On-Demand Medicaid Planning CLE Series
Training Course for Elder Law Professionals
COMPREHENSIVE, SELF-PACED COURSE
Gain insight into the world of Medicaid planning with this in-depth educational experience. Throughout this CLE series, we cover the entire Medicaid program, front to back, with a strong emphasis on using Medicaid Compliant Annuities in your practice. You’ll learn about common and advanced Medicaid Compliant Annuity (MCA) strategies as well as details about Medicaid planning that we don’t cover anywhere else. Get the information you need to develop successful crisis Medicaid plans for your senior clients.
An Attorney Access account is required to enroll in and access this course. Please log in or create a new account before enrolling.
* Credits hours and approvals vary by state. View the full list here.
WHAT TO EXPECT
- Five engaging video chapters ranging from 40 to 75 minutes
- Four to eight videos per chapter focusing on different aspects of the Medicaid program.
- Short knowledge checks after each video to test your understanding
- Self-paced structure with the ability to bookmark your spot and return later
HOW IT WORKS
- Enroll in the On-Demand Medicaid Planning CLE Series
- Receive the link to the course on our interactive learning platform
- Sign in to the platform using your Attorney Access account
- Start your CLE learning journey
Need more CLE information? Visit our FAQs page for details.
WHAT’S IN IT FOR YOU
- Exclusive, engaging educational experience with CLE Credit
- In-depth training on the intricacies of the Medicaid program
- Advanced Medicaid Compliant Annuity strategies and case examples
- Ability to review the course as your schedule allows
MEDICAID PLANNING CLE VIDEO TOPICS
CHAPTER 1: THE HISTORY OF MEDICAID (40 MINUTES)
Start off with a basic overview of the Medicaid program, including how it can help seniors afford the long-term care they need. Then, dive into the different options available when planning ahead as opposed to planning when the client is already residing in a facility. Learn about the full legislative history of Medicaid before focusing on the pieces of legislation that have shaped the Medicaid program as we know it today.
Video 1: What is Medicaid?
Start off with a basic overview of the Medicaid program, how it can help seniors afford the long-term care they need, and the differences between Medicaid and Medicare.
Video 2: Proactive Planning vs. Crisis Planning
Dive into the two main paths for helping seniors pay for long-term care: planning ahead of time and planning when the client is already residing in a facility.
Video 3: History of Medicaid Part 1
Review the legislation that created and shaped the Medicaid program, including the Social Security Act of 1965, the Omnibus Reconciliation Act of 1981, the Medicare Catastrophic Coverage Act of 1988, and the Omnibus Budget Reconciliation Act of 1993.
Video 4: History of Medicaid Part 2
Delve into the major legislative changes that have inﬂuenced the Medicaid program as we know it today, including the Deﬁcit Reduction Act of 2005 and the Affordable Care Act.
CHAPTER 2: MEDICAID ELIGIBILITY REQUIREMENTS (75 MINUTES)
Delve into Medicaid’s eligibility requirements, including the non-ﬁnancial constraints as well as income and asset qualiﬁcations. Discover the standards Medicaid implements in order to avoid spousal impoverishment, including the Monthly Maintenance Needs Allowance and Community Spouse Resource Allowance. Finally, learn about the lookback period and penalty period and ﬁnd out how divestments can impact Medicaid eligibility.
Video 1: Non-Financial Eligibility Requirements
Explore the non-financial eligibility requirements for Medicaid applicants seeking benefits for long-term care.
Video 2: Income
Discover Medicaid’s income limitations, primarily relating to the institutionalized individual, and learn about the countable and exempt forms of income.
Video 3: Monthly Maintenance Needs Allowance
Examine the Monthly Maintenance Needs Allowance and other Medicaid income rules designed to prevent spousal impoverishment for the community spouse.
Video 4: Assets
Learn about the Medicaid eligibility requirements regarding assets and how different types of assets are treated for Medicaid purposes.
Video 5: Community Spouse Resource Allowance
Dive into another Medicaid spousal impoverishment standard—the Community Spouse Resource Allowance—including the snapshot date and other related elements.
Video 6: The Lookback Period and the Penalty Period
Learn about the Medicaid lookback period and penalty period and how they may affect eligibility if the applicant made any divestments during the five years prior to applying.
Video 7: What Constitutes as a Divestment?
Explore the different types of asset transfers, how they are treated in terms of Medicaid eligibility, and which divestments are exempt from penalty.
CHAPTER 3: BASIC MEDICAID COMPLIANT ANNUITY STRATEGIES (60 MINUTES)
Learn about the Medicaid Compliant Annuity, a powerful planning tool designed to accelerate Medicaid eligibility, as well as strategies for using MCAs with clients. Get detailed overviews of some of the most common MCA plans for both married couples and single people, including real-life case studies.
Video 1: Breaking Down the Medicaid Compliant Annuity
Explore the constructs and requirements of the Medicaid Compliant Annuity, a powerful tool designed to accelerate Medicaid eligibility.
Video 2: MCA for the Community Spouse
Delve into one of the most popular Medicaid Compliant Annuity strategies: purchasing an MCA for the community spouse.
Video 3: MCA Case Study for the Community Spouse
See a real-life example of the community spouse MCA plan, including practical case facts, economic results, and caveats to consider when working with married couples.
Video 4: MCA for the Institutionalized Spouse
Learn about specific scenarios in which a married couple may choose to purchase an MCA for the institutionalized spouse, including a case study to illustrate the strategy.
Video 5: Gift/MCA Plan
Discover the most common Medicaid Compliant Annuity strategy for a single person: the Gift/MCA plan. This plan uses Medicaid’s divestment rules to the client’s advantage.
Video 6: Case Study for the Gift/MCA Plan
Review real-life case facts to better understand the concept of the Gift/MCA plan, see the economic results of the plan, and learn about caveats to keep in mind when working with single clients.
CHAPTER 4: ADVANCED MEDICAID COMPLIANT ANNUITY STRATEGIES (72 MINUTES)
Dive into some of the more complex Medicaid Complaint Annuity strategies. Learn how to handle retirement accounts and the options for funding these accounts into an MCA. Discover solutions for existing non-qualiﬁed annuities to help clients avoid immediate tax consequences. Explore tactics for when both spouses are in the nursing home as well as an alternative MCA strategy for a single person.
Video 1: Handling Retirement Accounts
Explore how retirement accounts can impact Medicaid eligibility and discover solutions, such as transferring the account into an MCA.
Video 2: Tax-Qualified Annuity Case Study
Learn how to fund a retirement account into a tax-qualified MCA with a real-life case study, including the economic results of the plan and key considerations to keep in mind.
Video 3: The “Name on the Check Rule”
Find out how to handle retirement accounts owned by the institutionalized spouse and learn about a unique MCA strategy known as the “Name on the Check Rule.”
Video 4: Existing Non-Qualified Annuities
Non-qualified deferred annuities can also affect Medicaid eligibility. Explore how to handle these accounts in order to avoid significant tax consequences.
Video 5: Double Gifting
Delve into a solution for when both spouses are in the nursing home. This strategy mirrors the Gift/MCA plan with modifications for a married couple.
Video 6: Standalone MCA Plan
Learn about the Standalone MCA plan, an alternative MCA strategy for a single person, which can be used when the Gift/MCA plan is not viable.
CHAPTER 5: THE MEDICAID APPLICATION PROCESS (40 MINUTES)
Learn about the Medicaid application process, from preparing the application to handling a potential denial. Find out what to expect in the event of a fair hearing and delve into the Medicaid estate recovery process, including what assets are at risk or exempt from recovery.
Video 1: Preparing the Medicaid Application
Explore the technical details of filling out the Medicaid application, including the appropriate documentation, and ensuring the application is processed in a timely manner.
Video 2: Dealing with a Medicaid Denial
Learn about the common reasons for a Medicaid denial, how to avoid one, and the best ways to resolve a denial with the caseworker.
Video 3: Taking Your Client’s Case to a Fair Hearing
If a denial cannot be resolved with the caseworker, it may result in a fair hearing. Find out what to expect, how to prepare, and tips for success at the fair hearing.
Video 4: Estate Recovery
Explore Medicaid estate recovery and find out which of your client’s assets are at risk or exempt from being recovered after their passing.
MEET THE PRESENTER
ANDREA GAGE-MICHAELS, J.D., M.D.R.
Legal Affairs Advisor & Attorney at Law
Andrea Gage-Michaels has more than 20 years of experience in the legal field and currently owns her own boutique elder law firm, where she serves seniors throughout Wisconsin. In addition to practicing law through her firm, Andrea contributes to videos, blogs, and other materials designed to educate and train attorneys with Krause Financial Services. She earned her Juris Doctor degree and Masters in Dispute Resolution from Marquette University and has prior experience working at Legal Action of Wisconsin and the State Bar of Wisconsin. Andrea has a passion for elder law, and she appreciates every opportunity to help seniors and other attorneys develop strategies for success.