Medicaid Eligibility for Senior Care by State
Medicaid is the largest payer for long-term care in the United States. Find your state's income limits, asset tests, waiver programs, and covered services.
How Medicaid Covers Senior Care
Medicaid covers approximately 60% of all nursing home residents in the U.S. While Medicare covers short-term skilled nursing after a hospital stay, Medicaid is the primary program for ongoing long-term care — including nursing homes, home health aides, and in some states, assisted living.
Key Eligibility Factors
| Factor | Typical Requirement |
|---|---|
| Income Limit | $2,829/month (300% of federal benefit rate, 2025) |
| Asset Limit | $2,000 individual (varies by state — NY allows $31,175) |
| Lookback Period | 60 months (30 months in California) |
| Spousal Protection | Community spouse can keep up to $154,140 in assets |
| Estate Recovery | Mandatory in all states after death |
States with Notable Medicaid Programs
- New York: Highest asset limit ($31,175), covers assisted living, CDPAP program pays family caregivers
- California: Eliminated asset test in 2024, only 30-month lookback, IHSS provides extensive home care
- Oregon: One of the strongest HCBS systems — K Plan covers assisted living and adult foster care
- Washington: Comprehensive coverage plus the WA Cares Fund public long-term care insurance
- Minnesota: Higher asset limit ($3,000), covers assisted living through Elderly Waiver
- Wisconsin: Family Care program widely considered a national model for community-based care
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State-by-State Nursing Home Medicaid Guides
For detailed income limits, asset limits, spend-down rules, waiver programs, and application guidance in your state:
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