You don't have to figure that out before contacting us. A Discovery Call allows us to briefly learn about your situation and determine whether ClearPath may be able to help and which service would be the best fit.

A Discovery Call is a brief conversation designed to determine whether ClearPath's services may be appropriate for your situation.

An Initial Consultation is a more in-depth assessment of your circumstances, concerns, current benefits, care needs, and goals. During the consultation, we can provide more individualized guidance and discuss potential next steps.

No. While many of our clients are older adults and their families, ClearPath may also assist individuals with disabilities, caregivers, veterans and their families, and others navigating Medicaid long-term services and supports or other benefit programs.

Long-Term Care Medicaid helps eligible individuals access long-term services and supports. Depending on the person's needs and eligibility, services may be provided in a nursing facility or through qualifying Home and Community-Based Services.

Eligibility involves more than income alone and may include medical/functional and financial requirements.

Depending on the service selected, ClearPath can assist with preparing and submitting a Long-Term Care Medicaid application, organizing supporting documentation, responding to requests for information, communicating with the appropriate agencies when authorized, and helping you understand the determination process.

Possibly. Medicaid eligibility depends on the type of Medicaid being requested and the individual's specific circumstances. Being over an income limit does not automatically mean someone cannot qualify for Long-Term Care Medicaid.

ClearPath can review your circumstances and help you understand which eligibility rules may apply.

Potentially. Owning a home does not automatically make someone ineligible for Long-Term Care Medicaid. Medicaid has specific rules regarding countable and excluded resources, and different rules may apply depending on the individual's circumstances.

Because Medicaid eligibility and estate recovery are separate issues, families should understand both before making financial or property decisions.

Not necessarily. Medicaid has financial eligibility requirements, but families should not begin transferring, gifting, or spending assets solely to qualify without understanding the applicable rules.

Improper transfers or financial decisions can create eligibility problems. ClearPath can help you understand the requirements and, when appropriate, recommend that you consult an elder law attorney or other qualified professional.

Patient pay is the amount an individual receiving certain Medicaid long-term care services may be required to contribute toward the cost of their care. The amount is generally determined based on applicable income, deductions, allowances, and Medicaid rules.

ClearPath helps families understand patient-pay determinations and what changes may need to be reported.

Processing times vary depending on the locality, application type, complexity of the case, whether all required documentation is available, and whether additional information is requested.

ClearPath cannot guarantee an approval or processing timeframe, but we can help families prepare a more complete application and navigate follow-up requirements.

At this time, ClearPath works exclusively with individuals and families in Virginia.

Because Medicaid programs and care resources vary by state, our services are grounded in a deep understanding of Virginia Medicaid processes, eligibility pathways, and local care resources. This allows us to provide accurate, ethical, and effective non‑clinical care navigation and Medicaid guidance.

If you live outside of Virginia, we encourage you to seek a care navigation or consulting service that specializes in your state’s Medicaid system and local resources.

The Uniform Assessment Instrument (UAI) is used in Virginia as part of evaluating an individual's needs for certain long-term services and supports.

The screening process evaluates functional and other criteria to determine whether an individual meets the applicable level-of-care requirements.

No. An approved UAI and Medicaid financial eligibility are separate parts of the process.

A person may meet the functional requirements for long-term care services but still need to meet Medicaid's applicable financial and other eligibility requirements.

Depending on the circumstances, you may have appeal rights. ClearPath can help you understand the denial, review available information, assist with appeal preparation, and provide administrative support during the appeal process.

Yes, qualifying individuals may be able to receive certain Medicaid long-term services and supports in their home or community rather than a nursing facility.

Eligibility and available services depend on the individual's circumstances and the applicable Medicaid program or waiver.

Consumer Directed Services allow qualifying individuals to have greater choice and control over who provides their approved care services. Rather than receiving care exclusively through a traditional home care agency, an eligible individual may be able to select and hire a person of their choosing to provide certain authorized services.

This can be especially helpful when a family member, friend, or other trusted individual is already providing unpaid care. If that person meets the applicable program requirements and is approved to serve as the paid attendant, Medicaid may compensate them for providing authorized services they may already be helping with for free.

Consumer Directed Services can give individuals and families greater flexibility, choice, and control over how care is provided while allowing eligible caregivers to be paid for approved services.

ClearPath can help families identify potential nursing facilities, understand questions to ask during the placement process, and navigate benefit considerations associated with transitioning into long-term care.

Facility admission ultimately depends on factors such as availability, the individual's care needs, clinical acceptance, payer status, and facility requirements.

Medicare coverage for qualifying skilled nursing or rehabilitation services is generally short-term and subject to Medicare coverage requirements.

If an individual continues to need long-term custodial care after Medicare-covered skilled care ends, another payment source may be needed. Long-Term Care Medicaid may help eligible individuals pay for ongoing long-term care services.

Yes. ClearPath may assist families planning a transition to Virginia by helping them understand Virginia Medicaid requirements, long-term care options, documentation needs, and benefit considerations associated with the transition.

Don't assume the denial means the process is over.

Review the denial notice carefully, including the reason for denial and any appeal deadline. Depending on the circumstances, additional documentation, clarification, reapplication, or an appeal may be appropriate.

ClearPath can review the situation and help you understand possible next steps.

ClearPath can provide non-legal administrative and advocacy support related to Medicaid appeals, including helping clients understand notices, organize documentation, prepare for hearings, and navigate the appeal process within the scope of our services.

ClearPath is not a law firm and does not provide legal representation or legal advice. When legal representation is appropriate, we may recommend consulting a qualified attorney.

Yes. ClearPath provides Medicare and benefits navigation, including assistance understanding enrollment, coverage, Medicare Savings Programs, and how Medicare may interact with other benefits.

Yes. Some individuals qualify for both Medicare and Medicaid. These individuals are commonly referred to as dual eligible.

The programs cover different services and may work together depending on the individual's eligibility and coverage.

Yes. ClearPath can help veterans and families explore benefit programs that may assist with care and long-term support and understand how those benefits may interact with other programs.

No

Families can contact ClearPath before a crisis occurs.

Long-term care planning can help families understand potential care options, Medicaid requirements, benefits, important documents, and other considerations before an unexpected hospitalization or significant change in care needs occurs.

Ideally, planning begins before long-term care is urgently needed. However, ClearPath also works with families already experiencing a hospitalization, rehabilitation stay, change in health status, Medicaid application, or transition into long-term care.

Yes. ClearPath offers mobile notary services and can travel to homes, hospitals, nursing facilities, assisted living communities, businesses, and other agreed-upon locations.

ClearPath can assist with certain administrative document services within the scope permitted by law. Our notaries cannot provide legal advice, select legal documents for you, or advise you about what legal provisions you should include.

If your document requires legal advice or customized legal drafting, we recommend consulting a licensed attorney.

Yes. With appropriate authorization, ClearPath frequently works with adult children, caregivers, powers of attorney, authorized representatives, and other individuals helping manage a loved one's care or benefits.

Yes. ClearPath welcomes collaboration and referrals from healthcare professionals, social workers, case managers, nursing facilities, home health and home care providers, community organizations, and other professionals serving individuals who may need benefits or long-term care navigation.

Interested in collaborating? Schedule a ClearPath Partner Connect meeting.