Locally owned and operated, CT Medicaid Specialists, LLC works with you in the complex and confusing application for Medicaid benefits. When faced with the need for skilled nursing care or custodial care for a loved one, many people assume Medicare benefits will cover their expenses. Medicaid and Medicare are both federal health insurance programs that may help pay for nursing home care, but they do not provide the same coverage. Medicare covers skilled care services that are needed daily for up to 100 days. Typically, seniors will stay in a skilled care facility until they can recover and be moved to a traditional nursing home setting. A skilled care facility is often a stop for seniors from the hospital into a more long-term nursing home solution. Some seniors may need to stay longer, but the cost will need to come out-of-pocket.

Skilled Care vs Custodial Care

What is the difference between Skilled Nursing Care and Custodial Care? Skilled care is medically necessary to improve, maintain, or to slow deterioration of a patient's condition. Medical necessity and desired results of skilled care must be clearly documented by a written treatment plan approved by a physician.  In most cases, Medicare doesn't pay for custodial care: non-skilled personal care, like help with activities of daily living like bathing, dressing, eating, getting in or out of a bed or chair, moving around, and using the bathroom. It may also include the kind of health-related care that most people do for themselves,like using eye drops.

What does Medicaid pay for?

Medicaid pays for medical care for people who do not have enough money to pay their medical bills. Nursing home care is only one type of care paid by Medicaid. If you qualify, Medicaid will pay for your nursing home care and most of your costs while you are in a nursing home, including

  • doctor visits;
  • medicine;
  • hospital care;
  • your room (shared);
  • meals;
  • tests and treatments; and
  • equipment your doctor says you need.

Medicaid Application Assistance

CT Medicaid Specialists LLC focuses on helping families prepare documents and apply for Medicaid benefits. We offer assistance to our clients as we navigate Medicaid’s labyrinth of regulations and rules. Our aim is to achieve maximized coverage and benefits. From the initial consultation through the final approval, CT Medicaid Services is there every step of the way. We assist in completing Connecticut Medicaid forms, gathering documentation, assisting in the spend down procedures, and following up with your caseworker at the Department of Social Services.

We go beyond just providing our clients with information and helping them understand the Medicaid CT eligibility requirements. Our staff walks the families through the entire planning and application process until the best possible outcome is achieved. CT Medicaid Specialists are here to help you prepare the documents needed whether you qualify for benefits under Title 19. Call us today (860)-490-6772.

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Medicaid Benefits for Custodial Care | Connecticut | CT Medicaid Specialists