Disabled and elderly waiver program

Medical care also includes capitation payments to Medicaid contracted health insurance companies or medical providers administering a defined package of benefits. The federal government directs states to pursue Medicaid estate recovery for these services. For this reason, states are not allowed to pursue Medicaid estate recovery under the following circumstances:. As individual circumstances vary, and for more information, please call the Estate Recovery Office at Medicaid for Elderly or Adults with Disabilities Healthcare coverage for adults with disabilities and elderly adults who may need services.

About Medicaid for Elderly or Adults with Disabilities. Idaho Medicaid participants can also receive support to get to the vaccine appointment: If you need help with transportation to your vaccine appointment, call MTM at When you call MTM, you will need to tell them the following information: Your first and last name Your Medicaid ID number Your home address and phone number That you are going to a COVID vaccine appointment The address where you have an appointment The date and time of your appointment Any special needs, including if you have a wheelchair or need someone to ride with you If you require special equipment like a car seat, wheelchair, or other device, you must provide these items.

Idaho Medicaid Health Plan Booklet. Medicaid Health Plan Booklet. AABD Medicaid provides assistance to individuals who are aged, blind, or disabled. View Brochure. Overview of Medicaid Programs.

Individuals who are elderly or live with a disability can be eligible for Medicaid coverage if they meet the following criteria: Live in Idaho Be a U. What income counts toward eligibility? Income counted toward a Medicaid eligibility determination includes, but is not limited to: Social Security Supplemental Security Income SSI Interest from bank accounts and investments Retirement and other pensions Payments from trusts, annuities, etc.

Wages from a job or self-employment Resources such as property and bank accounts will also be considered. What resources count toward eligibility? Home and community-based services. Depending on your specific needs, you may be eligible for the following services: Residential habilitation Chore services Respite services Supported employment Non-medical transportation Environmental accessibility adaptations Specialized medical equipment and supplies Personal Emergency Response Systems PERS Home-delivered meals Skilled nursing Behavioral management and crisis management Adult day health Self-directed community supports.

Estate recovery process. The Medicaid estate recovery program impacts two groups of people receiving Medicaid benefits: Anyone over the age of 55 who has received Medicaid assistance, and Anyone who is permanently institutionalized and has received Medicaid assistance, regardless of age. For this reason, states are not allowed to pursue Medicaid estate recovery under the following circumstances: During the lifetime of the surviving spouse, regardless of where he or she lives.

From a surviving child who is under age 21 years or is blind or permanently disabled based on Social Security criteria , regardless of where he or she lives. Other Services External resources. Services provided by Optum Idaho. If you have questions regarding these services, please contact us: Visit Optum Idaho. External resources. Authorized waiver services may include:. There are 16 Area Agencies on Aging throughout the State. It is helpful to apply as soon as you identify a need for waiver services.

You must also apply for Medicaid. You can learn more about applying for Medicaid by going to the Apply for Medicaid web page. Waiver providers can be certified to provide multiple waiver services. Note that some providers also offer nonwaiver services within the IHCP.

These providers are issued two unique provider identification numbers for billing purposes - one for waiver billing and one for nonwaiver billing. Providers must submit claims using the provider ID that corresponds to the services entered on the claim.