Medicaid Presentation Alzheimers Association

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Medicaid Presentation Alzheimers Association

  1. 1. MEDICAID: HOW TO MANAGE THE COST OF STAYING IN A NURSING HOME<br />Alzheimer&apos;s Association-West Michigan<br />P. Haans Mulder<br />Cunningham Dalman, P.C.<br />321 Settlers Road<br />Holland, MI 49423<br />(616) 392-1821<br />phmulder@holland-law.com<br />
  2. 2. Background<br />Grew up in Holland<br />Attorney and Partner at Cunningham Dalman, P.C.<br />Masters in Tax, CFP®, and specialize in estates/elder law and business planning<br />Serving the Holland area since 1900<br />
  3. 3. Background<br />Cunningham Dalman, P.C. is located in Holland and has been serving the greater Holland/Zeeland since 1900<br />We have 14 attorneys specializing in all areas of the law<br />Serving the Holland area since 1900<br />
  4. 4. Overview<br />Discuss the Medicaid process<br />Talk about the Medicaid eligibility rules<br />Cover recent new developments and changes in the Medicaid rules<br />Serving the Holland area since 1900<br />
  5. 5. What is Medicaid?<br />State and federal program that pays for medical treatment (including nursing home care)<br />Oftentimes confused with Medicare<br /> <br />Serving the Holland area since 1900<br />
  6. 6. When does Medicaid apply?<br />Must be in a nursing home or be in certain counties that have the MI Choice Waiver program <br />Waiver program provides care in a person’s home and may cover residential facilities<br />Serving the Holland area since 1900<br />
  7. 7. Who does Medicaid apply to?<br />Applies to people who are 65 years or older, blind, or disabled<br />Must satisfy the medical requirements (have level of care assessment done)<br />Must meet income and asset tests<br />Serving the Holland area since 1900<br />
  8. 8. Who does Medicaid apply to?<br />You cannot have enough income to pay the monthly cost of staying in a nursing home ($6-7,000 in this area)<br />Cannot earn more than $2,022/month for the MI Choice Waiver program<br />Serving the Holland area since 1900<br />
  9. 9. Who does Medicaid apply to?<br />Asset test requires that a single person cannot have more than $2,000 in countable assets<br />Can keep your home (it’s not in your trust) and a vehicle<br />Serving the Holland area since 1900<br />
  10. 10. Who does Medicaid apply to?<br />Asset test allows a married couple to keep their home (again, if it’s not in a trust), a vehicle, and one-half of their other assets<br />Serving the Holland area since 1900<br />
  11. 11. Where do you apply?<br />Apply for Medicaid at the Department of Human Services (DHS)<br />DHS offices are located in each county<br />Apply to the county office that the nursing home is located <br /> <br />Serving the Holland area since 1900<br />
  12. 12. Example<br />Clients were husband and wife<br />Drafted an estate plan for them<br />A couple years later, the wife’s health declined significantly and had to go to a nursing home<br />Serving the Holland area since 1900<br />
  13. 13. Example<br />She didn’t stay in a hospital for three days so Medicare didn’t cover any of the stay at the nursing home<br />They had a house, vehicle, and investments<br />Serving the Holland area since 1900<br />
  14. 14. Example<br />Could keep the house (because it was properly owned) and their vehicle<br />Without any Medicaid planning, they would have had to spend down one-half of their investments<br />Serving the Holland area since 1900<br />
  15. 15. Example<br />Drafted a trust that allowed them to protect all of their investments (as opposed to just half)<br />This provided peace of mind to the husband<br />Serving the Holland area since 1900<br />
  16. 16. New Developments-House<br />If the house is in your trust, it becomes a countable asset<br />If it’s in your individual name, it will go through probate<br />Probate could subject your house to the Medicaid lien<br />Serving the Holland area since 1900<br />
  17. 17. New Developments-House<br />Don’t have enough cash to pay the costs of maintaining the house<br />House can be rented to pay these costs<br />Evaluate whether it’s economically feasible<br />Serving the Holland area since 1900<br />
  18. 18. New Developments-Long Delays<br />Process normally took 45-60 days<br />State of Michigan budget cuts have led to long delays<br />This becomes very problematic if the Medicaid application is denied  <br />Serving the Holland area since 1900<br />
  19. 19. New Developments-Technology<br />New computer system has caused problems<br />Make sure to understand what the Medicaid notices really mean<br />Serving the Holland area since 1900<br />
  20. 20. Questions……<br />Serving the Holland area since 1900<br />
  21. 21. Thank You<br />P. Haans Mulder<br />Cunningham Dalman, P.C.<br />321 Settlers Road<br />Holland, MI 49423<br />(616) 392-1821<br />phmulder@holland-law.com<br />www.holland-law.com<br />Serving the Holland area since 1900<br />

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