New Choices Waiver

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 NCW

  • Reside in a skilled nursing facility for 90 days or more.
  • Have 30 days or more covered by long-term care medicaid
  • Private-pay to reside in an assisted living for a minimum of one year

Planning for Eligibility

Seeking the guidance of a benefits advisor with Utah Senior Planning will ensure that you or your loved one qualifies as quickly as 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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