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St. Andrew’s Resources for Seniors System
The Role of Medicaid in the Care of the Elderly
Goals of Session
• Understand Medicaid• Be aware of the eligibility requirements • Have basic knowledge of what is covered by
each service
Page HeaderWhat is Medicaid?
• The federal/state health care program for low income and disabled people
• Can help pay for basic health care coverage• Can help pay for premiums, deductibles, and
co-pays under Medicare• Pays for long-term nursing home cost
Page HeaderWho is eligible?
• There are criteria that must be met:
Status
Income
Resources
3
Page Header
• Home• Household goods, personal effect and personal
keepsakes• Car• Life insurance• Property essential to self support• Income producing property• Burial space• Prepaid burial plan
Common Exempt Resources
Page HeaderWhat is covered?
• Inpatient hospital• Outpatient hospital• Physician services• Medical and surgical
dental services• Nursing facility services• Home health care• Lab and x-ray services
• Clinic services• Intermediate care
facility • Optometrist services
and eyeglasses• Prescribed drugs• Prosthetic devices• Dental services
Page HeaderPrograms available?
Home and community based services • Helps people stay in their homes longer with
services like homemaker chore or respite services
Program for all-inclusive care for the elderly (PACE)• Designed to give the frail elderly the help they
need to delay or avoid nursing home care
Page Header
• Medically urgent and non-emergent transportation
• Physician services• Medication and pharmacy services• Dental care including dentures• Podiatry care• Eye and ear care• Ongoing rehab
PACE Services
Page HeaderPACE Services
• Hospital care• Assisted living and nursing home care • Home health and home chore assistance• Substance abuse counseling• Mental health care services• Nutritional services• Medical equipment• Planned social activities