Medicaid Presentation

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Medicaid Presentation

  1. 1. MEDICAID: HOW TO MANAGE THE COST OF STAYING IN A NURSING HOME Resthaven-Warm Friend 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. • Have a Masters in Tax (MST) 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 area since 1900 • We have 15 attorneys specializing in all areas of the law Serving the Holland area since 1900
  4. 4. Family
  5. 5. Why is this relevant? • More than 40% of people 65 years or older will spend time in a nursing home • The average stay in a nursing home is over one year • The cost to stay in a nursing in this area ranges between $6-7,000/month Serving the Holland area since 1900
  6. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 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. 18. Questions…… Serving the Holland area since 1900
  19. 19. 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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