Health Care

Medicaid for long-term care

What it offers

All Medicaid benefits, including:

  • Doctor’s visits
  • Drugs ordered by a doctor
  • Lab and X-ray charges
  • Hospital care
  • Vision and hearing care
  • Dental care

Medicaid also might pay for health care the person got 3 months before applying for help.

Depending on the person’s case, they might get long-term services such as:

  • Community programs while the person is living at home.
  • Home care.
  • Nursing home care.
  • A hospital for mental illnesses.
  • A place of care for people with intellectual disabilities.

Who is it for?

A person who:

  • Either: (1) is age 65 or older, or (2) has a disability that is expected to last a year or longer.
  • Needs 30 or more days of non-stop, long-term care.
  • Has little or no money.
  • Doesn’t own or is not paying for items over a certain value. (Items that aren’t counted are homes, vehicles, limited amount of burial funds, personal belongings, and some types of life insurance.)

Cost

A person who gets Medicaid for long-term care must pay part of the cost by first using all of his or her own money, except for a small monthly amount for personal needs and costs like health insurance premiums.

To find out if your money and items you own are within the limits for this program, you can fill out a short form at YourTexasBenefits.com. Click on “Should I apply?”