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Medicaid: New Developments and Changes in the Rules

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Medicaid: New Developments and Changes in the Rules

  1. 1. MEDICAID: NEW DEVELOPMENTS AND HOW THE RULES HAVE CHANGED Providence Healthcare & Rehabilitation P. Haans Mulder Cunningham Dalman, P.C. 321 Settlers Road Holland, MI 49423 (616) 392-1821 phmulder@holland-law.com
  2. 2. Background • Grew up in Holland • Attorney and Partner at Cunningham Dalman, P.C. • Masters in Tax, close to CFP designation, and specialize in estates/elder law and business planning Serving the Holland area since 1900
  3. 3. Background • Cunningham Dalman, P.C. is located in Holland and has been serving the greater Holland/Zeeland since 1900 • We have 15 attorneys specializing in all areas of the law Serving the Holland area since 1900
  4. 4. Overview • Discuss the Medicaid process • Talk about the Medicaid eligibility rules • Cover recent new developments and changes in the Medicaid rules Serving the Holland area since 1900
  5. 5. 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
  6. 6. When does Medicaid apply? • Must be in a nursing home or be in certain counties that have the MI Choice Waiver program • Waiver program provides care in a person’s home and may cover residential facilities Serving the Holland area since 1900
  7. 7. 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
  8. 8. 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
  9. 9. Who does Medicaid apply to? • Asset test requires that a single person cannot have more than $2,000 in countable assets • Can keep your home (it’s not in your trust) and a vehicle Serving the Holland area since 1900
  10. 10. Who does Medicaid apply to? • 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 Serving the Holland area since 1900
  11. 11. 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
  12. 12. New Developments-House • If the house is in your trust, it becomes a countable asset • If it’s in your individual name, it will go through probate • Probate could subject your house to the Medicaid lien Serving the Holland area since 1900
  13. 13. New Developments-House • Don’t have enough cash to pay the costs of maintaining the house • House can be rented to pay these costs • Evaluate whether it’s economically feasible Serving the Holland area since 1900
  14. 14. New Developments-Long Delays • Process normally took 45-60 days • State of Michigan budget cuts have led to long delays • This becomes very problematic if the Medicaid application is denied Serving the Holland area since 1900
  15. 15. New Developments-Technology • New computer system has caused problems • Make sure to understand what the Medicaid notices really mean Serving the Holland area since 1900
  16. 16. Questions…… Serving the Holland area since 1900
  17. 17. Thank You P. Haans Mulder Cunningham Dalman, P.C. 321 Settlers Road Holland, MI 49423 (616) 392-1821 phmulder@holland-law.com www.holland-law.com Serving the Holland area since 1900

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