Yes! Applied Home Health Network offers full support with Medicaid Waiver applications, including assistance with forms, filing, and navigating the entire process. Our team is here to make sure your application is completed accurately and on time.

If you are a senior in Illinois and looking to become eligible for the Medicaid Waiver Program, here are the steps and specific eligibility details for seniors:

1. Eligibility Criteria for Seniors

To qualify for the Medicaid Waiver Program in Illinois as a senior (typically aged 65 or older), you must meet the following requirements:

Age: You must be 60 years or older.

Residency:You must be a resident of Illinois.

Income and Assets:

Income:Medicaid has strict income limits, but these limits can be higher for the Medicaid Waiver programs. 

Assets:Generally, the asset limit is $17,500 for an individual, though this can vary based on the specific waiver program you qualify for. Your home is usually exempt from the asset calculation, but other assets like savings, property, or vehicles are included.

Level of Care:To qualify for Medicaid Waiver services, you must meet the "nursing facility level of care" requirement. This means you need assistance with activities of daily living (ADLs) such as bathing, dressing, toileting, and eating.

2. Medicaid Waiver Programs for Seniors in Illinois

The most common waiver for seniors is the Community Care Program (CCP). It provides services that allow seniors to remain in their homes and communities instead of being placed in a nursing facility.

3. Application Process

Complete the Medicaid Application: The first step is to apply for Medicaid, which can be done through the ABE (A Better Illinois) system, online, by phone, or at your local Department of Human Services (DHS) office at 1800-843-6154 to obtain your  Medicaid. You can also get help from local community agencies or Medicaid counselors. Once you have a Medicaid ID you can call 1800-252-8966 to enroll in your local community care program. 

Level of Care Determination: You will need to undergo an assessment to determine if you meet the nursing facility level of care requirements. This is typically done by a nurse or other medical professional, who will assess your physical and mental health needs.

Determine Eligibility: After applying, the Illinois Department of Healthcare and Family Services (HFS) will review your income, assets, and the level of care you need. If you're eligible for the Community Care Program or another Medicaid Waiver, you will be enrolled and start receiving services.

4. Waitlist and Funding Availability

Some waiver programs, including the Community Care Program, may have a waitlist depending on funding and demand. It s important to apply as early as possible and explore other options if there is a waitlist. Some people may also qualify for emergency or expedited services in cases of immediate need.

5. Services Provided under the Medicaid Waiver for Seniors

Once enrolled in the Medicaid Waiver program, seniors can receive the following services:

Personal Care Assistance: Help with bathing, dressing, eating, grooming, and other personal care tasks.

Homemaker Services:Assistance with housekeeping, laundry, meal preparation, and grocery shopping.

Respite Care:Short-term relief for family members or caregivers who provide ongoing care.

Adult Day Services: Supervised care and socialization for seniors who cannot stay alone during the day.

Home Modifications: Funding to make necessary changes to your home to make it safer and more accessible (e.g., installing ramps, grab bars).

Transportation Services: Help with getting to medical appointments and other necessary outings.

6. Review and Recertification

Medicaid Waiver recipients must undergo periodic reviews to ensure they continue to meet eligibility criteria. You will be required to submit updated financial information, undergo reassessments for level of care, and confirm your need for services.