How Can I Get Medicaid For My Child

Children’s Home And Community

The Children’s Home and Community-Based Services Waiver provides a home or community based alternative to children with significant medical needs who are at risk for acute hospital or skilled nursing facility placement.

Who Qualifies?

• Medically fragile children ages 17 and younger who are in the home and at risk of nursing facility or hospital placement
• Child must be institutionalized or at risk of being institutionalized in a nursing facility or hospital level of care
• Children’s income must be less than 300% the Supplemental Security Income allowance per month and countable resources less than $2000

Top Benefits:

• Case management
• In-Home Support Services

Co-pay Costs:

Why Was This Program Implemented

Children may be unable to live with their parents because of

• Parental substance abuse

• Protect Children and Strengthen Families
• Comprehensive assessment of adults, families, and children designed to enhance strengths and address challenges
• Support and enhance relationships between children, families, and the community
• Connect children & families to immediate, time-limited, and lifelong supports
• All partners work together as part of a professional team

*Adapted from CWLA New Generation PRIDE

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What If Im Turned Down By Medicaid

• You may be able to buy a private health plan through the Marketplace instead for the 2018 plan year in the fall. You may qualify for savings based on your income through a premium tax credit and savings on out-of-pocket costs.
• If you don’t qualify for either Marketplace or Medicaid savings, you still have options. Learn more here.

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South Dakota Medicaid For Individuals In Adult Foster Care Facilities

Individuals in adult foster care homes that meet all eligibility criteria may qualify for South Dakota Medicaid.

Eligibility Requirements

• A person must be 65 years or older. If under age 65, a person must be blind or disabled.
• A person must be a resident of South Dakota and meet certain citizenship requirements of the United States.
• Medical needs of the individual are such that they require a level of care that must be provided in an adult foster care home.
• The applicants monthly income minus allowable deductions must be less than the current state reimbursement rate to an adult foster care home.
• The resource limit is $2,000. Resources include items such as checking and savings accounts and certificates of deposit.

What Is Kinship Foster Care

Kinship care is just what it sounds like. It is when a family member takes over the care of children in the family. If a child has been placed into the foster care system, a family member can become a foster parent. Fostering ends when the parent can care for the child or until the child is 18. However, you must qualify for licensing like any other non-related adult looking to foster a child. As foster parents, grandparents raising grandchildren are entitled to financial help for the childs living expenses.

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South Dakota Medicaid For Individuals In Assisted Living Facilities Nursing Facilities Or Homes

Individuals in assisted living centers, Nursing Facilities or Homes who meet all eligibility criteria may qualify for South Dakota Medicaid.

Eligibility Requirements

• A person must be 65 years or older. If under age 65, a person must be blind or disabled.
• A person must be a resident of South Dakota and meet certain citizenship requirements of the United States.
• Medical needs of the individual are such that they require a level of care provided in a nursing home.
• The monthly income limit is 300 percent of the SSI Standard Benefit Amount.
• The resource limit is $2,000. Resources include items such as checking and savings accounts and certificates of deposit.

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Children’s Extensive Support Waiver

The Children’s Extensive Support Waiver provides supports and services to children with developmental disabilities or delays who have a complex behavioral or medical condition and who require near constant line of sight supervision.

Who Qualifies?

• Children 18 years of age and younger with intensive behavioral or medical needs who are at risk of out-of-home placement and have been determined to have a developmental delay/disability through a Community Centered Board
• Child must be institutionalized or at risk of being institutionalized in an Intermediate Care Facility for Individuals with Intellectual Disabilities
• Children’s income must be less than 300% the Supplemental Security Income allowance per month and countable resources less than $2000

Top Benefits:

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The Kinship Navigator Program

When a grandparent has to raise a grandchild, it adds additional stress on older people. It is not easy to become a parent to your grandchildren. You are not only a caregiver but a mentor to help the children avoid the pitfalls in life. If you need help finding support, please contact the Kinship. Navigator Program in your state. They can help guide you to the services needed to support the children. Apply here.

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Services Covered By Medicaid And Chip

• Regular checkups at the doctor and dentist
• Medicine and vaccines
• Access to medical specialists and mental health care
• Treatment of special health needs and pre-existing conditions

These services are provided by health plans. If your child gets Medicaid or CHIP, you will choose a plan from the ones available in your service area.

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Complete And Submit An Application

Self-service application options:

Online: Log on to Georgia Gateway at to apply for benefits. Available 24/7.

Call the Customer Contact Center at to submit an application by telephone.

An application is considered filed when it has the name of the head of household, address, date and signature of the head of household or another household member and is received by DFCS.

Notice of Free Interpretation ServicesIf you have difficulty communicating with us because you do not speak English or have a disability, please notify a staff person. Free interpretation services, translated materials or other assistance is available upon request.

For additional support with requesting large print versions of DFCS applications, please visit .

DFCS Reasonable Modifications and Communication Assistance Request Form for Persons with Disabilities

Do you have a disability and need a reasonable modification or communication assistance to access DFCS services? to request a reasonable modification, communication assistance, extra help or to learn more about the rights of customers with disabilities.

Medicaid Benefit Renewal

All benefits recipients are required to undergo periodic review of continued program eligibility. A renewal form and any required accompanying verification can be submitted in Georgia Gateway or by using Form 508 the FOOD STAMP/MEDICAID/TANF Renewal Form.

How Moving In With A Family Member Affects Medicaid Eligibility

In order to qualify for Medicaid to cover long-term care in a nursing home, an individual elder is not allowed to own more than $2,000 in countable assets.

So what can a senior do if they have quite a bit of money and are facing long-term care in the not-too-distant future?

If they simply give the money away , and they need to apply for Medicaid within five years of the date of the gift, Medicaid will disqualify them for some period of time. The larger the gift, the longer this penalty period will be. Exact calculations vary from state to state and its important for caregivers and seniors to understand the difference between Medicaids lookback and penalty periods.

Certain assets are exempt from Medicaid qualification calculations and thus do not factor in to the $2,000 limit or the gifting restrictions. If a senior invests their money in an asset that is exempt, then it is not considered a gift and there will be no penalty period to worry about. These non-countable assets include such items as personal effects , the elders primary residence , a single motor vehicle and prepaid funeral arrangements.

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Child Disability Starter Kit

What You Should Know Before You Apply for SSI Disability Benefits for a Child

Children from birth up to age 18 may get Supplemental Security Income benefits. They must be disabled and they must have little or no income and resources. Here are answers to some questions people ask about applying for SSI for children.

How does Social Security decide if a child is disabled?

Social Security has a strict definition of disability for children.

• The child must have a physical or mental condition that very seriously limits his or her activities and
• The condition must have lasted, or be expected to last, at least 1 year or result in death.

A state agency makes the disability decision. They review the information you give us. They will also ask for information from medical and school sources and other people who know about the child.

If the state agency needs more information, they will arrange an examination or test for the child, which we will pay for.

How does Social Security decide if a child can get SSI?

Children can get SSI if they meet Social Securitys definition of disability for children and if they have little or no income and resources. We also consider the familys household income, resources and other personal information.

How will I know what Social Security has decided?

We will send you a letter. It can take 3 to 5 months to decide a childs SSI disability claim. Let us know if your address or telephone number changes so that we can get in touch with you.

Medicaid

American Indian Or Alaskan Native Eligibility

Children who are members of federally recognized American Indian or Alaskan Native tribes may not be required to pay monthly premiums or co-payments once enrolled in Florida KidCare.

If your children are members of federally recognized American Indian or Alaskan Native tribes, please call 1-888-540-5437 toll-free to find out if they are eligible for free health and dental insurance coverage.

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How Does The Medically Needy Spend

Medically Needy provides Medicaid eligibility to qualified individuals and families who may have too much income to qualify for regular Medicaid programs. Individuals and families who meet all Medicaid program requirements, except that their income is above those program limits, can spend-down or reduce their income to Medicaid eligibility levels using incurred medical expenses.

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Things To Do If Youre A Grandparent Caring For Your Grandkids

Are you part of a grandfamily, a term used for grandparents being the primary caregivers for their grandchildren? If you are taking care of your grandkids, you may have realized that it comes with unique benefits and challenges.

Unless you have gone to court to get legal custody, guardianship or to adopt your grandkids, you dont automatically have the same legal rights as parents to protect your grandchildren, physically and financially. Thats why its so important to understand grandparents rights.

Here are seven things you can do to navigate the additional challenges that come with being a grandfamily:

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When Does Medicaid End For A Child In Idaho

Medicaid coverage is available for children until they turn 19 years old. If a child turns 18 and is still in high school, they may be eligible for Medicaid coverage until they graduate or turn 19. Medicaid coverage will end if the child has been institutionalized for more than 30 days or if the child is no longer considered disabled.

Chip Does Not Cover Long

If you have a child with a disability and make too much money to get Medicaid, you might be able to get coverage through the Medicaid Buy-In for Children program. MBIC allows families of children with disabilities to make a monthly payment to get Medicaid coverage.

Learn about other programs and services for people with disabilities.

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How Are Children With Special Health Care Needs Covered

Together with the Childrens Health Insurance Program , Medicaid covers almost half of all children with special health care needs . Medicaid/CHIP is the only source of coverage for nearly four in 10 children with special health care needs, while another 8% have Medicaid/CHIP to supplement private insurance. Just over half of children with special health care needs have private insurance as their sole source of coverage.

Purchasing Items & Paying Bills On Someones Behalf

If the daughter pays Moms bills herself, for example, pays the assisted living community directly for the difference between a shared and a private room, then the money will be considered an in-kind payment. In-kind payments impact Supplemental Security Income and could lower public assistance payments made to the mother by up to one-third.

Depending on the state in which the mother resides, the daughters assistance could also make her mother ineligible for Medicaid. However, in some other states, known as Family Supplementation states, the daughter is allowed to help her mother and her assistance has no impact on her mothers Medicaid eligibility.

Family supplementation was created to enable families to help in these situations without jeopardizing the elderly family members Medicaid eligibility. What can be paid for is restricted by state. So while family supplementation is an effective way to give Mom or Dad money to help pay their bills, it could cause some problems. Furthermore, not all states allow for family supplementation. It is best to check with a Medicaid expert in your state before purchasing items or paying bills for a loved one who is receiving Medicaid-funded care.

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How Do I Apply For Medicaid For My Child

In Texas, Medicaid programs are managed by the Health and Human Services Commission . You can apply for any program for your child by visiting your local HHSC office. You can find that office by calling 2-1-1 or visiting 2-1-1 Texas online. You can also get free help applying for Medicaid services for your child from a community partner organization. When you apply for Medicaid, you may need to show or send:

• Proof of money you and each family member who lives with you earns from a job or other sources. Pay stubs or earning statements are most common, but there are other documents that can be used too.
• Social Security numbers or immigration document numbers.
• Details about current health insurance or any job-related health insurance that might be available to you.

If you and your child dont want to go apply in person, there are other choices:

• Apply for Medicaid online on the Your Texas Benefits website. You will have a chance to show proof of income, Social Security numbers, and insurance after you apply.
• Apply by phone by calling 2-1-1. They will start the application over the phone and mail it to you to sign.
• and fill it out.

Once you have filled out the application and gathered your other proof, you can:

• Take it to an HHSC benefits office. Call 2-1-1 to find an office near you.
• Fax it to 877-447-2839. If your form is 2-sided, dont forget to fax both sides separately.
• Mail it to the state office at:
• Health and Human Services CommissionP.O. Box 149024

What Health Conditions And Needs Do Children With Special Health Care Needs Have

Medicaid/CHIP-only children with special health care needs are more likely to have greater health needs compared to those with private insurance only. Medicaid/CHIP-only children with special health care needs are three times as likely to experience fair or poor health and 1.5 times as likely to report their health usually or always affects their daily activities somewhat or a great deal health compared to children with private insurance only . Medicaid/CHIP-only children with special health care needs are more likely to have multiple functional difficulties than those with private insurance only, with just under half of the Medicaid/CHIP-only group reporting four or more functional difficulties, compared to less than one-third with private insurance only . Medicaid/CHIP-only children with special health care needs also are more likely to report serious difficulty in each of the six functional areas compared those with private insurance only . For example, Medicaid/CHIP-only children with special health care needs are almost three times more likely to have serious difficulty dressing/bathing and two times more likely to have serious difficult walking or doing errands compared to children with private insurance alone.

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Who Is Eligible For Nc Medicaid/health Choice

NC Medicaid/Health Choice offer different ways that may help pay for some or all of the cost of health care. Each program helps families with certain health needs based on family size, income and resource limits. Visit the NC Medicaid and Health Choice website to get started.

Your county Division of Social Services caseworker will help determine if you are eligible for NC Medicaid or Health Choice. Eligibility depends on your childâs age, family size, income and resources. Visit the NC Medicaid and Health Choice website to learn about eligibility.

Apply here for Medicaid and Health Choice and to learn more specific details about program options.