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Understanding Medicaid Eligibility in Little Rock

Updated: Jun 28

Are you a property owner in Little Rock considering selling your home? Whether you're motivated by a financial need, a desire to relocate, or other life changes, understanding how Medicaid eligibility can impact your decision is crucial. At Lindsay Sharma Property Buyers, we aim to help you navigate these complexities with ease. In this article, we'll break down what Medicaid is, who qualifies, and how it might affect your decision to sell your property.


What is Medicaid?

Medicaid is a joint federal and state program that provides health coverage to low-income individuals, including families, seniors, and people with disabilities. It covers a range of services, from hospital visits to long-term care, depending on the individual's needs and the state’s guidelines.



Who Qualifies for Medicaid in Little Rock?

Eligibility for Medicaid in Little Rock, as in the rest of Arkansas, is determined by several factors, including income, household size, and specific circumstances such as disability or pregnancy. Here are the basic criteria:


  • Income Limits: Income limits vary depending on the applicant's category (e.g., pregnant women, children, adults without dependents). For instance, as of 2024, an adult without dependents must have an income below 138% of the federal poverty level.


  • Household Size: Larger households have higher income thresholds. For example, a family of four has a higher income limit compared to a single individual.


  • Citizenship and Residency: Applicants must be U.S. citizens or qualified non-citizens and reside in Arkansas.


  • Special Groups: Individuals who are elderly, blind, or disabled may have different eligibility criteria and income limits.


How Selling Your Property Could Affect Medicaid Eligibility

One common concern for property owners in Little Rock is how selling a home might impact their Medicaid eligibility. Here's what you need to consider:


  • Asset Limits: Medicaid has strict asset limits. In Arkansas, the countable asset limit for an individual applying for Medicaid is $2,000. The value of your primary residence is usually exempt up to a certain equity value ($688,000 in 2024). However, proceeds from selling the property could count towards your assets unless reinvested or spent down appropriately.


  • Spend-Down Rules: If the sale of your property increases your assets beyond the Medicaid limit, you may become temporarily ineligible until you spend down the excess amount. This spend-down can be used for medical expenses, home improvements, or other allowable expenses.


  • Look-Back Period: Medicaid enforces a five-year look-back period on asset transfers. If you sell your property for less than its market value to qualify for Medicaid, this could trigger a penalty period of ineligibility.


Strategies to Consider

Understanding these rules can be overwhelming, but there are strategies to maintain eligibility even if you sell your home:


  • Consult a Medicaid Planner: Professional planners can provide guidance specific to your situation, helping you navigate complex rules and maximize your benefits.


  • Trusts: Certain types of trusts, such as irrevocable trusts, can protect your assets while allowing you to remain eligible for Medicaid.


  • Spend-Down Planning: Structured spend-down plans can ensure your assets are used in ways that benefit you without jeopardizing your Medicaid eligibility.



Selling your property in Little Rock does not have to mean losing your Medicaid benefits. With careful planning and the right guidance, you can make informed decisions that protect both your financial future and your healthcare coverage. For more information or personalized assistance, don't hesitate to contact us. We're dedicated to helping motivated sellers like you navigate the complexities of property sales and Medicaid eligibility with confidence.


Disclaimer: The information provided in this article is intended for informational purposes only and should not be construed as legal advice. Please consult with an elder law attorney to discuss your specific circumstances and options.



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