Two factors determine your eligibility - your needs assessed by a social worker and nurse and your income and resources assessed by a senior benefits specialist. These are two separate processes. To determine your needs, we will ask you questions about your ability to perform day-to-day tasks such as bathing and dressing. We need to know if you are able to do these tasks by yourself or if you need some assistance. Medicaid will only pay for nursing home admission for individuals who need help in a lot of areas (bathing, walking, dressing, feeding, going to the bathroom, etc.). If you only need minimal assistance with bathing and some help with housekeeping, Medicaid will not pay for you to be placed in a nursing home. The senior benefits specialist will determine if you meet the income and resource criteria when you complete your Medicaid application. The benefits worker must have the completed application and all requested verification before a final decision can be made regarding your approval for Medicaid. The senior benefits specialist has 45 days from the date the Medicaid application is received by social services to make a determination.
Show All Answers
Contact the Loudoun County Department of Family Services (DFS) at 703-777-0353 and ask to speak with a senior benefits specialist. Let the benefits specialist know you are interested in nursing home admission so that a Medicaid application can be sent to you. The application is long and requires that you submit proof of resources and proof of income. We advise you to start working on it as soon as possible and to call the senior benefits worker for assistance.
It is extremely important that you submit the Medicaid application and all requested verifications. The process can not move forward until this is done. The Medicaid application must be completed prior to placement, and an assessment will be made to determine if you are financially eligible for Medicaid.
The senior benefits worker will refer you to a Family Services Specialist. The Family Services Specialist will contact you to arrange a visit to your home with a public health nurse.
If you submit a Medicaid application and do not enter a nursing home within 45 days, you may receive a letter stating that your full Medicaid has been denied and that you are on a “spend down.” This happens when you are still living at home. There are several different types of Medicaid, and to receive Nursing Home Medicaid, you have to be living in a nursing home. Please call your senior benefits worker for information about your Medicaid application.