Medicare does not pay for non-skilled, custodial care, which includes assistance with activities of daily living, such as bathing, dressing, mobility, eating, toileting, and medication management.  Medicaid is a medical assistance program for individuals below certain income and asset levels.  The resident is responsible for the estimated patient payment upon admission.  Medicaid usually calculates this amount as income minus $50 monthly personal needs allowance.  The patient payment is calculated differently when a spouse still lives in the community.  Medicaid application is made at the El Paso County Department of Human Services at 105 North Spruce Street in Colorado Springs.  Applications are accepted Monday through Friday from 8:00 to 5:00.  The phone # is (719) 636-0000.  Rocky Mountain Options for Long-Term Care will do a functional assessment prior to admission to ensure that the individual meets a nursing home level of care for Medicaid payment.