Our day care facility is open to individuals who wish to use both private funding or Medicaid. In both instances, eligibility requires that the individual is at least 18 years old with a medical condition requiring treatment or rehabilitative services prescribed by a physician; or has an existing physical or mental impairment which handicaps activities of daily living; or has a reasonable expectation that preventative services will improve or maintain their present level of functioning.
Application Process
Private Pay
Medicaid Applicants
If you intend to use your Medicaid waiver, simply inform your case manager that you would like to receive adult health day care services from our facility and have your family member’s physician complete our physician assessment form. Once you have provided us with this document, we will contact your case manager and begin the process of scheduling and transportation.
Eligibility Criteria
Health
An applicant must meet the Nursing Home Level of Care.
Financial
An applicant who is SSI eligible for Medicaid is automatically eligible for the waiver. Additionally, an applicant may become eligible by meeting certain income and asset limits under the special income limit criteria for long-term Medicaid benefits. For 2017, an individual may earn up to $2,205 per month in income and maintain $2,000 in assets ($3,000 for a couple). For an applicant who makes too much income, the state allows a Miller Trust, also known as a Qualified Income Trust, to funnel money into for care payment and to become eligible. Additionally, the non-applicant spouse may keep up to $120,900 in assets as well as a maximum monthly income of $3,022.50 for monthly expenses.
To apply for a Medicaid waiver for the purpose of receiving adult health day care services, please complete the Department of Health and Human Services’ form 3400-B and promptly return it to our office.