Medicaid - Long Term Care
How to Apply
To apply, call 240-777-3995 to request an application packet be mailed to you. You may also pick up the packet at the program’s office at 401 Hungerford Drive, 4th floor, Rockville, Maryland 20850. Complete and mail or deliver the application packet in person to the same address. You may fax the application packet to 240-777-1330. For questions about the application packet call 240-777-3995. You can also complete an application on the Maryland Benefits Programs & Services Portal.
Documents to Bring
This program looks at both your current and past financial situation to determine eligibility, including your financial history over the past 60 months. You will be asked to provide the following information:
- Documentation of citizenship and personal identification
- Social security number
- Health insurance
- Income from any source
- Assets including, but not limited to, checking, savings, Certificates of Deposit (CDs), mutual funds, life insurance, trusts, stocks, bonds, home and other real property, retirement accounts, IRA, and other assets
Additional documents may be requested.
Eligibility Requirements
Nursing Home (Long Term Care) Medicaid eligibility is based on several factors. You must be a U.S. citizen, a Maryland resident, and meet disability criteria if you are under the age of 65 years. Your eligibility also is based on your income and assets. You must also qualify for a nursing home level of care.
Fees and Payments
No fees or payments are required to apply for or receive this program at this time. The applicant may be required to pay a portion of his income to the Nursing Home which will be determined.
FAQ's
1. What is Nursing Home Medicaid?
This program helps Maryland residents who live in a nursing home pay for their cost of care in a nursing home if they meet the program’s financial, technical and medical criteria. It also helps pay doctor, hospital and other medical care services. It is funded by your federal and state taxes.
2. Does the Nursing Home Medicaid staff refer a person who needs long term care services in a nursing home?
No. The unit is strictly a Medicaid eligibility determination unit. It determines if new applicants meet the program eligibility criteria and will also annually re-determine if a person already receiving Nursing Home Medicaid continues to meet the criteria.
3. Is Medical Assistance (i.e.., Medicaid) the same as Medicare?
No. Medicare pays for nursing home services only under very limited circumstances for a very limited period of time. Nursing Home Medicaid is a separate program that can help pay a nursing home for the cost of your care and other Medicaid eligible services as long as you continue to meet the program’s eligibility criteria.
4. Is there “presumptive eligibility” or “expedited eligibility” in this program?
No. We are prohibited from assuming you are eligible. Your eligibility for our program cannot be determined nor benefits granted to you until you provide the documentation required in order to show that you meet the eligibility criteria of the program.
5. Where can I speak to someone knowledgeable about this program?
You may call 240-777-3995 to speak to an Eligibility Specialist. You may also come to our office at 401 Hungerford Drive, 4th Floor, Rockville, Maryland 20850. We welcome the opportunity to speak to you about your specific situation and answer any questions you have about our program or its procedures.
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