The Basic Requirements for Applying to Medicaid

Requirements for applying to Medicaid are different for each state according to their agencies and laws. This is because Medicaid is run by the states which are allowed to set their own income and applicant guidelines. But, there are many general rules which every state follows. These are the basics of what you will need to apply for Medicaid.

The first basic requirement for a Medicaid applicant is submitting the application to the local Department of Family Services or the equivalent. The application can be sent by mail, email, telephone or delivered in person. Depending on the system, any one of these can be faster than others for each agency or office.

To qualify for Medicaid you will need to follow a set of basic requirements as well. The age range is usually either under or over a certain age; most times it is under 18 or over 65. You will need a valid Social Security number, and proof of U.S. Citizenship such as birth certificate or marriage license. Another basic requirement is that you have applied for other assistance like food stamps or housing.

Different types of Medicaid coverage may also have basic requirements for specific programs. Proof of disability and income guidelines are two of the highest. You may need to assign your medical benefits to the Office of Medical Assistance as a requirement of use. Another requirement commonly used is that you be living with a specified relative; this becomes important if you meet the low income or childcare limitations.

The biggest basic requirement of all state Medicaid programs is the physical proof needed for eligibility. Usually this is a paper trail such as birth certificate, pay stubs, benefit deposits, bank records, rent receipts, and medical bills. Copies of insurance policies you are covered under will be required also. Most states, since September 11, 2001 now require a photo ID as part of the application.

The time frame for the Medicaid application is normally 24 hours to get into the system after the agency receives it. A basic guideline here is that the date you submit the application (via phone, email or hand delivered) will be the date of the application. If the application is mailed, the date will be the date the application reaches the office. Determination of your case is usually within ten days. There are two basic requirements which override this rule; disabled applicants will take up to 60 days; and applicants who are under 65, not pregnant or newly born, will take up to 45 days.

Get your workers name and number. Get a copy of the office hours and the general office number. You should also look up your states website to find if you can get information there as many states have gone online.