Blog Archives

Family Caregiver Agreements – Acceptable?

            When having a conversation about long term care and qualifying for Medicaid, every so often the topic turns to paying a family member to care for Mom or Dad. Is it a permitted Medicaid spend down?             In many cases the discussion occurs after the services have already been provided – often for years. […]

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Medicaid Isn’t Just About the Finances

            It’s something I always remind clients when we talk about Medicaid eligibility.  Meeting the income and asset limits are not the only requirements.   An applicant must also be medically eligible.              What does that mean?  An applicant must establish the need for nursing home level care, needing assistance with […]

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Turning Life Insurance into Long Term Care Insurance (Part 1)

For 20 years now, I’ve been guiding clients and their families on the spend down of assets before applying for Medicaid.  Successful applicants must spend down just about everything before getting Medicaid approval, including any life insurance policies that have cash surrender value. For many seniors the cash surrender value of their policies is a […]

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When Disputing a Bill can Cause You to Lose Medicaid (Part 2)

Last week I was telling you about Sheila’s call.  Her husband Sam needs nursing home care and they have very little to spend down, approximately $33,000.  Sheila would be able to keep the rest, not a whole lot for her to live on. But, she would need to act quickly and if she makes a […]

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Medicaid’s Spend Down – Don’t Get Caught Short (Part 2)

Last week we were discussing Jeff’s difficulties spending down his mom’s remaining assets, not getting caught with too much at the end of the month to qualify for Medicaid, but not enough to cover the private pay rate.  So how does one avoid this Medicaid “trap”? As we approached the final few months before the […]

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Is it Spent Down or Isn’t It?

If I owe someone money but it’s still in my account do I really still own it?  Would the answer be different if that “someone” is the IRS? June called me concerning her dad.  “He’s in a nursing home and has spent down his assets,” she said.  “I applied for Medicaid but hit a snag.  […]

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Medicaid – The State’s Bizarro World

You may be a fan of Superman or, like me, Seinfeld, and so are familiar with the term “bizarro” or “bizarro world”.   The term is part of popular culture.  Wikipedia’s definition is a weirdly mutilated version of anything.  I am fond of telling clients that entering the “Medicaid world” means one must throw out logic […]

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The Danger of Acting on the Wrong Information

If you have ever struggled through the long term care system you know that getting accurate information is one of the most frustrating aspects.  It seems the more people you talk to the more confusing and contradictory the process becomes.  Acting on the wrong information can be costly.  A call we received last week from […]

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