Nursing facilities provide 24-hour care for individuals who need nursing or skilled nursing care. Medicaid helps with the cost of care in nursing facilities, but you must be medically and financially eligible for care in a nursing facility.
"Who is eligible?"
Medicaid is a health insurance program for certain groups of people based on income levels. In addition to meeting certain income levels, you need to be in eligibility groups before you can be considered for Medicaid.
How do you apply?
Use the Nursing Facility Medicaid Packet.
"Nursing Home Compare"
This is a web-based portal administered by the Centers for Medicare and Medicaid Services (CMS) that provides detailed information about every Medicare and Medicaid-certified nursing home in the country and allows consumers to compare information about nursing homes. Use this information along with other information that you gather about nursing home facilities to help you make choices for you and your family. Nursing Home Compare is run by Medicare.
Information Resources
- Civil Money Penalty Quality Improvement Initiative (CMPQII) Program
- Flow Chart for Nursing Facility Managed Care Enrollment Process
- Medical Prior Authorization Submission Tips (Video)
- Nursing Facility Level of Care (LOC) Certification Form Tips (Video)
- Prior Authorization (PA) Form Tips (Video)
- Nursing Facilities Rates
- Nursing Facility (NF) Compilation Report
- Skilled Special Populations Nursing Facilities in Iowa