State Aid to the Needy Disabled-AND/ NO MEDICAID
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1 Belw is a brief descriptin f Adult Financial, Adult Medical, MSP and Lng Term Care Prgrams in Clrad. This infrmatin will assist yu in determining which prgram is mst suited t yur needs r situatin. Fr additinal infrmatin n Clrad Benefits and Applicatins fr Assistance Apply and Check Yur Benefits Online (PEAK) r print ut the Clrad Assistance Prgrams Applicatin. Applicatins may be mailed in r drpped ff at the fllwing Larimer Cunty Human Services ffices: 1501 Blue Spruce Dr. 205 E. 6 th Street 1601 Brdie Avenue Frt Cllins CO Lveland, CO Estes Park, CO (970) (970) (970) Please call fr hurs and call befre yu travel t the ffice t be sure yu g t the crrect lcatin fr what yu need. Appintment fr assistance may be necessary. If yu need assistance cmpleting the Lng Term Care Medicaid applicatin, please cntact the Larimer Cunty Aging and Disability Resurces f Clrad (ADRC): (970) State Aid t the Needy Disabled-AND/ NO MEDICAID The Aid t the Needy Disabled (AND) prgram prvides cash assistance t lw incme Clrad residents, age 18 and ver, wh have at least a six mnth ttal disability that precludes them frm wrking. The gal f this prgram is t prvide interim financial assistance while a persn is awaiting apprval fr SSI benefits. Fr mre infrmatin n this prgram, please cntact the Larimer Cunty Human Services: (970) Pays maximum mnthly cash benefit up t $200 grss a mnth Must be years f age Must be a citizen f the United States, a naturalized citizen, r an eligible legal resident Resurce/asset limit $2000 Must apply fr SSI at the Scial Security Office Must be r expected t be ttally disabled fr 6 mnths r mre Med-9 reprt must be cmpleted by: A Clrad licensed r certified M.D., D.O, PA (physician s assistant), advance practice nurse, RN, Optmetrist r Psychiatrist $50 Vucher is prvided t pay fr examinatin Other Requirements Yu will need t prvide a dctr's frm verifying yur disability will last at least 6-mnths and a statement that yur disability precludes yu frm wrking any jb. Yu can print the dctr's frm, which is called a MED 9 and take it t yur dctr. T receive AND benefits, yu must sign an IM-14 frm saying yu will repay AND benefits with the SSI benefits yu are eligible t receive in the same mnth. Yur lump sum SSI check will g t the cunty t repay the AND prgram.
2 State Aid t the Blind-AB/ NO MEDICAID The Aid T The Blind (AB) prgram prvides cash assistance t lw-incme Clrad residents, age 18 and ver, wh have at least a six-mnth ttal disability that precludes them frm wrking. The gal f this prgram is t prvide interim financial assistance while a persn is awaiting apprval fr SSI benefits. Fr mre infrmatin n this prgram, please cntact the Larimer Cunty Human Services: (970) Pays maximum mnthly cash benefit up t $200 grss a mnth. Must be years f age Must be a citizen f the United States, a naturalized citizen, r an eligible legal resident Resurce/asset limit $2000 Must apply fr SSI at the Scial Security Office Must be r expected t be ttally disabled fr 6 mnths r mre AB-5 reprt must be cmpleted by: A Clrad licensed r certified M.D., D.O, PA (physician s assistant), advance practice nurse, RN, Optmetrist r Psychiatrist $50 Vucher is prvided t pay fr examinatin Other Requirements Yu will need t prvide a dctr's frm verifying: Less than a 10% visual acuity in the better eye with crrectins; r Nt mre than 20/200 central visin acuity in the better eye with crrectin. Yu can print the dctr's frm, which is called an AB-5 and take it t yur dctr. T receive AB benefits, yu must sign an IM-14 frm saying yu will repay AB benefits with the SSI benefits yu are eligible t receive in the same mnth. Yur lump sum SSI check will g t the cunty t repay the AB prgram. Old Age Pensin-OAP The Old Age Pensin (OAP) prgram prvides cash assistance and may prvide medical benefits fr lwincme adults age 60 r lder. Fr mre infrmatin n this prgram, please cntact the Larimer Cunty Human Services: (970) OAP Medicaid Must be 60 years f age r lder Must be lawfully in the U.S. fr 5 cnsecutive years Maximum grant is $748 minus any existing earned/unearned incme received by client r spuse, including any Scial Security incme Medicare premium may be paid by the State Medicare premium may be paid by the State Resurce limit $2000 fr an individual, $3000 a cuple Clrad OAP Health Care Prgram benefits fr year lds, Medicaid fr clients 65 r lder Autmatically eligible fr Medicaid if apprved fr Old Age Pensin Prgram abve
3 Hme Care Allwance Hme Care Allwance (HCA) prvides financial assistance t individuals with functinal limitatins nt receiving ther Adult Financial services. The purpse f this allwance is t secure services fr an individual, which can help him/her remain in his/her hme. A Single Entry Pint agency will determine the functinal capacity and need. Fr mre infrmatin abut this prgram, please cntact Optins fr Lng Term Care: (970) Prvides assistance with activities f daily living Must have yur wn designated prvider A referral frm DHS has t be initiated Rcky Muntain Health Care Services must d an HCA assessment Lng Term Care Medicaid The Lng Term Care prgram is available t individuals wh are Medicaid eligible and at risk f placement in a skilled nursing facility, alternative care facility, hspital stays f thirty days r mre; r intermediate care facility fr individuals with develpmental disabilities. Fr mre infrmatin abut this prgram, please call the Larimer Cunty ADRC: (970) Assisted Living ( ACF), Nursing Hme (NF), 30 day Med Assisted Living (ACF), Skilled Nursing Hme (SNF), 30 day institutinalized Med Must meet citizenship, incme, resurce, disability, and level f care criteria When all criteria are met Medicaid benefits are apprved/ prvider payments can be made Incme maximum $2163 a mnth, an Incme Trust can be established if incme exceeds $2163 but is belw $7,161. An Incme trust cannt be used fr 30 day med stays in the hspital effective Resurce/asset limit $2000 per individual, $119,240 fr married cuples if nly ne spuse is seeking lng term care (includes $2000 fr LTC applicant) effective Resurce limit is $3000 fr a cuple if bth are applying Resurce limit is $4000 if a cuple is applying and are in the same rm in nursing hme Married cuples wh are separated are still cnsidered married fr LTC eligibility Level f care is determined by Optins fr Lng Term Care. May need t cmplete additinal Medicaid Disability Applicatin - prcess can take up t 70 days Fr nursing hme cases all grss incme except $50 r $90 if receives VA ges tward cst f care Medicare premium may be paid by the State A cmmunity spuse may be eligible fr additinal incme frm Medicaid spuse and the cmmunity spuse will need t cmplete the spusal allwance applicatin. Fr assistance cmpleting the Lng Term Care Medicaid applicatin, please cntact the Aging and Disability Resurces f Clrad (ADRC) fr Larimer Cunty t make an appintment: (970)
4 Hme Cmmunity Based Services fr Adults (HCBS) The Hme Cmmunity Based Services (HCBS) is a Lng Term Care prgram prviding services that allw individuals t remain in the cmmunity fr as lng as pssible. HCBS prvides additinal benefits t specific adult and children ppulatins. The fllwing is a list f the adult waiver prgrams in Clrad. Fr mre infrmatin regarding Clrad Medicaid waivers, please cntact Optins fr Lng Term Care: (970) HCBS- Persns with Brain Injury HCBS- Clrad Mental Health Services HCBS- Persns wh are Elderly, Blind and Disabled Supprtive Living Services Waiver fr Persns Develpmentally Disabled Adult Medical SSI- Medicaid/1634 & SSI/CO Supp Supplemental Security Incme (SSI) Mandatry/1634 Medicaid prvides Medicaid benefits if the Scial Security Administratin (SSA) determines they are eligible fr SSI. Incme, expenses and resurces are determined by SS. Fr mre infrmatin abut Adult Medical Assistance, please cntact the Larimer Cunty Human Services: (970) Must be receiving Supplemental Security Incme- SSI May qualify fr additinal cash assistance up t $721 a mnth minus existing SSI incme received by client, spuse r parent effective Resurce/asset limit $2000 Medicaid apprved with SSI apprval letter frm Scial Security-NO APPLICATION REQUIRED Autmatic Medicaid cverage if receive at least $1 SSI MAGI ADULT effective Family Medicaid categry fr mre infrmatin please cntact Larimer Cunty Human Services: (970) Be age 19 thrugh 64 and nt have a Medicaid dependent child Incme limit f $1274 (133%) f Federal Pverty Level State AND benefits f $175 are excluded Nt be eligible fr any ther Medicaid categry Nt eligible fr Medicare Adult Buy-In (Medicaid Buy-In fr Wrking Adults with Disabilities) effective Fr mre infrmatin n this prgram, please cntact Larimer Cunty Human Services: (970) Adult age 16 but less than 65 years f age Must have partial r full time emplyment Must have a qualifying disability Incme f limit f 450% f Federal Pverty Level with certain incme deductins N resurce limit Receive regular Medicaid benefits Premium payments are based n incme n a sliding scale
5 MSP -Medicare Savings Prgrams Medicare Savings prgrams may help persns receiving Medicare Part B by paying the premiums f varius Medicare prgrams. Fr mre infrmatin n this prgram, please cntact the Larimer Cunty ADRC: (970) QMB (Qualified Medicare Beneficiary) Only pays fr mnthly Medicare premiums, deductibles and c-insurance Eligibility begins the mnth after the applicatin is apprved Prescriptins are cvered under Medicare D Must currently be eligible fr Medicare A Incme* fr individual $993, $1313 fr cuple Resurces $8660 fr an individual, $13,750 fr a cuple effective SLMB (Special Lw Incme Medicare Beneficiary) Only pays Medicare Part B premium Benefit may g retractive 90 days Must currently be eligible fr Medicare Part A Incme* $1187 fr an individual, $1593 fr a cuple Resurces $8660 fr an individual, $13,750 fr a cuple effective QI-1 (Qualified Individuals) QDWI Only pays Medicare Part B premium Benefit may g retractive 90 days Must currently be eligible fr Medicare Part A Incme* $1333 fr an individual, $1790 fr cuple Resurces $8660 fr an individual, $13,750 fr a cuple effective Only pays Medicare Part A premium Nt eligible fr SSDI because f earnings Cannt be eligible fr any ther Medicaid categry Incme $3975 fr an individual, $5329 fr cuple Resurces $4000 fr an individual, $6000 fr cuple *Incme limits are based n the Federal Pverty Level (FPL) and generally increase each year. The new incme limits are effective n January 1 st and are generally annunced in January r February. The incme limits abve include a standard $20 disregard.
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