being the beneficiary.

97yroldmom Sep 2023
https://www.medicaidplanningassistance.org/miller-trusts/

Here is a good link to get you started on understanding how this works.

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kellytalbot Sep 2023
He is not in a facility yet. He lives in a community for elderly people and has a caregiver 3 days a week for 4 hours but paying for the caregiver is in the negative.

BarbBrooklyn Sep 2023
You need to check whether your state allows pooled income trusts or is a "spend down" state.
kellytalbot Sep 2023
The problem seems to be his monthly gross Social Security amount is over the limit to even qualify. How can he work around that?
AlvaDeer Sep 2023
Yes, you will need to apply to the system and all social security will go to the facility your elder is placed in. The rest of the cost will be supplemented by Medicaid. Begin applications. If you require the help of an elder law attorney do get that.

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