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Medicaid & Nursing Homes

How to Qualify for Medicaid Nursing Home Care (2026)

Step-by-step guide: financial test, level-of-care assessment, look-back review, and choosing a Medicaid-certified nursing home.

8 min readUpdated 2026-06-19By Rachel Morrison, Founder & Senior Care Navigator

Rachel founded AllyKin after navigating assisted living placement for her own family in Texas. She leads editorial on Medicaid, CMS ratings, and state inspection guides — email-first matching with no call spam.

Qualifying for Medicaid nursing home care combines financial screening, medical necessity, and choosing a facility that accepts Medicaid reimbursement. Start 3–6 months before a planned move when possible — crisis admissions still qualify but leave less time for asset planning.

Qualification checklist

  • Income at or below your state's Medicaid LTC limit (or use spend-down)
  • Countable assets within limits after exemptions
  • No disqualifying transfers during the 60-month look-back
  • State level-of-care assessment approves nursing-facility need
  • Facility has a Medicaid bed available

Free screening tools

Use our Medicaid eligibility checker and state-specific pages before applying. Compare CMS star ratings for nursing homes in your city to find quality Medicaid-certified facilities.

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