Some states put a dollar cap on income in determining who can be considered medically needed.
In those states, it may still be possible for someone to qualify by the use of a Miller Trust. Programs vary by states and Federal requirements concerning the use of a Miller Trust have apparently changed since they were first successfully used. In addition, both state and Federal law are particularly dynamic in this area. As a result, no one should rely on an internet site for 'expert' information about this issue. However, it is certainly worth contacting state officials to get more information about programs for the medically needy in your state and if it looks like a Miller Trust might help, to get expert advise on setting one up.