Anxiety. Stress. A myriad of guidelines. Medicaid planning in Rhode Island is often all of these things.

It doesn't have to be that way.

At Senior Planning Services, our goal is to simplify the Medicaid application process and alleviate the anxiety associated with it. We are experienced with the Rhode Island Medicaid eligibility requirements and file applications efficiently and accurately.

Senior Planning Services offers a comprehensive service concentrated wholly on helping families achieve the Medicaid coverage they deserve. After an initial consultation and assessment, Senior Planning’s Medicaid consultants streamline the entire process, assisting with everything from statements and paperwork to filling out applications, obtaining Medicaid-required documentation, acting as a liaison, and navigating the spend-down procedure through the final Medicaid approval.

At Senior Planning Services, our RI Medicaid specialists do more than just provide the information you need; we hold your hand and walk you through the entire Medicaid planning and application process. We are experts in the industry with over 10 years' experience working with the Medicaid system. Our Rhode Island Medicaid application consulting services offer clients more than just sound advice throughout the process. We implement it. From start to finish.
Ready to Apply for Medicaid in RI? We can help!
Contact Senior Planning Services today to learn more
request your free
no-obligation consultation

What is Medicaid?

Medicaid is a safety net. Many wrongly assume that Medicaid is a program for the poor, but that is not the case. There are exorbitant costs associated with skilled nursing care, ranging anywhere from $10,000 to $16,000 monthly, totaling a whopping $120,000–$200,000 annually. Even individuals who worked their whole lives and saved a considerable portion of their earnings are likely to require some assistance with the staggering cost of a nursing home stay.

The government designed the Medicaid program to do just that. Under Medicaid, quality long-term care in Rhode Island is available even for those who can’t afford the high cost. There is, however, a caveat. The numerous rules and countless guidelines that govern Rhode Island Medicaid eligibility make the application process very confusing. If you are wondering how to qualify for Medicaid in RI, our Medicaid specialists can guide you through the process, enabling you to make informed and effective decisions.

First of all, Medicaid looks to establish three fundamentals.
• Financial status
• Medical need
• Citizenship status

Who Is Eligible?

Medicaid will cover the cost of long-term care for individuals who are 65+ and/or disabled. Medicaid eligibility in RI also requires applicants to be a citizen of the US or a qualified alien.

Financial Requirements

Income

Income

In Rhode Island, single adults applying for Medicaid must have monthly income under $1,304 (138% FPL), while long-term care applicants (nursing home/waivers) must earn less than $2,901/month (excluding a $75 personal needs allowance). Married spouses applying for long-term care count only the applicant’s income and assure the non-applicant spouse receives at least $2,643.75/month (up to $3,948/month with housing costs).
Assets

Assets

To qualify for Medicaid-assisted living in Rhode Island, applicants must not exceed the Medicaid asset limits. In Rhode Island, applicants must spend down their assets to meet the program's financial eligibility requirements. $4,000 for single applicants, $8,000 for couples applying together, and up to $157,920 for the non-applicant spouse in cases where only one spouse is applying.

It's important to note that Medicaid enforces a five-year look-back period for financial transactions. During this time, any gifts or asset transfers may result in a penalty period of ineligibility for Medicaid coverage. This penalty corresponds to the total value of assets gifted or transferred during the look-back period. (There are some exceptions to the transfer rules that Medicaid may allow.)
Medical Eligibility

Medical Eligibility

To meet the standards for Medicaid nursing home eligibility in Rhode Island, applicants must undergo a physical screening.

Medicaid will send down a nurse to do a physical evaluation to ascertain whether or not the individual needs assistance with (ADL) Activities for Daily Living (showering, feeding, toileting, etc). The evaluation is also referred to as a (PAS) Pre-Admission Screening.

Why Our Medicaid Specialists Are Different

In a word: expertise.
At Senior Planning Services, this is what we do. All day, every day. Our RI Medicaid specialists are equipped with the resources, relationships, and know-how, to efficiently file applications and ensure our clients receive maximum benefits through Medicaid. We do not merely guide countless happy families, we shoulder the burden like we are family, and are available at all times to answer any questions and alleviate all concerns. At this particularly frenetic and overwhelming life junction, Senior Planning Services is there to exchange anxiety and stress with direction and clarity. If you are struggling with your Medicaid application or if you need assistance with your Medicaid renewals in Rhode Island, reach out to us today.

Our Rhode Island Medicaid Planning Services

  • Offer a free Medicaid Consultation
  • Assist in obtaining 60 months of bank and financial statements from financial institutions' back offices.
  • Assist in obtaining verifications from banks regarding checks, deposits, and cash withdrawals
  • Guide families through the spend-down process
  • Assist families in utilizing excludable resources
  • Assist clients in the process of liquidating life insurance policies, annuities, and stocks, etc.
  • Obtain missing documentation from Vital Statistics, if necessary
  • Update client on status on a constant basis
  • Interact with the Department of Human Services
  • Submit application to Department of Human Services
The experts at Senior Planning Services are just a phone consultation away.
Let us replace your stress and anxiety with direction and clarity.
Give us a call at 855.775.2664 or
Contact us to get started