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SA helps pay the cost of living in licensed adult care facilities.
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The Special Assistance In-Home program provides assistance to individuals who require care in a licensed adult care facility, wssistance who desire to reside at home, or in a private living setting. The SA-In Home program provides cash payments to help eligible individuals continue to live at home. This program is also open to individuals who currently reside in assisted living, adult foster care, or another form of residential care and wish to move back into their homes. For every one American man over the age of 85, there are two American women of that age. Medicaid eligibility is determined at the state level.
One's home, household furnishings, vehicle, and some other personal effects are considered exempt when calculating the value of the applicant's countable assets. A medical professional must certify them as requiring the level of care normally provided in adult care homes, but they wish to remain in their own home instead. The county level eligibility considerations are less quantifiable. These factors include the availability of friends and family members who can facilitate and supplement the assistance, the availability of services from other agencies, and the affordability of housing in their geographic area.
The actual amount of financial assistance is determined by the county case manager during the application process and revised periodically as care needs change. So if she is at the assisted living level of care, Medicaid would not be an option for room and board cost. If your mother qualifies for SA, is receiving this funding at an assisted living facility then five years down the road her level of care increases to nursing home care, she would then be able to apply for Medicaid funding in the nursing facility and SA would no longer be applicable. These programs have a lot of different parts and are not always easy to navigate.
There is quite a bit of information on line but it can get overwhelming. If your mother qualifies for SA, is receiving this funding at an assisted living facility then five years down the road her level of care increases to nursing home care, she would then be able to apply for Medicaid funding in the nursing facility and SA would no longer be applicable. These programs have a lot of different parts and are not always easy to navigate. There is quite a bit of information on line but it can get overwhelming. The application process also takes time, so start doing your homework now and make sure you are getting accurate information.
The process where Medicaid pays specia Medicare premiums is called Buy-In. Buy-In can take 3 to 4 months from the date approval of the application. If Medicaid terminates for any reason, the Medicare premiums will no longer be paid.