Can Medicaid benefits transfer between states?

No. Medicaid benefits cannot transfer from one state to another. Each state administers its own Medicaid program under federal guidelines, and federal law prohibits enrollment in multiple state programs simultaneously.Nursing Home Resident Walking in Hallway

This means relocating to a nursing home in another state requires:

  • Closing current Medicaid coverage
  • Establishing residency in the new state
  • Applying for Medicaid in the new state
  • Waiting for approval (up to 90 days)

What's the step-by-step process for moving states with Medicaid?

Moving requires careful coordination to avoid gaps in coverage:

Step 1: Research and Secure New Placement

Find a nursing home in the new state with available Medicaid beds and apply for admission. Verify the new state's Medicaid requirements to ensure continued eligibility.

Step 2: Time the Medicaid Disenrollment

Cancel current state Medicaid coverage to end at month's end. You cannot be enrolled in two state programs simultaneously.

Step 3: Complete the Move

Transfer to the new nursing home and immediately apply for Medicaid in the new state. The facility should assist with the application process.

Step 4: Bridge Coverage Gap

Medicaid approval can take up to 90 days, but benefits are retroactive to the application date, covering qualified expenses during the waiting period.

Do Medicaid requirements vary by state?

Yes. While federal law establishes basic Medicaid parameters, each state sets specific requirements for income limits, asset exemptions, and eligibility criteria.

State variations include:

  • Income caps and community spouse allowances
  • Asset exemption amounts and categories
  • Look-back period enforcement
  • Application processing timelines

Research requirements in both states before making the move. Learn more about Medicaid qualification strategies.

Planning Considerations for Multi-State Moves

Interstate nursing home moves require advance planning beyond Medicaid logistics. Consider transportation needs for individuals with limited mobility, transferring medical records, and notifying family members of the new location.

Professional assistance recommended: Our Texas and Arkansas Medicaid planning attorneys can help coordinate interstate moves and ensure continuity of care. Review comprehensive long-term care planning strategies.

People change nursing homes for a variety of reasons. Your loved one may only be in the particular facility she is in because she needed a place to go suddenly, and it was the only one available. Now that you have had time to look around, you might decide you want to move her to a new facility—perhaps one that is closer to family. If this change involves moving to a new state, you will have to figure out logistics such as transportation if her mobility is impaired and applying for Medicaid in the new state.

Moving to Texas or Arkansas? Call Us for Help

Before relocating your loved one to Texas or Arkansas, talk to our Elder Law attorneys. We can explain how the Medicaid application process will work and help you plan for as smooth a transition as possible. To learn more about qualifying for Medicaid to pay for a nursing home, request a free copy of our Medicaid Desk Reference.

Are You Looking for a Medicaid Planning Attorney in Texarkana, TX?

If you are looking for medicaid planning advice, you need to speak with an experienced medicaid planning attorney as soon as possible. Contact us online or call our Texarkana office directly at 903.223.5653. We also have offices in Tyler, Paris, Longview as well as Magnolia, AR!