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Utah Long-Term Care Medicaid

Securing Your Tomorrow, Today: Expert Medicaid Planning for a Stress-Free Future

What is Medicaid?

Medicaid is a federal and state funded program that provides health coverage to individuals that qualify. At Ellsworth Law Firm, we specialize in helping individuals qualify for the following two long-term care programs:

      • Nursing Care Medicaid.
      • Aged, Blind or Disabled (“ABD”).

Individuals may also qualify for Home and Community Based Services (HCBS).

Why Do You or Your Loved One Need Long-Term Care Medicaid?

Long-term care Medicaid is crucial for individuals or loved ones who require extensive medical assistance and support due to chronic health conditions or disabilities. Without it, the cost of long-term care services, such as nursing home care, assisted living facilities or in-home assistance, can be financially crippling. Medicaid helps cover these expenses, ensuring access to necessary medical treatments, personal care, and support services. For many families, relying on long-term care Medicaid is not only a financial necessity but also a lifeline that provides essential care and improves the quality of life for their loved ones.

The alternatives to medicaid are private pay and/or long term care insurance.

  • Private Pay

Nursing Home: The average cost of nursing care ranges from $6,000-$12,000 per month.

Assisted Living: The average cost of assisted living range from $2,500 to $5,000 per month.

Independent Living: The average cost of independent living range from $1,500 to $4,000 per month.

  • Long-Term Care Insurance

Long-term care insurance provides coverage for care that is typically not included in health insurance, Medicare, and/or Medicaid. However, long-term care insurance policies are expensive.

How Does One Qualify for the Nursing Care Medicaid Program?

Qualifying for long-term care Medicaid typically involves meeting certain eligibility criteria related to income, assets, and medical need.

      • Nursing Care: Asset + Medical Need.
      • Adult, Blind or Disabled (ABD). Income + Asset + Medical Need.

Additionally, the applicant must be a U.S. citizen or legal alien and must be a resident of Utah. Understanding and navigating these eligibility criteria can be complex. Ellsworth Law Firm has helped hundreds of individuals and families navigate these complex eligibility criteria.

It is important to note that the State of Utah determines eligibility based upon the 1st day of each month. The exception to this general rule is if the applicant moved to Utah after the 1st day of the applicable month, if that is the case, then the eligibility date would be the date the applicant moved to Utah.

If you or your loved one finds yourselves with assets exceeding the Medicaid limits, the process of spending down or converting countable assets to non-countable assets becomes crucial. At Ellsworth Law Firm, we are dedicated to working tirelessly on your behalf to safeguard as much of your or your loved one’s hard-earned assets as possible while ensuring eligibility for vital Medicaid benefits.

Ellsworth Law Firm has helped hundreds of individuals and families navigate the financial requirements and qualify for the Utah Nursing Care Medicaid Program.

Don’t navigate this complex terrain alone. Let us be your trusted partner in securing your financial future and accessing the care you need. Contact us today to schedule a consultation and take the first step towards preserving your assets while securing Nursing Care Medicaid benefits.

Services Covered by Medicaid

The following services are typically covered by Medicaid:

    • Ambulance
    • Birth Control
    • Case Management
    • Chiropractic
    • Home Health
    • Hospice
    • Hospital
    • Lab and X-ray
    • Medical Supplies
    • Nursing Home
    • Over-the-Counter Drugs
    • Personal Care
    • Physical/Occupational Therapy
    • Prescriptions
    • Specialists
    • Speech and Hearing
    • Vision

For a more specific list of covered services, please see the Medicaid website for the State of Utah.

It is important to note that Medicaid will not pay for room and board at an Assisted Living Facility.

Frequently Asked Questions

It depends upon the long-term care program.

  • Nursing Care Program. No, the nursing care program does not have an income limit. However, it may not make sense to apply for the nursing care program if your income exceeds the private rate.
  • Adult, Blind or Disability Program. If single, the income limit is $1,215/month. If married, the income limit is $1,643/month (combined total).

Client Reviews

Thank you for all your help!  You have helped me so much with the stress of all of this!  This is a huge weight off my shoulders.  I really can’t thank you enough!

Heather H.

That is very helpful! Thank you so very much. You are a kind, helpful, responsible person and do great at your job. We appreciate it!

Tara L.