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UNDERSTANDING MEDICAID ESTATE RECOVERY
             WINTER 2012
Medicaid Basics for Long Term Care



  • Purposes
  • Asset Eligibility
Estate Recovery

• Law adopted September 30, 2007
  – MCL 400.112g-400.112k
• Effective July 1, 2011
• Applicable to Long Term Care
  Medicaid Recipients Age 55 and
  Older after Adoption of Law
Estate Recovery

• Recovery of Probate Assets only

• Only Amount of Home Over 50%
  of Average Value of Homes in the
  County is Subject to Recovery
Planning to Avoid Estate Recovery

• Joint Ownership
• Beneficiary Designations
• Ladybird Deeds
• Assets in Trust
Exemptions for Probate Assets

1. A Medicaid recipient's spouse.

2. A Medicaid recipient's child who is
   less than 21 years old.


3. A Medicaid recipient's child
   who is blind or permanently disabled.
Exemptions for Probate Assets

4. A survivor who lived in the home and
   provided care that allowed the Medicaid
   recipient to remain in their home for at
   least two years immediately prior to the
   Medicaid recipient's admission into a
   medical facility.
5. A Medicaid recipient's sibling who has an
   equity interest in the home and who lived
   in the home for at least one year
   immediately prior to the Medicaid
   recipient's admission into a medical facility.
Undue Hardships Exists

• Can apply for Hardship Waiver if:
• The estate is the sole source of income for
  the survivors, such as a family farm or
  business; or
• The estate is a home of modest value; or
• A survivor would become or remain
  eligible for Medicaid if recovery occurred.
Dark Clouds on the Horizon




•   Senator Kahn Bill
•   SB 404
•   Expands the scope of recoverable assets
•   Advocacy opportunity –> Contact your
    Senator and Representative
Presented by:

                              HOWARD H. COLLENS

                         GALLOWAY AND COLLENS, PLLC
                           26075 WOODWARD AVENUE
                                   SUITE 200
                       HUNTINGTON WOODS, MICHIGAN 48070
                                (248) 545-2500
                             GALLOWAYCOLLENS.COM
                                                  @howardcollens

Disclaimer
The content of this handout and the accompanying presentation are for informational purposes only. The
information presented does not create an attorney-client relationship and is not intended to provide legal advice. As
the law is constantly evolving and each case is fact specific, you should contact a qualified attorney to review and
analyze the facts and law as they relate to your individual circumstance.

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Michigan Medicaid Estate Recovery January 2012

  • 1. UNDERSTANDING MEDICAID ESTATE RECOVERY WINTER 2012
  • 2. Medicaid Basics for Long Term Care • Purposes • Asset Eligibility
  • 3. Estate Recovery • Law adopted September 30, 2007 – MCL 400.112g-400.112k • Effective July 1, 2011 • Applicable to Long Term Care Medicaid Recipients Age 55 and Older after Adoption of Law
  • 4. Estate Recovery • Recovery of Probate Assets only • Only Amount of Home Over 50% of Average Value of Homes in the County is Subject to Recovery
  • 5. Planning to Avoid Estate Recovery • Joint Ownership • Beneficiary Designations • Ladybird Deeds • Assets in Trust
  • 6. Exemptions for Probate Assets 1. A Medicaid recipient's spouse. 2. A Medicaid recipient's child who is less than 21 years old. 3. A Medicaid recipient's child who is blind or permanently disabled.
  • 7. Exemptions for Probate Assets 4. A survivor who lived in the home and provided care that allowed the Medicaid recipient to remain in their home for at least two years immediately prior to the Medicaid recipient's admission into a medical facility. 5. A Medicaid recipient's sibling who has an equity interest in the home and who lived in the home for at least one year immediately prior to the Medicaid recipient's admission into a medical facility.
  • 8. Undue Hardships Exists • Can apply for Hardship Waiver if: • The estate is the sole source of income for the survivors, such as a family farm or business; or • The estate is a home of modest value; or • A survivor would become or remain eligible for Medicaid if recovery occurred.
  • 9. Dark Clouds on the Horizon • Senator Kahn Bill • SB 404 • Expands the scope of recoverable assets • Advocacy opportunity –> Contact your Senator and Representative
  • 10. Presented by: HOWARD H. COLLENS GALLOWAY AND COLLENS, PLLC 26075 WOODWARD AVENUE SUITE 200 HUNTINGTON WOODS, MICHIGAN 48070 (248) 545-2500 GALLOWAYCOLLENS.COM @howardcollens Disclaimer The content of this handout and the accompanying presentation are for informational purposes only. The information presented does not create an attorney-client relationship and is not intended to provide legal advice. As the law is constantly evolving and each case is fact specific, you should contact a qualified attorney to review and analyze the facts and law as they relate to your individual circumstance.