What are the eligibility requirements for Medicaid in your state? Are they both eligible for Medicaid in your state?I reside in the state of California and our Medicaid program is Mei-Cal. The Mei-Cal on-line website is:

http://www.medi-cal.ca.gov/

The Health For California Insurance Center Blog is:

https://www.healthforcalifornia.com

What are the eligibility requirements for Medicaid in your state? Are they both eligible for Medicaid in your state?

Recent eligibility requirements for Mei-Cal expansion are that for Californians under age 65 and without children is their annual income must be lower than 138% of the Federal Poverty Level (PAL). All individuals above 65 are eligible. All individuals with disabilities are eligible. Both the female at age 62 and the male at 72 are eligible for Mei-Cal because given she is under 65, it’s likely her part-time waitress income qualifies her at less than 138% PAL since he is not working. He is both over 65 and is in rehab recovering from a stroke which would qualify him as disabled. (Mei-Cal Expansion, 2016)

How much income (Social Security, wages, pension, interest, etc.) is allowed each month (as a Medicaid beneficiary)?

The amount of income allowed each month under Mei-Cal eligibility is for 2 Adults is $22,107. See grid below for program Eligibility by FOL (Fed Poverty Level, 2016)

How much assets are they allowed?

The allowable assets to qualify for Mei-Cal for a household of two without children is $3,000 that is net of specified Real Property and Personal Property (WWW.docs.ca.gov PDF, 2016)

Which possessions count as assets?

REAL PROPERTY

Principal residence. Property used as a home is exempt

Other real property. Up to $6,000 of the equity value in non- business real estate (excluding the home), mortgages, deeds of trust, or other promissory notes may be exempt.

Real property used in a business or trade. Real estate used in a trade or business is exempt regardless of its equity and whether it produces income.

PERSONAL PROPERTY

One motor vehicle.

Personal property used in a trade or business.

Personal affects. This includes clothing, heirlooms, weddings and engagement rings, and other jewelry with a net value of under $100.

Household items.

IRAs, Keogh, and other work-related pension plans.

Irrevocable burial trusts or irrevocable prepaid burial contracts.

One revocable burial fund or revocable prepaid burial contract with a value of up to $1,500 plus accrued interest per person.

Burial space items.

Musical instruments.

Recreation items including TVs, VCR, computers, guns, collection, etc.

Livestock, poultry, or crops.

Countable property equal to the amount of benefits paid under a state-certified, long-term care insurance policy.

Life insurance policies. Each person may have life insurance policies with a combined face value of $1,500 or less accrued interest and dividends.

Assuming eligibility, what benefits are available? Provide an overview of the assistance programs specific to their needs. She is considering home care services, an adult day health program, or the possibility of nursing home care.

Below are the listed benefits provided to Mei-Cal qualified households. In the case of this couple I have highlighted programs specific to their current needs for what care she is considering and for his stroke recovery.

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