Focusing on our specialty, so you can focus on yours.
The Medicaid application process is intricate & confusing. You take care of everything else. We’ve got this covered.
Tina Shockley
Our Process
1
Free Consultation
An Optimal Medicaid specialist will meet with your family to answer all your questions, review the Medicaid guidelines, & gather basic financial historical information. We will provide you with a complete and comprehensive rundown on the entire Medicaid process and all state-specific regulations, Additionally, we will determine your individualized spend-down plan and walk you through it step by step.
2
Documentation
The first step in the Medicaid application process is an exhaustive 5-year financial lookback. Once you authorize us to act on your behalf, our team will gather every required document for all assets you’ve owned over the past five years. Every Optimal Medicaid rep is trained to identify and collect any additional items the Medicaid caseworker may need in determining eligibility. Once that’s done, we work with you to ensure you’re within the income & asset limits to qualify for Medicaid coverage.
Our goal? To cover all the legwork before your application reaches the Medicaid caseworker – to avoid unnecessary delays caused by missing information or documents.
3
Application
Once a window of eligibility is determined and all documentation has been gathered, reviewed, and verified, we are ready to apply. Working off all information previously compiled, we complete the application & submit it to your local county assistance office.
4
Approval
After the application is submitted, we’re in constant contact with the Medicaid case workers to facilitate a smooth & expedient approval of your application. We serve as the liaison between our clients, the state, and the nursing home staff – ensuring that everyone involved is on the same page throughout the entire process.
She understands the process well and she achieved exactly what she intended - an application that was approved!
Beth Woodring
One flat fee
No hidden charges or add-ons
One devoted caseworker
Full transparency & communication
One focused specialty
Higher approval rates
FAQs
There are 4 basic requirements for Medicaid eligibility:
1. Legal US citizen or qualified alien
2. Resident of state applying in
3. Meet income & asset requirements
4. Meet clinical eligibility standard
There are three steps to the application process.
1. Identify & compile five years’ worth of financial statements for all assets under your ownership. Any missing paperwork (i.e. due to hard-to-reach institutions or forgotten assets) will cause delays in the process – and may result in the denial of your application.
2. Complete an 8-10 page application form.
3. Present the information in a manner compliant with the many intricate Medicaid policies & guidelines.
You can – but doing it on your own means taking the chance on figuring out the process from scratch. It also means a significantly greater risk of getting denied coverage – plus hours & hours of work & stress until the application process is completed.
At Optimal Medicaid Solutions, we have relationships, strategies, and techniques for obtaining the necessary documentation quickly, eliminating make-it-or-break it delays, & getting your application through the many hoops of the application process.
You can do it on your own, or we can do it for you – so you get approved faster & without the headache you would otherwise be facing.
Besides the fact that doing it yourself means a tremendous amount of extra work & stress, you ultimately would not be saving any money by not spending on an application assistance service.
To achieve Medicaid eligibility, you will need to spend down your assets until you’re within the income & asset limits. There are strict regulations on which expenses are allowed – all medical care related – & Optimal Medicaid Solutions’ services are one of the few.
Instead of paying another month’s worth of medical bills, you can use those same funds to have the stress & responsibility of your application taken care of, resulting in Medicaid approval without much effort on your part.
Plus, applications completed by our team have a clear track record of getting approved more quickly than applications completed by patients/family members. When you choose to pay for our service, everyone gains. You don’t lose any money you would otherwise be keeping, you don’t run the risk of needing to pay facility bills you can’t afford, and the facility receives the Medicaid payments sooner.
When we work together as a team, we take full responsibility until a successful outcome is achieved. If your application is denied even after our exhaustive levels of due diligence & your full disclosure of all known assets, we will represent you at a fair hearing. If it still isn’t approved at that point, we will work with the state to adjust & resubmit your application as necessary until the final approval is received.