2020 Medicaid Penalty Divisor
Many of my articles concern Medicaid and avoiding or trying to minimize a Medicaid penalty. That penalty, which is a waiting period for benefits is a result of a mathematical calculation. The amount of any transfers for less than fair value is divided by the Medicaid divisor to get the resulting penalty. The divisor is what
The Hidden Cost of Transferring Your Home (Part 1)
Joe sounded upset when he called us. His mother wanted to protect her home from the cost of long term care so a few years ago she transferred the house to Joe and his sister, keeping a life estate for herself. Now they want to sell the
New VA Rules Effective 10/18/18 (Part 1)
I have written many times in the past several years about possible rules changes to the VA Aid and Attendance pension program, which provides additional income to aging veterans and their spouses who need long term care. Well, those changes are finally here and with almost no warning. The
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
Medicaid’s Confusing Treatment of Trusts (Part 2)
Last week I wrote about trusts and how they are treated by Medicaid. Specifically, I am talking about irrevocable trusts. Most people assume that if they have placed their assets in an irrevocable trust, that by itself is enough to protect the assets from having to be spent down
Medicaid’s Confusing Treatment of Trusts
Not a week goes by in which someone doesn’t call us about Medicaid eligibility as it relates to trusts. The question is usually some version of the following, “I transferred assets to an irrevocable trust. Can you confirm for me that those assets are protected and not countable by
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
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?
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
College and Long Term Care – ??? (Part 2) #LongTermCare
Last week I was talking about an increasing trend that we are seeing in cases that come through our office- grandparents who are paying for college, daycare and camp expenses for their grandchildren. I told you that there is a danger for some who could be headed for financial