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marcuh Asked February 2015

In which state do we apply for Medicaid when the selected facility is out-of-state?

My parents are residents of WV, but the primary care-giving parent may select a skilled nursing facility out-of-state. In which state do we need to apply for medicaid - the state of residence of the caregiver or the state of the skilled nursing facility?

igloo572 Feb 2015
If your parents own real property in the nonNH state, you may run into problems with their being OK for Medicaid in the NH state. Their house & car would probably be viewed as an non-exempt asset & as such would place their assets above the 2K allowed as the maximum or cap for assets under Medicaid.

Medicaid although a joint federal & state program, is administered by each state uniquely. The states seem to take the position that you have to be a true resident of the state to qualify - having a homestead in another state disqualifies you. They will need to have a drivers license or ID for NH state, valid mailing address, the documents required by Medicaid (bank statements, awards letters) will need to show NH state address, etc. I would really caution you to make sure that they will qualify before they move in otherwise they could face a huge private pay bill.

Rocknrobin Feb 2015
The state where the facility is.

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