Confirm the nursing home accepts Medicaid
Apply for Medicaid in your state
Meet your state’s income and asset limits
Spend down excess assets on allowable expenses
Keep countable assets below the Medicaid limit
Use exempt assets only if allowed by your state
Provide proof of income, assets, identity, and residency
Complete the nursing home medical necessity assessment
Get a doctor’s certification if required
Choose a Medicaid-certified nursing facility
Submit all requested forms on time
Report all financial changes promptly
Avoid transferring assets without legal advice
Keep records of all bills, statements, and applications
Work with the nursing home’s Medicaid office or social worker
Ask about state-specific spousal impoverishment rules
Ask about a Medicaid waiver if nursing home care is not yet approved
Reapply or appeal if your application is denied