Modeling Financial Eligibility for Medicaid Long-term Services and Supports

Robert Hest, Giovaan Alarcon, Lynn A. Blewett

Research output: Contribution to journalArticlepeer-review


Medicaid plays a significant role in financing long-term services and supports (LTSS) for low-income elderly (65+) in the United States. We modeled the impact of changing income, home equity, and asset limitations on Medicaid eligibility across states. We found that one in five elderly adults (10 million individuals) meet all three tests and would be financially eligible for Medicaid LTSS. Imposing additional restrictions on income allowances and eligibility thresholds had greatest impact on financial eligibility for Medicaid LTSS. Few states have opted to restrict financial eligibility and are instead looking for ways to keep people living independently in the community.

Original languageEnglish (US)
JournalJournal of Aging and Social Policy
Early online dateMar 29 2020
StateE-pub ahead of print - Mar 29 2020

Bibliographical note

Publisher Copyright:
© 2020, © 2020 Taylor & Francis.


  • Medicaid
  • long-term services and supports
  • state policy

PubMed: MeSH publication types

  • Journal Article


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