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Eligibility for the payment of long-term care benefits may not be more restrictive than requiring a deficiency in the ability to perform not more than:

a) One activity of daily living (ADL)
b) Two ADLs
c) Three ADLs
d) Four ADLs

User Lsabi
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1 Answer

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Final answer:

Eligibility for long-term care benefits cannot be more restrictive than a deficiency in two ADLs, and the eligibility rules can vary based on state-specific Medicaid regulations and federal directives.

Step-by-step explanation:

The eligibility for the payment of long-term care benefits should not be more restrictive than requiring a deficiency in the ability to perform not more than two activities of daily living (ADLs), or option b. This means that if an individual is unable to perform at least two ADLs, they may qualify for long-term care benefits. ADLs typically include basic self-care tasks such as bathing, dressing, eating, transferring from a bed to a chair, and using the toilet. For individuals within the federal government’s Medicaid program, there is a commitment to covering particular demographics, such as the blind, disabled, and children below the poverty line, with states having the autonomy to set specific eligibility criteria.

Certain Social Security benefits, such as disability payouts and Supplemental Security Income, provide financial assistance to individuals who aren’t able to work due to disability or who meet specific income requirements, highlighting the importance of eligibility standards in accessing necessary long-term care. Furthermore, as the aging population makes proactive decisions about their care, understanding the conditions for receiving benefits becomes increasingly important. While the structure of aid and care networks varies by country, restrictive eligibility requirements can have significant implications for the health and financial well-being of individuals needing long-term care support.

User Rakesh Kashyap
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