Our rates
Medicaid application fees
Our guaranteed, one-time, no hassle, flat fee makes paying to have your Medicaid application processed fast and easy
Complex Private Case Rate
$7,000
An application involving a trust, annuity, multiple bank accounts, investment accounts and IRAs (more than three), income property, or spend down of over $75K is billed at this rate to the resident for our services due to the complexity and additional documents that are required for Medicaid approvals.
Standard Private Pay Spend Down Rate
$4,000
Our services are paid directly by the resident as an allowable Medicaid spend down expense.
Annual Eligibility Review Fee
$1,500
Every year after the Medicaid approval, the Client will be required to complete an Eligibility Review application to confirm the Client is still within the asset limits of Medicaid regulations. Silver Lining Solutions, Inc. will maintain client records to up to 2 years upon initial Medicaid approval in order to assist with the Eligibility Review Process, for this additional fee. Even if Silver Lining Solutions did not handle the initial Medicaid application, we are still able to assist with the Annual Eligibility Review Application process.
Additional Fees
Consultation Fee
$1,000
Will you need a Long Term Care application within the next year? Meet with one of our Medicaid Professionals one-on-one to review your assets, understand your spenddown options, and get answers to frequently asked questions. This fee will be applied to your Medicaid application fee when the time comes to prepare and submit a Medicaid long term care application.
Appeal Fees
$1,500
On occasion when Medicaid Application benefits are denied, it is necessary to charge an additional fee to file a Fair Hearing Request Appeal with the Board of Hearings, if information has been withheld by the client or family, or if substantial work is still needed to continue the case to obtain an approval. More specifically, if the applicant has a spouse still living in the community and does not follow through upon our suggestion of separating assets between spouses thus resulting in a Medicaid Denial Notice of which it is necessary for Silver Lining Solutions to file an appeal with the Board of Hearings. This fee is charged directly to the client.