I’m new to this forum and I see a lot of questions about Medicaid qualifications as far as asset limits, look back period and spend down but what about medical need? How does Medicaid determine medical need for nursing home care? My mom with dementia also has afib with a pacemaker, macular degeneration, type 2 diabetes and high blood pressure which are all being controlled for the most part. However, she can’t really do any ADLs by herself. I have to bathe her, cook for her because she doesn’t eat otherwise and make sure she takes her medication. She can still go to the bathroom by herself but she does have a lot of accidents.