Do you need Medicaid to assist with healthcare or long-term care costs in Florida? It is important to understand the Florida Medicaid income cap. Seniors over the limit will not be eligible for care. However, there are ways to manage income to meet eligibility requirements. Read on as we take a closer look at income requirements for Florida Medicaid.
What You Need To Know About the Florida Medicaid Income Cap
Coverage
Medicaid offers a variety of programs that address the healthcare needs of low-income individuals. Under the Florida Medicaid Long-Term Care program, senior adults can qualify in three categories.
- Institutionalized or Nursing Home Medicaid
- Medicaid Waiver or Home and Community Services
- Regular Medicaid or Medicaid for the Aged and Disabled
Understanding Income and Asset Caps
Medicaid has an asset cap. It simply means that to qualify for Medicaid programs, an applicant’s income must be under the cap. On the other hand, when you refer to “Asset Limits,” this refers to the total value of assets that an individual can own.
These programs are for those with limited financial resources. The state enforces strict requirements on income and assets. That means the government will thoroughly evaluate your financial situation to ensure that the program is reaching those who need it most.
What Do You Consider Countable and Noncountable Income?
All income that you earn from whatever source counts towards the limit. Some examples of countable income are:
- Employment wages
- Social Security
- Investment Income
- Pensions
However, certain types of income are exempt from this calculation. For instance, Medicaid does not count Holocaust Restitution payments and Veterans Affairs Aid and Assistance when determining Medicaid eligibility.
Regarding married couples, if only one spouse applies, only their income is counted. However, the non-applicant spouse may be entitled to some of the applicant spouse’s income under the Monthly Minimum Maintenance Needs Allowance.
Current Medicaid Income Limits
For those applying for Institutionalized/Nursing Medicaid, here are the limits:
- The income limit for a single person is $2,901 per month, and the asset limit is $2,000.
- If both spouses are applying, the income limit is $5,802 per month, and the asset limit is $3,000. However, for those with only one spouse applying for Medicaid, their spouse has an asset limit of up to $ 157,920.
And for those applying for Medicaid Waiver and Home Community Based Services:
- The income and asset limits are the same as those of Institutional Medicaid. However, the difference is that these are not entitlements. Availing oneself of these services is contingent upon being on a waiting list.
For applicants for regular Medicaid/ Medicaid for the Aged and the Disabled, from April 1, 2025, to March 31, 2026:
- The income limit for a single applicant is $1,149 per month, and the asset limit is $5,000.
- For married couples, the monthly income limit is $1,552, and the asset limit is $6,000.
Do you need help navigating Medicaid eligibility in Florida? Contact the Scott Law Offices for assistance. We can help seniors obtain Medicaid eligibility while protecting their assets. Reach out now to learn more.
