To qualify for Medicaid or Medicaid long term care, seniors must meet several eligibility requirements, including having a need for care and having limited income and assets. These limits vary by state, by marital status (single versus married), and, in many states, by program. For instance, the income and asset limits might be different for the regular state Medicaid program versus a Home and Community Based Services (HCBS) Medicaid waiver or nursing home Medicaid. If all eligibility requirements for Medicaid are met, with the exception of income and / or assets, one may still qualify for Medicaid. This is done via a program that is most commonly referred to as Medicaid “Spend-Down.”