People who make more money than Medicaid's qualifying guidelines allow, are permitted to put money for basic living expenses in what is called a pooled trust, effectively setting that money aside, and lowering their income level. The pooled trust, run by a non-profit organization, then pays the person's bills (e.g. rent, mortgage, utility bills, insurance, groceries) directly.
For Rosa, gaining
access to Medicaid now allows her to have a home attendant, which has greatly improved her quality of life and mental health (and relieved her family), and has allowed her to get dental procedures she was long putting off.