Authorizations
How to Become a Medicaid Provider for Home Care
To bill Medicaid for home care you need a state license, a Type 2 NPI, state Medicaid enrollment and screening, waiver or managed care contracts, EVV and authorizations.
What are the Medicaid income and asset limits for home care in Utah?
Last verified October 17, 2026 · All Utah resources
In Utah, the income limit is $2,982/month and the asset limit is $2,000 single. Utah's New Choices Waiver Special Income Group allows income up to 300% of the SSI rate, $2,982 a month in 2026. For nursing home care, income generally must be less than the private cost of care: residents keep $45 a month for personal needs and pay the rest to the facility as their share of cost. A spenddown is allowed for nursing home care and through a spenddown waiver group. The nursing home resident may keep $2,000 in assets, and the maximum home equity is $752,000.
| Program | Utah Medicaid long-term care: nursing home care and HCBS waivers (Aging Waiver, New Choices Waiver, Physical Disabilities Waiver and others) |
|---|---|
| Income limit (single applicant) | $2,982/month for a single applicant (New Choices Waiver Special Income Group, 300% of SSI); nursing home income generally must be below the private cost of care, with a spenddown |
| How income is counted | other: 300% SSI special income group for waivers; nursing home and waiver spenddown also allowed |
| Medically needy spend-down | Yes |
| Asset limit (single) | $2,000 single |
| Home equity limit | $752,000 |
| Look-back period | 60 months |
What if a married applicant's spouse stays at home?
Federal spousal impoverishment rules protect part of the couple's income and assets for the spouse who stays home. For 2026 the community spouse can keep between $32,532 and $162,660 in assets, depending on the state.
Which programs pay for care at home?
Once someone is financially eligible, home care is usually paid through a waiver or state plan program. See the Utah Medicaid waivers that pay for home care.
How to apply in Utah (Utah Department of Health and Human Services (DHHS), Medicaid; Department of Workforce Services (DWS) determines eligibility)
More for Utah
Medicaid eligibility by state: other states
Related guides
Operations
Private Pay vs. Medicaid: Choosing Your Agency's Payer Mix
Private pay means higher rates and fast payment; Medicaid means steady volume at state-set rates with authorizations and EVV. Compare rates, cash timing and admin before you mix them.
These free tools are made by the team behind Caregiver Scheduling, caregiver scheduling software for home care agencies.
Simple pricing
From $199 /month
Up to 10 caregivers on Starter, 50 on Growth.
More than 50 caregivers? We'll put together a custom Scale plan for your agency.