Blog Archives

Lack of Verification – Worse than a Medicaid Penalty (Part 2)

       In last week’s post, I was talking about how Medicaid eligibility hinges in large part on the State’s scrutiny of 5 years of records under Medicaid’s look back period. Transfers of money out of the applicant’s accounts for less than fair value trigger a Medicaid penalty or waiting period for benefits. Clients […]

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Lack of Verification – Worse than a Medicaid Penalty? Part 1

       Whenever we are preparing to file a Medicaid application on behalf of a client we closely examine the 5 years of records that we will need to provide to the State together with the 16 page application. Those records include every statement for every asset the client owned in the 5 years […]

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Irrevocable Trusts and Medicaid (Part 3)

       I promised in last week’s blog post that I would explain another solution to Mary’s Medicaid dilemma.  Her uncle left assets in a trust for Mary but the terms provide that the funds can be used for Mary’s health support and maintenance.  I explained to Mary and her sister, Betty, who is […]

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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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Getting a Money Settlement While on Government Benefits (Part 3)

                The past 2 weeks I outlined for you the problem of what to do with a money settlement that is received by someone currently on Medicaid.  A special needs trust is the solution most often recited.  But what choices does Joe have?  He is the 70 years old client currently in a nursing home […]

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When to Sell the Home (Part 2)

                Last week I told you that Dave called because his dad needs to go to a nursing home and he is now in “spend down mode”.  He plans to sell the home, spend down the proceeds from the sale and then apply for Medicaid.                 A straight forward, sound approach?  No, it’s not.  At […]

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College and Long Term Care – ??? (Part 3) #LongTermCare

            The last two weeks I have been telling you about an increasing trend that we are seeing in cases that come through our office- grandparents who are paying for college, daycare, camp expenses etc. for their grandchildren.  While a big help to the children of our clients who can’t afford the rising educational costs […]

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