You must reach the age of 59 1/2, and your Roth IRA must have been open for five years, before you can take out any earnings with no taxes or penalties. If you withdraw earnings before five years have passed, you will be subject to a 10 percent penalty plus ordinary income tax.
The Elderly Waiver is a program that is designed to provide in-home services to those 65 and older who may be at risk of going to a nursing facility. 1  Adult Day Care.
State Medicaid programs can use the home and community-based waiver programs to provide a broad array of non-institutional services to Medicaid recipients who require or are likely to require long-term care at the intermediate-nursing-care level or higher (Miller, 1992).