Medicaid Adopts SSI Rules for Asset Counting in Long-Term Care
What happened
Medicaid rules are adopting structural elements from Supplemental Security Income rules. This change relates to how Medicaid counts assets, such as unsellable private shares, against an applicant seeking nursing home eligibility. Applicants must bear the burden of proof when gathering documentation for these asset valuations.
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Why it matters
Long-term nursing home care is covered by Medicaid, which is a joint federal and state program for people with limited income and assets. The adoption of SSI resource rules affects how state programs administer these eligibility criteria and how private stock is valued for benefit determination.
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Who's involved
- Social Security AdministrationThe rules are borrowed from Supplemental Security Income, which is administered by the Social Security Administration.
- stateStates administer Medicaid, which is the program covering long-term nursing home care.
- Texas Health and Human Services CommissionTexas Health and Human Services Commission is a state agency that administers Medicaid.
Who could feel it
Possible knock-on effectsThese are possibilities Brind reasoned out, not predictions, and not advice. Most are not stated in any report.
- stateSpeculative
States might adjust administrative costs related to the implementation of new eligibility criteria.
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The entities involved
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Social Security Administration
independent agency of the U.S. federal government
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Medicare
US federal health insurance
Related events
- Medicaid rules vary by state, impacting programs in Alaska and South Carolina.
- SSA eligibility age aligns with Medicare eligibility as of October 6, 2026.
- Texas Medicaid uses different income rules than Medicare, and Medicare premiums are deducted from Social Security benefits.
- Social Security income is now contributing to the Modified Adjusted Gross Income (MAGI) calculation.
- SSA provided a one-time payment to Medicare beneficiaries on October 7, 2026.