What is New Choices Waiver? 

Medicaid’s New Choices Waiver program is designed to transition medically eligible individuals from a skilled nursing facility to assisted living. In some cases, this program may even be administered in the home. 

Skilled Nursing vs. Assisted Living

A skilled nursing facility offers a high level of care and serves people with extensive and demanding care needs. Most long-term care residents in a skilled nursing facility will have a shared room. 

An assisted living facility is a care facility that offers more basic caregiving services. Assisted living residents usually enjoy a private room and are allowed more independence than skilled nursing residents. 

Qualifying for New Choices Waiver

Applicants are required to have resided in a skilled nursing facility for 90 days or more, with at least 30 days covered by Long-Term Care Medicaid. Alternatively, a minimum of one year private-pay residency in an assisted living facility meets this requirement. 

Planning for Eligibility

Don’t wait until you’re out of money to apply for this program. Seeking the guidance of a benefits advisor with Utah Senior Planning will ensure that you or your loved one qualifies in the least amount of time possible. Rely on our experience to customize a financial plan that will maximize asset preservation regardless of marital status, net worth or income level. 

This program is fairly new and often misunderstood. Don’t be mislead, the qualification rules for this program are similar, but are not the same as Long-Term Care Medicaid. Eligibility rules are less restrictive for New Choices Waiver and allow for more favorable planning outcomes. 

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