1. You Need Help
As you age, you may find that you need help with things you used to do independently. Medicaid may help pay for certain long-term care services, but do you need enough assistance to qualify?
2. Contact the Appropriate Local Office
In Virginia, you can start by contacting your local Department of Social Services to ask about a Long-Term Services and Supports (LTSS) screening. Explain whether you are seeking care at home or in a nursing facility so that you can be directed to the appropriate screening process.
3. A Nurse or Other Qualified Professional Evaluates Your Needs
The screening includes an assessment of your need for long-term care services. Virginia uses the Uniform Assessment Instrument (UAI) as part of this process.
The assessment considers your ability to perform activities of daily living, including:
- Dressing
- Eating
- Walking and moving around
- Transferring between a bed, chair, or other surfaces
- Toileting
- Bathing and personal hygiene
4. You Receive a Screening Determination
The screening helps determine whether you meet Virginia's care requirements for the long-term services being considered. The services available depend on the program and your circumstances.
A screening determination does not, by itself, establish financial eligibility for Medicaid or guarantee coverage of every service requested.
5. You Can Address Financial Eligibility
If you meet the applicable care requirements, you must also satisfy the income and resource rules for the Medicaid program involved.
If you are applying on your own, your local Department of Social Services can explain the application process and applicable requirements.
If you have assets to preserve, a spouse living at home, or questions about how your income and resources will be treated, you may want to consult an elder law attorney before making financial changes.
An attorney can help you understand the applicable rules, explore lawful planning options where available, and assist with the Medicaid application process.
How The Limjoco Law Firm Can Help
At The Limjoco Law Firm, I help individuals and families navigate Virginia Medicaid planning, explore asset protection strategies, and prepare for the Medicaid application process.
Whether you are planning ahead or a loved one already needs long-term care, understanding your options is an important first step.
Contact The Limjoco Law Firm to discuss your family's circumstances.
This article provides general information about Virginia Medicaid long-term care eligibility. Eligibility depends on individual circumstances and the requirements of the applicable program. This article is not legal advice.