Elder Law and <br />Long-Term Care Planning<br />Los Gatos Recreation Center<br />September 26, 2011<br />750 University A...
Janis Carney, Esq.<br />1<br />Elder Law<br />Planning Needs *<br />Elder Care Options<br />Capacity Issues*<br />
Janis Carney, Esq.<br />2<br />3 Levels of Planning<br />Estate Planning *<br />Long-term Care Planning *<br />Life Care P...
Janis Carney, Esq.<br />3<br />Estate Planning<br />Trusts- Revocable and Irrevocable<br />Wills<br />Durable Power of Att...
Janis Carney, Esq.<br />4<br />Trust and Estate Administration<br />Vs. Probate<br />Distributing Assets <br />		-Retitlin...
Janis Carney, Esq.<br />5<br />Long-term Care Planning<br />Pre-planning for long-term care involves<br />	 -Legal concern...
Janis Carney, Esq.<br />6<br />Veteran Benefits<br />Service-Connected Disability Compensation<br />Dependent’s Indemnity ...
Janis Carney, Esq.<br />7<br />Dependent’s Indemnity Compensation<br />(DIC)<br />Surviving Spouse <br />married and livin...
Janis Carney, Esq.<br />8<br />DIC<br />Requirement<br />Veteran died *either:<br /><ul><li>partially because of service c...
100% service-connected disabled for 10 or more years immediately proceeding death, or
While in service</li></ul>* Provided the veteran's death was not due to the veteran’s own willful misconduct and was not w...
Janis Carney, Esq.<br />9<br />VA Improved Pension Basic Eligibility Requirements<br />  1.  Veteran served on active duty...
Wartime Periods<br />World War I: April 6, 1917 through November 11, 1918, inclusive. <br />World War II: December 7, 1941...
Pension with Aid & Attendance Maximum Monthly Benefits<br />11<br />A & A* = Aid & Attendance<br />
Janis Carney, Esq.<br />12<br />Medi-Cal Long Term Care Benefits<br />Basic requirements for<br />		-Eligibility *<br />		...
Janis Carney, Esq.<br />13<br />Medi-Cal Long Term Care Eligibility<br />Applicant aged 65 or over OR permanently and tota...
Janis Carney, Esq.<br />14<br />Medi-Cal Share of Cost Calculation<br />(Co-Payment to Nursing Home)<br />    Notes:  <br ...
Janis Carney, Esq.<br />15<br />Medi-Cal Share of Cost Calculation<br />(Co-Payment to Nursing Home)<br />All of the Appli...
Janis Carney, Esq.<br />16<br />Medi-Cal Recovery<br />1. Claim by state against assets owned by Medi-Cal recipient if sin...
Reduce/spend assets<br />Convent assets<br />Transfer assets (subject to Medi-Cal penalty if with in 30 months if applying...
Janis Carney, Esq.<br />18<br />Life Care Planning<br />Focusing on quality of life and care<br />Coordinating health and ...
Janis Carney, Esq.<br />19<br />Capacity Issues<br />2 Levels of Capacity<br />Contract (Decision Making) Capacity: Abilit...
Janis Carney, Esq.<br />20<br />Conservatorships/Guardianships<br />When There is No Capacity and Insufficient Legal Docum...
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Elder Law and Long-Term Care Planning

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Janis Carney spoke at Los Gatos Recreation Center on Elder Law and Long-Term Care Planning.

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Elder Law and Long-Term Care Planning

  1. 1. Elder Law and <br />Long-Term Care Planning<br />Los Gatos Recreation Center<br />September 26, 2011<br />750 University Avenue<br />Suite 140<br />Los Gatos, CA 95032<br />(408) 354-0200<br />www.css-lawfirm.com<br />Janis Carney, Esq.<br />
  2. 2. Janis Carney, Esq.<br />1<br />Elder Law<br />Planning Needs *<br />Elder Care Options<br />Capacity Issues*<br />
  3. 3. Janis Carney, Esq.<br />2<br />3 Levels of Planning<br />Estate Planning *<br />Long-term Care Planning *<br />Life Care Planning *<br />
  4. 4. Janis Carney, Esq.<br />3<br />Estate Planning<br />Trusts- Revocable and Irrevocable<br />Wills<br />Durable Power of Attorney<br />Advanced Health Care Directives<br />
  5. 5. Janis Carney, Esq.<br />4<br />Trust and Estate Administration<br />Vs. Probate<br />Distributing Assets <br /> -Retitling<br />Creditor claims<br />Expense, time, oversight<br />
  6. 6. Janis Carney, Esq.<br />5<br />Long-term Care Planning<br />Pre-planning for long-term care involves<br /> -Legal concerns<br /> -Financial concerns<br />Budgeting <br />How to Pay <br />Asset preservation *<br /> -Eligibility for Medi-Cal and VA <br /> benefits *<br />
  7. 7. Janis Carney, Esq.<br />6<br />Veteran Benefits<br />Service-Connected Disability Compensation<br />Dependent’s Indemnity Compensation *<br />Pension for wartime * Vets and their surviving spouses <br />Homebound and Aid & Attendance Supplements<br />Basic eligibility requirements *<br />Maximum Pension benefit amounts *<br />Planning Strategies *<br />
  8. 8. Janis Carney, Esq.<br />7<br />Dependent’s Indemnity Compensation<br />(DIC)<br />Surviving Spouse <br />married and living with the veteran at least one year immediately prior to death<br />$ 1157/mo + A&A &283/mo<br />Surviving Dependent Parents or Surrogate Parents<br />must be financially in need<br />$ depends on need<br />Surviving Dependent Children<br />minors<br />“helpless” (disabled from childhood)<br /> separately eligible or eligible with surviving parent<br />
  9. 9. Janis Carney, Esq.<br />8<br />DIC<br />Requirement<br />Veteran died *either:<br /><ul><li>partially because of service connected disability, or
  10. 10. 100% service-connected disabled for 10 or more years immediately proceeding death, or
  11. 11. While in service</li></ul>* Provided the veteran's death was not due to the veteran’s own willful misconduct and was not wrongfully or intentionally caused by the claimant <br />
  12. 12. Janis Carney, Esq.<br />9<br />VA Improved Pension Basic Eligibility Requirements<br /> 1. Veteran served on active duty at least 1 day during a designated “wartime” * period – note: there is NO requirement that the veteran actually served in a combat area or even overseas<br /> 2. Veteran served continuously on active duty at least 90 days unless discharged early due to a service-connected disability. (note: period may be longer if entered service during or after 1981)<br /> 3. Veteran was discharged other than dishonorably<br /> 4. Claimant is aged 65 or over OR permanently and totally disabled not due <br /> to own willful misconduct <br /> 5. Claimant is financially needy <br /> [Claimant: Veteran or the surviving spouse or other dependent of a <br /> deceased veteran]<br />
  13. 13. Wartime Periods<br />World War I: April 6, 1917 through November 11, 1918, inclusive. <br />World War II: December 7, 1941 through December 31, 1946, inclusive. <br />Korean Conflict: June 27, 1950 through January 31, 1955, inclusive.<br /> <br />Vietnam Era: February 28, 1961 through May 7, 1975, inclusive, if the veteran served in Vietnam during that period. Otherwise: August 5, 1964 through May 7, 1975, inclusive.<br />Persian Gulf War: August 2, 1990 through a (future) date to be prescribed by Presidential proclamation or law.<br />Note: The 1983-1984 Lebanon crisis and the invasions of Grenada and Panama are NOT designated as wartime periods<br />Janis Carney, Esq.<br />10<br />
  14. 14. Pension with Aid & Attendance Maximum Monthly Benefits<br />11<br />A & A* = Aid & Attendance<br />
  15. 15. Janis Carney, Esq.<br />12<br />Medi-Cal Long Term Care Benefits<br />Basic requirements for<br /> -Eligibility *<br /> -Share of cost *<br /> -Recovery *<br />Planning Strategies *<br />
  16. 16. Janis Carney, Esq.<br />13<br />Medi-Cal Long Term Care Eligibility<br />Applicant aged 65 or over OR permanently and totally disabled<br />Applicant requires the level of care of a skilled nursing facility or higher<br />Applicant (and spouse, if married) is financially needy <br />Countable assets under $2000 for single applicant<br />Countable assets under $111,560 ($2000 for applicant +$109,560 for well spouse) for married applicant<br />
  17. 17. Janis Carney, Esq.<br />14<br />Medi-Cal Share of Cost Calculation<br />(Co-Payment to Nursing Home)<br /> Notes: <br />1. Applicant income does not include his/her spouse’s income<br />2. Income from rental property is net of the following amounts paid from the rental income:<br />Mortgage interest <br />Property taxes, assessments, and insurance<br />Utilities<br />Greater of<br />actual upkeep and repairs or<br />15% of the gross rental income + $4.17<br />
  18. 18. Janis Carney, Esq.<br />15<br />Medi-Cal Share of Cost Calculation<br />(Co-Payment to Nursing Home)<br />All of the Applicant’s income from all sources other than VA <br />Less:<br />Applicant’s medical expenses, such as health insurance premiums<br />Spousal and child support payments<br />Spousal income allowance: the amount needed to bring the spouse’s income up to the Minimum Monthly Maintenance Needs Allowance (MMMNA) amount, currently $2739/month<br />Personal Needs Allowance ($35/month)<br />
  19. 19. Janis Carney, Esq.<br />16<br />Medi-Cal Recovery<br />1. Claim by state against assets owned by Medi-Cal recipient if single<br /> -If single: Due at death<br />- If married: Deferred during life of surviving spouse<br />-No recovery if recipient has a permanently or totally disabled child of any age at time of state’s claim<br />Claim amount is lesser of <br />-Amount state paid for recipient on Medi-Cal<br />-Value of assets belonging to recipient at time of death<br />
  20. 20. Reduce/spend assets<br />Convent assets<br />Transfer assets (subject to Medi-Cal penalty if with in 30 months if applying for Medi-Cal)<br />Annuities (lots of problems)<br />Trusts<br />Reduce income and increase care costs<br />VA and Medi-Cal Planning<br />Janis Carney, Esq.<br />17<br />
  21. 21. Janis Carney, Esq.<br />18<br />Life Care Planning<br />Focusing on quality of life and care<br />Coordinating health and personal care with legal and financial needs<br /> - Applications for Medi-Cal and VA benefits<br /> - Preserving Assets to afford better care<br />
  22. 22. Janis Carney, Esq.<br />19<br />Capacity Issues<br />2 Levels of Capacity<br />Contract (Decision Making) Capacity: Ability to understand and appreciate the<br />Rights, duties and responsibilities created by or affected by a decision<br />Probable consequences for the decision maker and, if appropriate, the person(s) affected by the decision<br />The significant risks, benefits, and reasonable alternatives involved in the decision<br />Testamentary (Will Making) Capacity to<br />Understand the nature of the testamentary act<br />Understand and recollect the nature and situation of the individuals property <br />Remember and understand the individuals relations to living decedents, spouse, and parents and those whose interests who are affected by the will<br />
  23. 23. Janis Carney, Esq.<br />20<br />Conservatorships/Guardianships<br />When There is No Capacity and Insufficient Legal Documents<br />A protective court proceeding for incapacitated adults/children<br />Adult/child Protective Service involvement<br />Must prove adult-conservatee is deficient in one of four areas<br />Alertness and attention<br />Information processing<br />Thought processes<br />Ability to modulate moods and effect<br />
  24. 24. Special Needs Planning<br />Developmentally Challenged, Mentally Ill, <br />Drug Kids and Others On “Public Benefits”<br />Limited conservatorship<br />Trusts<br />Legal & financial issues<br /> -Planning for eligibility for Medi-Cal, SSI, etc.<br /> -Authority to act for disabled person<br />Janis Carney, Esq.<br />21<br />
  25. 25. 22<br />Fiduciaries<br /><ul><li> Roles
  26. 26. Responsibilities
  27. 27. Private vs. Professional</li></ul>- Family and Friends<br />- Corporate fiduciaries<br />- California licensed individual fiduciaries<br />Janis Carney, Esq.<br />

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