South Carolina Medicaid Long Term Care Eligibility for 2022

S Carolina Long Term Care

south-carolina-medicaid

S Carolina is an income cap land, meaning that in gild to be eligible for Medicaid long term care benefits there is a hard income limit. Non income cap states let applicants to spend down money for their care, whereas income cap states require the corporeality to be no college than their limit at time of application.

Programs in 2022:

  • Nursing abode intendance
  • Assisted Living
  • Home waiver services, and a
  • Medicaid health insurance card

Eligibility for 2022:

1. Residency and Citizenship – the applicant must be a resident of South Carolina and a U.Southward. citizen or have proper immigration status.

2. Age/Disability – the applicant must be historic period 65 or older, or bullheaded, or disabled. The applicant must encounter certain medical requirements consistent with the level of care requested. Persons must demand care for thirty (30) consecutive days.

  • In Due south Carolina, an bidder must accept wellness issues, which effect in assist with at to the lowest degree 5 activities of daily living (ADLs). The 5 ADLs are: feeding, dressing, ambulation (movement), dressing, and incontinence.

three. Income Limitations – If single, the applicant's monthly income (wages, Social Security benefits, pensions, veteran's benefits, annuities, SSI payments, IRAs, etc.) must be no higher than $2,205 to go eligible for Medicaid. Income that is above the limit tin be placed into a qualified trust, which designates funds solely for the costs accrued by Medicaid. There is a personal needs allowance of $thirty/calendar month that is not factored into the total countable income.

4. Asset Limitations (Exempt vs. Available) – Medicaid divides assets into two categories: Exempt and Available. Exempt assets are specifically designated nether the rules, and buying of an exempt asset by the applicant will not result in a deprival of benefits. If an asset is not listed equally exempt then it needs to be liquidated and applied toward the costs of nursing domicile care before the bidder can receive Medicaid benefits. The state has a look back period of 5 years with a penalty for people who sell assets beneath fair market price, transfer assets to others, or give money and holding away. Basically, all coin and property, and any detail that can be valued and turned into greenbacks, is a countable asset unless it is listed every bit exempt.

south-carolina-long-term-care
  • Under Due south Carolina law, the transfer of assets to certain recipients will not trigger a period of ineligibility. A home can be transferred to (A) i's spouse or permanently blind or disabled kid (B) into a trust for other disabled dependents (C) a kid under age 21 (D) a sibling who has lived in the home for at least a yr before the applicant'south institutionalization and holds equity involvement in the home (D) a child who has taken intendance of the applicant for at least 2 years, thus delaying the need to move into a nursing home.
Exempt Assets in 2022 for an bidder in South Carolina include:

i. $two,000 or less in cash/non-exempt assets if single.

ii. One dwelling house is exempt (disinterestedness limit $636,000) if planning to return, a spouse, a child under 21, or a disabled person resides in it. Whenever an institutionalized person sells a previously exempted residence, the money from the sale becomes a countable asset. The recipient may so lose eligibility for Medicaid until he/she has spent downward the money and their countable resources are one time over again less than the maximum.

three. One automobile, no equity amount specified.

iv. Irrevocable burial trust with a value of $i,500 or less per individual.

v. Non-saleable holding, household furnishings, furniture, clothing, jewelry, and other personal effects are not counted.

six. Value of life insurance if face up value is $one,500 or less.

7. Retirement funds that cannot be converted into cash.

Spousal Rules in 2022:

Amount of assets customs spouse may retain: The customs spouse can keep not-exempt resource owned by one or both spouses with a maximum of $66,480. If the community spouse's assets do non equal $66,480, the community spouse is able to retain assets from the institutionalized spouse until the maximum is reached.

Community spouse impoverishment protection: The customs spouse can proceed part of the institutionalized spouse's income if the community spouse has a monthly income of less than $3,435.00. The maximum amount of income that tin be retained is $3,435.00.

South Carolina long term intendance insurance partnership:

This is a program between the state and private insurance companies. Partnership policies protect assets by matching dollar for dollar what policy holders pay into their policies. For example, if you bought a Partnership Policy with a maximum benefit payout of $155,000 then you are able to protect $155,000 of your avails. For married couples each spouse needs to purchase their ain policy. Once the $155,000 worth of long term care coverage is used, you may utilise for Medicaid with $155,000 worth of assets exempted.

Farther Reading:

How to Employ: https://www.scdhhs.gov/sites/default/files/3401_HealthyConnections_Inst_OSS.pdf

South Carolina Long Term Care general data and Long Term Intendance Partnership information: http://world wide web.doi.sc.gov/DocumentCenter/View/2218