Who is eligible for
Michigan Medicaid?
Eligibility for long-term care services is
determined by assessing your medical needs and functional abilities, and
looking at financial criteria.
MI Choice Program, PACE and nursing homes use Michigan’s Medicaid Nursing
Facility Level of Care Determination to identify eligibility. Financial
eligibility is determined by your local Department of Human Services (DHS)
office.
If you are determined eligible for services, you will be informed of program
options. If you are determined ineligible, you will be informed of other
services in your community that may help you, and your right to appeal a
determination of ineligibility. Contact your local AAA or community service
organization for more information about all program options.
Should You Apply for
Michigan Medicaid?
When you apply for Michigan Medicaid, your application will be
carefully reviewed by a trained staff member. In general, you should apply
for Medicaid if you match the descriptions below:
Pregnant Women:
Apply for Medicaid if you think you are pregnant. You may be eligible
whether or not you are married. If you are on Medicaid when your child is
born, both you and your child will be covered. You may be covered for
another 60 days after your child’s birth. Your child may be covered for up
to one year.
Children and Teenagers:
Apply for Medicaid if you are the parent or guardian of a child who is
18 years old or younger and your family’s income is low, or if your child is
sick enough to need nursing home care, but could stay home with good quality
care at home. If you are a teenager living on your own, you may apply for
Medicaid on your own behalf.
If you or someone in your family needs
health care, you should apply for Medicaid even if you are not sure whether
you qualify. Some income and resources do not count against you. For
example, owning your home will not stop you from getting Medicaid.
Every group has its own income limits, which increase on a regular basis.
For example, in 2005 the monthly income level for a pregnant woman with 1
child is $2682 and $3226 for a pregnant woman with 2 children. Apply and
have a qualified caseworker evaluate your situation.
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