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Medicaid Presentation Appledorn090518

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