We get a lot of questions. Here are some of the most popular ones:

1. Is it true that Medicaid doesn't cover 24-hour home care?

Absolutely! You can still get Medicaid to pay for 24-hour home care. It’s a little harder now, but we’ve helped many clients get around-the-clock care through Medicaid.

2. What does “Medicaid pending home care” mean?

“Medicaid pending home care” is starting home care while you’re still waiting for Medicaid to approve your application. We’ve helped many people get this care. Learn more about how we do it.

3. Why does my nurse and home health care aide go through separate agencies?

In New York, if your insurance covers home care, you might have to work with different agencies. Because different services need different licenses, some agencies are only allowed to do certain things. For example, a Certified Home Health Agency (CHHA) may offer nursing and physical therapy but have to hire a Licensed Home Care Services Agency (LHCSA) for the home health aide. If you choose to manage your own care through a Consumer Directed Personal Assistance Program (CDPAP), then you can pick your own caregiver and work with a CDPAP Fiscal Intermediary (FI) for payroll and financial duties.

Learn more about these different home care providers.

4. Are home care expenses covered by Medicare?

It depends. Original Medicare Parts A and B don’t pay for special help with daily tasks like home care. Some Medicare Advantage plans may pay a small amount. Original Medicare pays for medical expenses that need special skills, and sometimes this includes basic help with daily tasks also.

5. How long does it take to approve a Medicare application?

We usually get applications approved in around 4 to 5 weeks, but it can take longer. Past results do not guarantee future results.

6. How can I get around “spend-down” if I make too much money but still need Medicaid coverage?

There are a few options for people who make more money than what Medicaid allows. We are happy to discuss options with you.

Learn the normal ways to get Medicaid without having to spend.

7. What does “pooled income trust” mean?

A “pooled income trust” helps people qualify for Medicaid when they have extra income. If you’re disabled, the income you put into the trust doesn’t count when Medicaid calculates your budget. The trust then gives you money to pay bills.

8. If my application for Medicaid’s Excess Income Program was declined, what can I do now?

There are still options, and an expert can help you find the right one.

Call us at (212) 540-2984 for FREE help.

9. What does it mean if my Medicaid doesn't cover long-term care?

People who are keeping track of resources should have insurance for long-term care. But sometimes, a system glitch makes it show “No Coverage for Long-Term Care” by mistake. An expert can help you solve the problem,

Call us at (212) 540-2984 for FREE help.

10. How long do I have to wait for home care after getting approved for Medicaid?

Certified Home Health Agencies (CHHAs) and Managed Long-Term Care (MLTC) plans usually approve Medicaid home care. CHHAs can help right away even if paperwork is still being finalized. MLTC plans usually take 3-6 weeks to start care.

11. Can Medicaid affect my Medicare coverage?

Medicaid is a backup way to pay for medical costs. First, other options like Medicare help pay. Medicare is the main way, and Medicaid helps when Medicare doesn’t cover everything. But, Medicaid can make things a bit confusing for retired people. They may have to join Medicare Part D plans, which can change how their pension health coverage works. There are also plans called Managed Long-Term Care (MLTC) plans that can affect Medicare benefits.
We are happy to look into these different plan types with you.