Allied Senior Planning maintains every Medicaid case for the life of the resident in your nursing home. Allied Senior Planning’s commitment to excellence and expertise bridges the gap between your nursing home facility, your resident, and Medicaid for the entirety of your resident’s stay in your facility.

Allied Senior Planning maintains contact with the family and Medicaid office and takes care of all recertification for as long as they are needed.

Once your BOM learns of a potential resident, Allied Senior Planning is contacted. We assume immediate responsibility for the entire Medicaid application process. Your BOM will be kept informed of the progress of each case as frequently as requested. All the time and energy previously required for Medicaid processing can be invested on other priorities.

Allied Senior Planning’s team is equipped to respond quickly to change. At the same time we are not content to respond to change. We anticipate it, and position ourselves to be a repository of resources, not only to families and facilities, but to Medicaid personnel as well. Allied Senior Planning builds strong relationships by adding value to all involved. We are the go-to company in the private sector for Texas Medicaid expertise.

Allied Senior Planning’s staff is singularly focused on Medicaid applications. As such we achieve results, and we achieve them quickly. We work with your facility to keep you from accumulating cases in which you cannot collect payment for services rendered. Allied Senior Planning moves you from Medicaid pending to Medicaid approved.

Medicaid Examiners cannot approve a case until the resident has been in a nursing home for 30 days. Allied Senior Planning cases are normally approved soon after that. We work diligently to quickly secure necessary information so we can file in a timely manner.

Allied Senior Planning treats your residents with respect. We understand stage-of-life concerns. Additionally, we appreciate that every resident’s financial situation is unique. We work with them to answer their financial questions and address their concerns so that we can represent your residents well to Medicaid. The expertise we have developed over 25 years is the result of developing and valuing relationships.

Nursing home Medicaid is a full verification program. Resources and income will be verified with statements and award letters pertaining to the resources owned by the applicant. HHSC will also confirm assets with Asset Verification System (AVS).

Medicaid is payer of last resort. With limited exceptions, HHSC requires Medicaid applicants to first obtain all other eligible benefits to which they may be entitled.

During the initial Medicaid consultation, based on the information provided regarding resources and income. Allied Senior Planning can project Medicaid eligibility. Once all verification is received regarding resource and income. Allied Senior Planning can determine eligibility.

Nursing Home Medicaid covers room and board, meals, occupational and speech therapy, labs, x-rays, Nursing home doctor visits, and medicine. It will also assist if the resident goes to the hospital, it will cover the remaining portion after Medicare, and supplement.

Nursing home diagnosis and treatment will determine days covered by Medicare.

• Nursing Home Medicaid
• Medicare Cost Share Assistance
• Initial appointment with Social security to apply for SSI and RSDI.

The daily cost to be in a nursing facility starts at $230 or $6900 monthly. MEPD Medicaid will help cover the cost to be in the nursing facility as well as Therapy, labs, x-rays Dr. visits and medication.

Medicaid allows the homestead of residents to be excempt as a resource. Medicaid applications are reviewed as either spousal, couple or individual. Each application has a different resource limit. Allied Senior Planning will review policy with you depending on your application status.

An Individual can protect their property by obtaining a Lady Bird Deed or Enhanced Life Estate Deed through an Elder Law Attorney. Allied Senior Planning can make recommendations upon initial intake interview.

Allied Senior Planning services nursing facilities across the state of Texas. We can make recommendations for one of our contracted facilities and communicate with potential facilities.

An individual must be admitted into a nursing facility to apply for Medicaid for the Elderly and People with Disabilities (MEPD) Medicaid. The nursing facility will determine if the resident meets a medical need to start the MEPD Medicaid application process.

Many facilities will accept Medicaid including stated supported living centers, state hospitals, group homes, skilled nursing homes, as well as the community-based waiver program. These facilities will provide skilled nursing, rehabilitation, and long-term care. It is best to contact a facility to determine if there are any Medicaid pending beds available.

Medicaid considers the institutionalized individual’s and community spouse’s combined resources and incomes to determine nursing home Medicaid Eligibility. Depending on combined income, some resources may be protected for the community spouse and deducted from the total combined resources of the couple to determine eligibility. Medicaid also allows a minimum monthly maintenance needs allowance for the community spouse. Allied can provide estimates of these amounts upon the initial consultation and more accurate amounts upon receiving verification of all resources and income for both the institutionalized spouse and the community spouse.

It is at the resident/family’s discretion whether to keep the health supplement or cancel it. HHSC will allow the supplement premiums as a deduction from the required applied income.

When transferred assets are discovered or reported to HHSC, Medicaid will assess a transfer penalty equaling the value of the transferred asset when determining nursing home Medicaid eligibility. Generally, the resident is Medicaid eligible when the penalty period ends.

The applicant, Durable Power of Attorney (DPOA) or Guardian. If DPOA or Guardian signs the application in the resident’s stead, the appropriate legal documentation is required to be submitted with the Medicaid application.

Yes. As the resident’s authorized representative, Allied will report to Health and Human Services Commission any changes in resources, income, marital status, etc. that may affect sustaining benefits at the annual renewal. It is the resident/family’s responsibility to report the changes to Allied as soon as possible to avoid any gap in benefits.