Statewide Medicaid Managed Care Long Term Care (SMMC-LTC) / Medicaid Waiver / Home & Community Based Medicaid are all different names for the same program.
This long-term care Medicaid program is for those who only require Assisted Living Facility (ALF) level of care OR are able to reside at home and would benefit from some home-health care. There is a wait-list for this program.
The Medicaid Waiver wait-list gives priority to those who need services the most. But the wait-list can be quite long. Part of our service, if hired to do so, is coaching you on ethical ways to obtain a higher priority score to minimize time on the waitlist. The Medicaid waiver application is not submitted until the client is called off the waitlist.
Once the application is submitted (and the client is otherwise eligible), Medicaid waiver services can begin on the first day of the following month. Once approved for waiver benefits, the Medicaid recipient keeps 100% of their income (although a portion may need to be diverted into an income trust, which can still be used to pay expenses).
If in an ALF: Medicaid contributes approximately $1,350 (could be less, depending on amount of care needed) toward their ALF bill.
If at home: Medicaid will typically pay for between 20 - 35 hours of home health care (directly to a Medicaid-approved agency) depending on amount of care that is needed.