In order to gain a better understanding of the Medicaid program itself, it is helpful to first realize how Medicaid has transformed over the years into the program it has become today. To do so, we will examine the early years of the Medicaid program exploring how this long-term care health plan was implemented … Continued
Using a partial cure is a planning technique only viable in an increasingly limited number of states. Commonly referred to as a reverse half-a-loaf plan, the partial cure technique usually consists of the following steps, in a nutshell: Applicant gifts entire net worth Applicant applies for Medicaid Medicaid assigns penalty period in light … Continued
In the majority of states an IRA is countable for both the institutionalized individual and community spouse. In order to protect the IRA from a Medicaid spend-down and qualify the institutionalized individual for Medicaid benefits, a tax-qualified Medicaid Compliant Annuity may be purchased. Two options exist to fund a tax-qualified Medicaid Compliant Annuity and … Continued
November 2014 Update: The oral argument has taken place. We anticipate a decision in Spring of 2015. Listen to the oral argument here. June 2014 Update: The appellant’s brief has been filed, along with two Amicus Curiae Briefs. Read more. February 5, 2014, Update: The litigators will be appealing the Zahner decision. I … Continued
In the recent matter of Hughes, et al. v. McCarthy, the U.S. Court of Appeals for the Sixth Circuit has reversed a judgment in an Ohio married couple case on the treatment of a Medicaid Compliant Annuity purchased by a community spouse. Since the case’s inception the Ohio Medicaid agency has been reorganized, which is why the case was formerly known as Hughes v. Colbert.
In the recent matter of Geston v. Anderson, the U.S. Court of Appeals for the Eighth Circuit has affirmed a judgment in a North Dakota married couple case on calculating assets for Medicaid eligibility. Mr. Geston became a resident at a nursing home facility in July of 2010, while his wife continued to reside in the couples’ North Dakota home.
In May of 2008 Mr. Jackson entered an Arkansas nursing home while his wife, Mrs. Jackson, continued to reside in the community. In February of 2009 Mr. Jackson purchased two single premium immediate annuities. One of the annuities was an IRA annuity, and provided monthly payments to Mrs. Jackson under the “name on the check” … Continued
Impact of DRA The primary impact of DRA relates to the fact that all gifts within the 60-month lookback period are pooled together, and the resulting figure is then divided by the applicable monthly divestment penalty divisor, creating a Medicaid ineligibility period for a set number of months. For example, if during the 60-month lookback … Continued