It has been more than five years since the partnership between Medicaid and private long-term care insurance (LTCI) started, and the program is a very well kept secret in most locales.
The partnership concept was designed to give an incentive to Americans of modest means to purchase at least some long-term care (LTC) insurance.
The (future) Medicaid recipients would have taken some personal responsibility and paid for all or a portion of their LTC using their income, assets, or their partnership LTCI before needing Medicaid. Assets equal to what the LTCI had already paid out would be ignored. (income is still counted).
This should have triggered a considerable number of people purchasing some LTCI, but nothing happened. Nobody knew the program existed.