Medicaid Services for Seniors
PA Services My Way Program
The Pennsylvania Services My Way Program (SMW program) is designed to assist Medicaid eligible Pennsylvania residents who are elderly or disabled. This program is meant to foster independence and choice in the Medicaid recipient. The program works in such a way that the Medicaid recipient directs their care by personally choosing their own care providers instead of the state agency making a decision on their behalf.
There are many services that an individual can receive through the PA Department of Aging Waiver and the SMW Program. These services include:
To qualify for the SMW program the recipient must adhere to the following
2016 PA Income Limits
The income limit for an individual applying for a PA Medicaid waiver is $2,199/mo. If one spouse is applying for Medicaid and the other is not, joint income can be shifted to help the applicant qualify. The maximum monthly income a non-applicant spouse can have is $2,980.50.
2016 PA Asset Limits
The asset limit for an individual according to the PA Department of Aging Waiver is $8,000. In the situation previously described, where one spouse of a married couple is applying, resources in excess of $8,000, up to a maximum of $119,220 can be allocated to the non-applicant spouse. This is referred to as the Community Spouse Resource Allowance.
Those Who Exceed Medicaid Limits
If you exceed the Medicaid income limits, Medicaid may still be an option. The Medically Needy program works by looking at the difference between an individual's monthly care expenses and their monthly income. If their expenses are so high that the remaining income is less than $425 /mo. they can gain eligibility.