New Jersey Issues Updated Medicaid Penalty Divisor

                The last time New Jersey updated it’s Medicaid penalty divisor was two years ago.  The divisor is the State’s determination of what the average daily cost of nursing home care is across the State of New Jersey.   Although it is supposed to be updated annually the last adjustment occurred 2 years ago.                 What […]

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A Word About Family Caregiver Contracts (Part 2)

                Last week I was telling you about Mary’s question to me.  Her mom is in a Florida nursing home but she wants to bring her up north closer to Mary.  Mom had given Mary $100,000 under a personal services contract which was drafted by a Florida attorney.  Her question was, “Will New Jersey Medicaid […]

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A Word About Caregiver Contracts

                Mary called because her mom is currently in a nursing facility in Florida.  She wants to bring her up north to be closer to Mary.  She then told me that a Florida attorney prepared a personal services contract in which Mom paid Mary a sum of $100,000 to provide her with various care services. […]

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An Update on an Important Medicare Decision

                In 2013 I wrote on this blog about an important court decision that impacted many seniors discharged from hospitals to subacute facilities for rehabilitation.  (See my posts on March 25 and April 1, 2013.)  Up to 100 days of rehabilitative services are covered by Medicare but many seniors receive well short of 100 days […]

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Irrevocable vs. Revocable Trusts – Is One Better than the Other? (Part 2)

                Last week I explained that the initial reaction to irrevocable trusts vs. revocable ones is generally negative.  People perceive there to be a loss of control or really a loss of the use of the funds transferred to irrevocable trusts.  But, is that really true?                 No, it isn’t because irrevocability is not synonymous […]

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Irrevocable vs. Revocable Trusts – Is One Better than the Other? (Part 1)

                When I talk about trusts – and specifically irrevocable ones – many people quickly reply that they don’t like irrevocable trusts because they don’t like the idea that they are losing control of their assets.  They much prefer a revocable trust.  Each type of trust has its uses but first, let’s look at what […]

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Assisted Living Medicaid Isn’t Necessarily Forever (Part 2)

                Last week I was telling you about Joe’s dad.  He had qualified for Medicaid in an assisted living facility (ALF) and been assigned one of the facility’s 10% of its beds that are set aside for Medicaid residents.  Everything was fine until he fell and broke his hip.  When the hospital was ready to […]

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Assisted Living Medicaid Isn’t Necessarily Forever – Part 1

                Dad is in an assisted living facility (ALF) and is close to running out of money.  I would like him to stay in that facility rather than moving him to a nursing home.  In the past I have discussed the hurdles of getting assisted living Medicaid, which is different than nursing home Medicaid in […]

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Trumpcare – What Doe it Mean for Long Term Care? (Part 2)

        Last week I was discussing the impact that the Republican party’s health care bill, dubbed by some “Trumpcare”, might have on long term care.    As of Friday it appears that the American Health Care Act is dead and Obamacare, at least for now, is still with us.  Nevertheless, let’s take a look at how […]

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Trumpcare – What Does It Mean for Long Term Care?

                As is a majority of the country, I am watching with great interest the development of President Trump and the Republican party’s proposal to repeal and replace Obamacare.  As an eldercare attorney focused on helping families figure out how to pay for long term care, someone asked me the other day how would the […]

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