Medicaid Spend Down
and Division of Assets

Medicaid paperwork on a desk with two fountain pens

Medicaid Benefits

Medicaid is known and managed under the umbrella of MO HealthNet in Missouri. Medicaid coverage offers many benefits, but it also has numerous qualification requirements. Evan Shoemaker is well-versed in Medicaid eligibility processes and has helped numerous individuals prepare and apply for benefits, including those qualifying through Spend Down and Division of Assets.

MO HealthNet for the Aged, Blind, and Disabled

MO HealthNet for the Aged, Blind, and Disabled (MHABD) is one of the more complicated benefit groups. As the name suggests, individuals who qualify for this type of Medicaid must be over the age of 65, blind, or have a qualifying disability, each combined with limited assets to provide for their care.

Medicaid for Nursing Home Residents

Individuals who require the long-term support available in a residential care or skilled nursing facility can qualify for financial contribution to the cost of care through Medicaid. The application process for this type of Medicaid is complex, and many individuals who would benefit from MO HealthNet assistance would not immediately qualify for coverage based on their current assets. However, MO HealthNet allows a few different processes to achieve eligibility.

Medicaid Spend Down

Medicaid Spend Down is the process of reducing assets over time through eligible purchases and payments, including nursing home care expenses, which bring you into the range to qualify. This process can be tricky. Gifts and less-than-market-value transfers can render a person ineligible for Medicaid coverage for a time.

Division of Assets

One option available to married persons when one spouse may need care in a facility is a Division of Assets. This process assigns a portion of one spouse’s assets and income to the other, removing the need to spend those assets down and qualifying for Medicaid coverage that much faster.

Long-term care is expensive, and even with savings, planning, and long-term care insurance, the financial cost can add up quickly. Spend Down and Division of Assets are valuable tools but can be difficult to understand. If you find yourself in a situation where you or someone you love may need to spend significant time in a long-term care facility, give Evan a call. Take advantage of his expertise and guidance to discuss your options, maximize your assets, and navigate the complex world of Medicaid eligibility.