The application process for nursing home Medicaid is an active and fluid process. There are a great many documents to be obtained to support the application. Your case manager at Elder Care Solutions will be assisting in obtaining and organizing these documents and reviewing the financial account statements. Your case manager will also be making estimates of when you may be eligible for coverage, if there are excess resources and what the monthly client share (NAMI) is. These dates and figures are estimates only and can change as additional information and verifications are obtained. The official decision on eligibility for nursing home Medicaid and the final figures are provided by the local county Department of Social Services.