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Will they cover full or part-time care for an elderly person at home? Does the person need to be destitute before Medicaid will cover any of this? Would they lose their home?

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Every state is different, but in North Carolina ncdhhs.gov/dma/medicaid/
Medicaid may help pay for nursing homes and intermediate care facilities, as well as long-term care in the home. There are income limits, resource limits and transfer of asset requirements. You do not have to sell your house. The home, a car and all personal possessions are not countable resources.
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Well, when my friend put her mom in a nursing home, she found herself getting behind on payments and they said they would buy her mom's home. That seemed like a conflict of interest.
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Contact your local Area Agency on Aging, they will have information you can use. While each state is different, if someone is in a nursing home, not skilled/medicare then if they qualify for Medicaid (because of income/assets) Medicaid will pick up; the person pays most of their income to the nursing home to help cover the cost. If a person is on a Medicaid waiver, then it may cover in home assistance and Medicaid will cover the cost. The AAA will be able to give you the options in your state.
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