Medicaid Aging Waiver Program

The purpose of this program is to provide an option for people 65 and older, who have medical problems, to live outside of an institution.  The goal is to assist seniors who meet nursing home admission requirements but wish to remain in a home setting, to do so in a safe manner.  It is different from regular Medicaid because it allows special income deductions to meet their living expenses, exempts income from spouse even if they are living with them, and has a separate formula for calculation of assets.  Clients receive all of the standard Medicaid benefits as well as the additional benefits of the Aging Waiver.  Medicaid will recover only the cost of actual care provided from the estate of the client.  Medicaid does not take the entire estate.

Services Provided

Case Management
Homemaking Services (may include cleaning, laundry, shopping, meal preparation, errands, assistance with medical appointments)
Chore Services
Companion Services
Home Modification (on a limited basis)
 

The "Waiver" means the usual income limit for Medicaid is waived and an individual is allowed to keep additional funds for their living expenses in the home.  The asset limit for Medicaid remains the same.  A couple's financial eligibility is determined under Spousal Impoverishment rules.

A client must be age 65or older, be a resident of the State of Utah and meet both financial and medical eligibility.  The core service provided by the Aging Waiver is Case Management.  A Case Manager will work with the applicant throughout this process and, if the client is accepted for this program, the Case Manager will be involved in the client's plan of care as long as they remain at home with services.  The role of the Case Manager is to assist with accessing community resources, authorizing use of Medicaid services, assuring quality of services provided and assuring that the health and safety needs of client are able to be met in a home setting.
 

 

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