Long Term Living Costs
MEDICAID INFORMATION
Eligibility for the Nursing Home Program
Maximum Gross Income:
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Individual: $2,313 per month
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Couple: $4,626 per month
What Counts as Income:
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Social Security Benefits
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Veteran Benefits
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Private Pension Benefits
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Interest or Dividends
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Royalty and Rental Payments
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Earnings and Wages
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Civil Service Annuities
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Railroad Benefits
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State or Local Retirement Benefits
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Gifts or Contributions
Resources
Maximum countable resources on the last day of the month:
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Individual: $2,000
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Couple: $3,000
What counts as a resource:
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Bank Account and CDs
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Real Property
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Life Insurance Policies
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Burial Plots and Funds
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Stocks and Bonds
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Oil/Gas/Mineral Rights
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Jewelry and Antiques
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Cars and Other Vehicles
What can be excluded:
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Homestead where the individual intends to return (up to $585,000)
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Life insurance if the face value is $1,500 or less
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Burial funds of $1,500 (less an excluded life insurance)
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One vehicle regardless of value
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Burial spaces for the individual, spouse, and close relatives
Protected resources amount for a spouse in the community:
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$25,284 minimum and $126,420 maximum (excludes value of homestead, household goods, personal goods, one car, and burial funds of $1,500 or less per person)
Other
Medical Need: Resident must meet medical necessity criteria or ICF-MR level of care criteria
Residency: Must be a resident of Texas and US citizen or alien with approved status (e.g., legalized or permanent resident alien)
Living Arrangement: Must be a patient in a Medicaid contracted long-term care facility for 30 consecutive days
Applied Income
Your patient liability to the nursing home each month:
Individual: Total gross income less $60 for personal needs
Individual with a Spouse in the Community: Total gross income less $60 for personal needs, less up to $3,160.50 for a community spouse
Additional Information
Please visit the Texas Medicaid website to learn more.
You can call the Texas Medicaid hotline toll-free at:
TDD users can call:
512-424-6597
E-mail inquiries should be sent to:
medicaid@hhsc.state.tx.us
More information is available with the Aging and Disability Resource Center (ADRC) of Deep East/Southeast Texas