Mark Glendon

How to Qualify for a Medicaid Waiver

Medicaid is a federal healthcare program administered by each state individually. Although the Centers for Medicare and Medicaid Services (CMS) oversees Medicaid as a whole, each state has some degree of flexibility regarding Medicaid coverage. As a result, some states provide coverage for healthcare costs that other states do not, and coverage does not transfer from one state to another.

If you're a Medicaid recipient and require healthcare services not covered by Medicaid in your state, it may be possible to receive coverage through a waiver. Waivers are often issued for individuals who require at-home care or assisted living care as these types of coverages can be limited by traditional Medicaid benefits.

Qualifying for a Waiver

To qualify for a waiver, it is typically required for you to demonstrate that the treatment or service is medically necessary and that no suitable alternative exists. In most cases, you will need to involve your doctor or medical team in the process of filing for a waiver as these people will need to attest to your condition and need for the waiver.

Work With an Attorney

You may also need to work with a local attorney who specializes in special needs planning. To find a lawyer near you, you can search online. For example, if you receive Medicaid in Suffolk County, NY, consider searching for a Suffolk County special needs planning lawyer on the Internet. A Suffolk County special needs planning lawyer will be able to not only provide counsel in accordance with New York state law, but they will also be able to help you navigate the legalities of filing for a Medicaid waiver. Visit this website if you need a Suffolk County special needs planning lawyer.

Keep All Documentation

Whether you've already filed for a Medicaid waiver or you're planning to file for one, it's important to keep all documentation of your medical condition and your efforts to contact Medicaid in your state. Once again, having the ability to demonstrate medical need is key, and your documentation may be a very important asset should you need to prove your case before Medicaid administrators.

Author Resource:-

Mark writes often about estate planning. His articles may include topics like real estate closing attorney and business succession laws to help the people in needs. You can find his thoughts at estate planning solutions blog.