Medicaid eligibility guidelines in different states especially for LTC

I am not including a state because that is what my question is concerning.

I always thought that eligibility for Medicaid was based on a person’s income and assets. And that Long Term Care was also based upon this with a leeway for having a home where a spouse lived or a dependent child or adult child.

I also thought that the Look-back period for removing assets was pretty much standard in all states for LTC Medicaid eligibility – 5 years was my recollection for this look-back period.

Since the Federal government and the states share in this cost, I guess I thought many of these Medicaid rules were standard for the entire country – now I am finding I am very wrong.

California has a new set of guidelines that become effective in 2026 and I guess I was just shocked by the asset limit and the lookback period that they have – and how it works in this new rule for CA.

California – Dept of Health Care Services – Asset Limit Frequently Asked Questions- effective 01/2026

I think I must have missed something since my mom died and I have not been paying close attention.

Can anybody give me any guidance as to what if anything is the standard now or if every state is on their on.

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