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MEDICAID: HOW TO MANAGE THE COST OF STAYING IN A NURSING HOME  P. Haans Mulder Cunningham Dalman, P.C. 321 Settlers Road H...
Background <ul><li>Grew up in Holland </li></ul><ul><li>Attorney and Partner at Cunningham Dalman, P.C. </li></ul><ul><li>...
Background <ul><li>Cunningham Dalman, P.C. is located in Holland and has been serving the greater Holland area since 1900 ...
Family
Two Goals <ul><li>Want to encourage you to think about what to do if you or your spouse needs to move into a nursing home ...
Overview <ul><li>Discuss the Medicaid process and rules </li></ul><ul><li>Cover the what, who, when, where, and how’s….  <...
What  is Medicaid? <ul><li>State and federal program that pays for medical treatment (including nursing home care) </li></...
When  does Medicaid apply? <ul><li>Must be in a nursing home  or  be in certain counties that have the MI Choice Waiver pr...
Who  does Medicaid apply to? <ul><li>Applies to people who are 65 years or older, blind, or disabled </li></ul><ul><li>Mus...
Who  does Medicaid apply to? <ul><li>You cannot have enough income to pay the monthly cost of staying in a nursing home ($...
Who  does Medicaid apply to? <ul><li>Asset test requires that a single person cannot have more than $2,000 in countable as...
Who  does Medicaid apply to? <ul><li>Asset test allows a married couple to keep their home (again, if it’s owned properly)...
Where  do you apply? <ul><li>Apply for Medicaid at the Department of Human Services (DHS) </li></ul><ul><li>DHS offices ar...
Example <ul><li>Clients were husband and wife </li></ul><ul><li>Drafted an estate plan for them </li></ul><ul><li>A couple...
Example <ul><li>She didn’t stay in a hospital for three days so Medicare didn’t cover any of the stay at the nursing home ...
Example <ul><li>Could keep the house (because it was properly owned) and their vehicle </li></ul><ul><li>Without any Medic...
Example <ul><li>Drafted a trust that allowed them to protect all of their investments (as opposed to just half) </li></ul>...
Return to Two Goals <ul><li>Want to encourage you to think about what to do if you or your spouse needed to move to a nurs...
<ul><li>Questions…… </li></ul>Serving the Holland area since 1900
Thank You <ul><li>P. Haans Mulder </li></ul><ul><li>Cunningham Dalman, P.C. </li></ul><ul><li>321 Settlers Road </li></ul>...
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Medicaid Presentation Appledorn090518

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Transcript of "Medicaid Presentation Appledorn090518"

  1. 1. MEDICAID: HOW TO MANAGE THE COST OF STAYING IN A NURSING HOME P. Haans Mulder Cunningham Dalman, P.C. 321 Settlers Road Holland, MI 49423 (616) 392-1821 [email_address] The Village at Appledorn
  2. 2. Background <ul><li>Grew up in Holland </li></ul><ul><li>Attorney and Partner at Cunningham Dalman, P.C. </li></ul><ul><li>Have a Masters in Tax (MST) and specialize in estates/elder law and business planning </li></ul>Serving the Holland area since 1900
  3. 3. Background <ul><li>Cunningham Dalman, P.C. is located in Holland and has been serving the greater Holland area since 1900 </li></ul><ul><li>We have 15 attorneys specializing in all areas of the law </li></ul>Serving the Holland area since 1900
  4. 4. Family
  5. 5. Two Goals <ul><li>Want to encourage you to think about what to do if you or your spouse needs to move into a nursing home </li></ul><ul><li>Educate you about applying for and becoming eligible for Medicaid </li></ul>Serving the Holland area since 1900
  6. 6. Overview <ul><li>Discuss the Medicaid process and rules </li></ul><ul><li>Cover the what, who, when, where, and how’s…. </li></ul><ul><li>Give you an example of how the process worked </li></ul>Serving the Holland area since 1900
  7. 7. What is Medicaid? <ul><li>State and federal program that pays for medical treatment (including nursing home care) </li></ul><ul><li>Oftentimes confused with Medicare </li></ul><ul><li>  </li></ul>Serving the Holland area since 1900
  8. 8. When does Medicaid apply? <ul><li>Must be in a nursing home or be in certain counties that have the MI Choice Waiver program </li></ul><ul><li>Program can provide nursing home level of care in a person’s home </li></ul>Serving the Holland area since 1900
  9. 9. Who does Medicaid apply to? <ul><li>Applies to people who are 65 years or older, blind, or disabled </li></ul><ul><li>Must satisfy the medical requirements (have level of care assessment done) </li></ul><ul><li>Must meet income and asset tests </li></ul>Serving the Holland area since 1900
  10. 10. Who does Medicaid apply to? <ul><li>You cannot have enough income to pay the monthly cost of staying in a nursing home ($6-7,000 in this area) </li></ul><ul><li>Cannot earn more than $2,022/month for the MI Choice Waiver program </li></ul>Serving the Holland area since 1900
  11. 11. Who does Medicaid apply to? <ul><li>Asset test requires that a single person cannot have more than $2,000 in countable assets </li></ul><ul><li>You can keep your home (if it’s owned properly) and a vehicle </li></ul>Serving the Holland area since 1900
  12. 12. Who does Medicaid apply to? <ul><li>Asset test allows a married couple to keep their home (again, if it’s owned properly), a vehicle, and one-half of their other assets </li></ul>Serving the Holland area since 1900
  13. 13. Where do you apply? <ul><li>Apply for Medicaid at the Department of Human Services (DHS) </li></ul><ul><li>DHS offices are located in each county </li></ul><ul><li>Apply to the county office that the nursing home is located </li></ul><ul><li>  </li></ul>Serving the Holland area since 1900
  14. 14. Example <ul><li>Clients were husband and wife </li></ul><ul><li>Drafted an estate plan for them </li></ul><ul><li>A couple years later, the wife’s health declined significantly and had to go to a nursing home </li></ul>Serving the Holland area since 1900
  15. 15. Example <ul><li>She didn’t stay in a hospital for three days so Medicare didn’t cover any of the stay at the nursing home </li></ul><ul><li>They had a house, vehicle, and investments </li></ul>Serving the Holland area since 1900
  16. 16. Example <ul><li>Could keep the house (because it was properly owned) and their vehicle </li></ul><ul><li>Without any Medicaid planning, they would have had to spend down one-half of their investments </li></ul>Serving the Holland area since 1900
  17. 17. Example <ul><li>Drafted a trust that allowed them to protect all of their investments (as opposed to just half) </li></ul><ul><li>This provided peace of mind to the husband </li></ul>Serving the Holland area since 1900
  18. 18. Return to Two Goals <ul><li>Want to encourage you to think about what to do if you or your spouse needed to move to a nursing home </li></ul><ul><li>Educate you about applying for and becoming eligible for Medicaid </li></ul>Serving the Holland area since 1900
  19. 19. <ul><li>Questions…… </li></ul>Serving the Holland area since 1900
  20. 20. Thank You <ul><li>P. Haans Mulder </li></ul><ul><li>Cunningham Dalman, P.C. </li></ul><ul><li>321 Settlers Road </li></ul><ul><li>Holland, MI 49423 </li></ul><ul><li>(616) 392-1821 </li></ul><ul><li>[email_address] </li></ul><ul><li>www.holland-law.com </li></ul>Serving the Holland area since 1900
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