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How Do I Qualify For The Medicaid Waiver Program?

The Medicaid Waiver program may sound like something that prevents a person from needing Medicaid, but that does not quite describe the purpose of it. The Medicaid Waiver program covers people who can no longer conduct their own affairs, have been declared mentally incompetent. A Medicaid Waiver implies that the individual does not need to provide the same amount of proof that a normal individual does when he or she applies for the Medicaid program.

Qualifying for the Medicare Waiver

Exact qualifications that apply to everyone who might be eligible for the program vary from state to state. In order to qualify, generally a person must either be declared by a court to be non compos mentis or have an IQ documented to fall below the qualifications to be considered developmentally disabled. A caseworker will help a client determine whether or not he qualifies for the waiver. A person who does may be able to circumvent some normal rules, such as having any form of income to qualify for general Medicaid Assistance. A waiver is usually used for a person who needs community-based services such as living in a group home. Medicaid services do not normally cover the cost of community based services.

Proving the Qualification for a Medicaid Waiver

In most circumstances, it is not hard to determine whether or not an applicant qualifies for the Medicaid waiver. It is not possible to tell if a person qualifies for the waiver. The person who files on behalf of the person who needs the Medicaid waiver must provide the necessary documentation. If a person who should qualify for the waiver gets turned down, the person filing on behalf of the client can appeal the decision. The hearing is informal, but a client does have the right to legal representation.



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