Click on a question for more information:
- What is the difference between skilled care and intermediate care in a nursing home?
- When do I apply for Medicaid?
- What is assisted living?
- When is assisted living appropriate?
- Does Medicare/Medicaid pay for assisted living?
Skilled care is covered by Medicare if the qualifying criteria are met. The criteria includes a three day hospital stay and physician's statement that daily skilled care services are needed. Skilled services include physical, occupational and speech therapies, pain management, and IV medications.
Intermediate care is less complex than skilled care and encompasses the need for general assistance with activities of daily living and medication administration.
To qualify for Medicaid, a single individual may have no more than $1,500.00 in cash assets. The local Department of Human Resources is qualified to conduct an assessment of your resources to determine your eligibility for Medicaid benefits.
Assisted living is a service program that provides residents with assistance with many aspects of daily living. These services include assistance with medications, preparation of meals, and assistance with bathing, dressing and other personal activities.
Assisted living is appropriate when an individual is having difficulty managing tasks such as: preparing balanced meals, maintaining his/her household, or remembering to take medications on time. An assisted living lifestyle allows individuals' independence and personalized support services.
No, neither Medicare nor Medicaid pays for assisted living at this time. Some long term care insurance policies cover assisted living services; however, in most cases, they are handled on a private pay basis.