Step One
We start with a free consultation
You can tell us about your or your loved one's living arrangements, finances, and any concerns you already have about eligibility.
We listen, ask questions, and give you a clear picture of what the path forward looks like.
Step Two
We bring you some forms to sign
To begin, we'll have you sign a few forms:
- A DAR (authorization form allowing us to apply on behalf of the resident)
- Permission to obtain documents
- Our service agreement and payment
We can come down to your nursing home or do this through email, whatever’s most convenient for you.
Step Three
We coordinate the clinical screening
Medicaid nursing home coverage also requires a clinical assessment, often referred to as a pre-admission screening (PAS), to confirm the resident meets the medical criteria for nursing-home-level care.
We coordinate with the nursing home on this.
***The timeline depends on the facility and the county, but we track it and follow up so nothing falls behind.
Step Four
We review your financial picture before the county does
This is the most important step that many people skip when they try to do this alone
Before approving coverage, the county takes a deep look at your income, assets, and full five-year financial history to determine Medicaid eligibility.
On our end, we make sure everything is set up correctly before that review happens.
If anything needs to be adjusted: like excess income, past transfers, or account structure….we guide you through it.That can include setting up a Qualified Income Trust if needed, and addressing anything in the financial history that could trigger a penalty.
Step Five
We gather every document the county requires
Medicaid requires a lot of documentation, such as: 60 months (five years) of bank statements from every financial institution, copies of life insurance policies, investment accounts, property records, marital records, and more.
It can involve records going back years, and it has to be done exactly right.
We guide you through every document required, and can obtain many of them directly on your behalf, so you’re not stuck chasing paperwork from places you haven’t dealt with in decades.
Step Six
We submit when the application is 100% ready
Once everything is in place, we prepare and submit the NJ FamilyCare ABD application.
We know what each county looks for, what triggers a closer review, and how to present the financial picture accurately so your application doesn’t come back delayed or denied.
Step Seven
We handle the county follow-up
After submission, we stay involved, handling follow-ups, responding to requests for additional information, and communicating with the county.
We keep you informed at every stage of the review.
Step Eight
You get the answer you’ve been waiting for
When approval comes through, we celebrate with you.
Because how are we ever going to pay for nursing home care? finally has an answer!
Medicaid is covering the cost.
