Posted by: Thomas D. Begley, Jr.
1. INTRODUCTION Statistics show that approximately 60 percent of the population age 65 or over will require some form of long-term care. Some will be there for relatively short periods of time. These are usually stroke victims who are doing rehabilitation. A significant percentage will remain in a nursing home for an extended period of time. These are usually Alzheimer’s or Parkinson’s patients. A statistic widely quoted is that the average stay in a nursing home is 2.9 years. This statistic is somewhat misleading, because the persons receiving rehabilitation are often discharged in six months or less. The long-term patients [...]
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Filed under Medicaid Applications.
Tags: Medicaid Applications
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Posted by: Begley Law Group
The previous blog discussed the importance of ensuring that plaintiffs in personal injury lawsuits obtain the best possible medical coverage. This blog continues the discussion and focuses on other medical insurance that may be available. This includes: • Medicare. A person receiving SSDI for two years will receive Medicare. It is important to obtain a Medicare supplement, if at all possible. There is an open enrollment period for Medicare supplements for six months after the Medicare recipient obtains Medicare Part B. Another option is to enroll in a Medicare Advantage Plan. There is an open enrollment period for Medicare Advantage [...]
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Filed under Medicaid Applications, Medicaid Planning, Medicaid Planning.
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Posted by: Thomas D. Begley, Jr.
A state is entitled to recover for Medicaid payments correctly paid on behalf of the individual by use or real or personal property liens and recovery from decedents’ estates. 42 U.S.C. § 1396p(b)(1)(B); HCFA Transmittal 63; N.J.S.A. 30:4D-7.2 et seq.; N.J.A.C. 10:49-1 et seq. The state is required to seek reimbursement from an individual’s estate for the cost of nursing facility services. 42 U.S.C. § 1396p(b)(1)(B). However, no recovery may be made until after the death of the recipient’s surviving spouse, and only when there are no surviving children who are under age 21 or blind or permanently disabled. A. [...]
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Filed under Medicaid Applications, Medicaid Planning, Medicaid Planning.
Tags: Medicaid Applications, Medicaid Planning
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Posted by: Begley Law Group
There are a great many public benefit numbers and tax numbers that are adjusted on an annual basis. This chapter is designed to make these numbers readily available to Elder Law practitioners. The following are current numbers for 2010. I. 2010 FIGURES A. Medicaid $2,022 Income Cap [1] $109,560 Maximum Community Spouse Resource Allowance (CSRA) [2] $21,912 Minimum CSRA [3] $2,739 Maximum Minimum Monthly Maintenance Needs Allowance (MMMNA) [4] $1,821.25 MMMNA (July 1, 2009 until June 30, 2010) [5] $546.38 Excess Shelter Allowance (July 1, 2009 until June 30, 2010) [6] $2,000 Maximum Resource Limit (individual) [7] B. Social Security [...]
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Filed under Medicaid Applications, Medicaid Planning, Medicaid Planning, Personal Injury Consulting.
Tags: Medicaid Applications, Medicaid Planning, Personal Injury Consulting, SSI
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Posted by: Thomas D. Begley, Jr.
Effective January 1, 2009 the Department of Health and Senior Services (DHSS) received approval from the US Centers for Medicare and Medicaid Services (CMS) to consolidate three Medicaid-supported home and community base services programs into a single program known as Global Options (GO) for Long-Term Care. Provisions of the GO Program include: Participants will have the option to hire and direct their own service providers. Care managers will have greater flexibility in modifying individual care plans. The program is designed to supplement, not replace, the assistance already being provided by family, friends and neighbors. GO participants work with a care [...]
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Filed under Medicaid Applications, Medicaid Planning, Medicaid Planning.
Tags: Medicaid Applications, Medicaid Planning
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Posted by: Dana E. Bookbinder
Families are understandably apprehensive when selecting a long term care facility for their loved ones. As a firm focusing a large part of its practice on elder law, our attorneys and staff are often called upon for assistance with this important decision. Fortunately, nursing home care has substantially improved over the past generation. Federal regulations that set standards for nursing homes particularly in the area of patient rights have been in place over fifteen years. As our attorneys and many staff members who regularly visit homes in our area can readily attest, nursing homes and assisted living facilities today generally [...]
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Filed under Medicaid Applications, Medicaid Planning, Medicaid Planning.
Tags: Medicaid Applications, Medicaid Planning
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Posted by: Thomas D. Begley, Jr.
The Centers for Medicare and Medicaid Services (CMS) recently completed a rating of nearly 16,000 nursing homes throughout the United States. This was done under the CMS Nursing Home Compare System. Based on these ratings, the Scripps Howard news service did a statistical analysis. Many of the findings were interesting. They included: NON-PROFITS Generally, nursing facilities run by non-profits are better than institutions run by for-profit corporations. This validates observations made by this office over a long period of time. STAFF RATIO Nursing homes with higher nursing staff-per-patient ratios deliver better care than those with lower staff-per-patient ratios. This should [...]
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Filed under Medicaid Applications, Medicaid Planning, Medicaid Planning.
Tags: Medicaid Applications, Medicaid Planning, Nursing Home
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