How Scrutinizing is Medicaid Really? Part 1
I had a conversation with a client recently about avoiding potential Medicaid penalties if and when she is ready to file a Medicaid application. She asked me a question I get often. “Is there an amount I can gift that is small enough that would not trigger a Medicaid penalty, say for
529 Plans and Medicaid (Part 2) #Medicaid
Last week I was telling you about the problem 529 plans pose for Medicaid. Maria called me to handle her dad, George’s Medicaid application. George had set up 529 plans for Maria’s daughters. Are those accounts countable assets subject to Medicaid’s spend down rules? Last week I explained that
Gifting and the Medicaid Penalty (Part 2)
Last week I was telling you about a recent New Jersey court case which resulted in a 10 and ½ year Medicaid penalty. The family tried to navigate New Jersey’s Medicaid rules on their own and then tried to fix their mistake. It didn’t work. Let’s examine why. To
Family Caregiver Agreements – Acceptable? (Part 2)
Last week we were discussing family caregiver agreements in light of a recent New Jersey Appellate court decision, E.R. v. DMAHS. In that case, Mom and Daughter entered into a caregiver agreement while Mom was living in Daughter’s home. Mom eventually entered a nursing home and applied for Medicaid.
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
Planning Before the First Spouse Dies (Part 2)
Last week I was telling you about Mary’s call. Her mom is in a nursing home paying $11,000 per month and her sister, Terry is in a group home. Mary doesn’t want to spend down all of Mom’s assets towards her care. She wants to be able to save
When Doing it Yourself (Medicaid) Can Only Take You So Far (Part 2)
Last week I was telling you about Joe’s call. His mother, who was on Medicaid, received notice of an inheritance of $75,000. Joe wanted to figure out a way to keep that money since he and his brother had given Mom money to pay some of her medical expenses
Turning Life Insurance into Long Term Care Insurance (Part 2)
So your parent has an insurance policy that they can no longer afford and they are in spend down mode to qualify for Medicaid. Cashing in the policy and spending the proceeds is necessary before Medicaid will kick in. But last week I mentioned another option, something called a
New Jersey Finally Updates Medicaid Divisor
As most people know, in order to qualify for Medicaid, one must have no more than $2000 in countable assets. But to get under that limit you cannot simply transfer assets out of your name, or gift them. That’s because Medicaid imposes a penalty – a waiting period actually –
What to Do When You Get a Medicaid Estate Recovery Letter
Joe called us because he received a letter from Medicaid looking for money. Dad had been on Medicaid for 3 years before he passed away. New Jersey was looking to recoup benefits it paid out on Dad’s behalf to the tune of approximately $150,000. Joe received what is called