Medicaid Application Consulting Service
Expert Guidance. Compassionate Support. Transparent Pricing.

Medicaid is a safety net. One of its primary purposes is to fund the costs of nursing facilities and assisted living facilities. The average cost of assisted living in New Jersey is $6,000 per month or $72,000 per year. If you qualify, Medicaid can help offset these costs, ensuring you receive a high level of care even if your savings can't pay for it all.

The Medicaid program is designed to help people pay for the often staggering costs of nursing homes and other long-term care options, but there's a caveat. You must adhere to numerous rules and regulations to receive benefits.

 To qualify for Medicaid nursing homes in New Jersey, you must:

· Be a legal U.S. citizen or qualified alien

· Be a resident of New Jersey

· Meet income and asset requirements

· Be 65 years of age, blind, or permanently disabled

A pre-admission screening (PAS) is required to determine the applicant’s medical eligibility. A physical evaluation from a Medicaid nurse will ascertain whether you need assistance with activities of daily living (ADL), such as showering, dressing, eating, and toileting.

INCOME

A long-term care applicant’s income may not exceed certain limits. As of 2024, these limits are $2,829 per month. If your income is higher than this, Mayes & Associates can help you set up a Qualified Income Trust (Miller Trust) so you can still qualify.

ASSETS

A long-term care applicant’s assets must be below a certain threshold. As of 2024, the limit is $2,000 for singles, $3,000 for couples applying together, and a maximum of $154,140.00 for the non-applicant for couples with only one spouse applying.

 It should be noted that Medicaid does not allow gifts or transfers within five years before getting onto Medicaid. If Medicaid does locate a gift or transfer, they will impose a period of ineligibility for Medicaid coverage. The period of ineligibility is also referred to as a penalty, and it will correspond to the amount of money that was gifted or transferred. Medicaid seeks to see the last five years of an applicant’s financial transactions. (There are some excludable transfers that Medicaid will allow an individual to do.)