Medicaid: No Penalty for Transfer to Disabled Child

5 years ago

No Penalty For Transfer to Disabled Child. DFCS imposed a transfer of resources penalty where Petitioner transferred cash assets to…

Medicaid: No QIT, No Medicaid

5 years ago

No QIT means No Medicaid If Income Exceeds Cap. Petitioner entered the nursing home in July 2007 and applied for…

Medicaid: Determining Which Property is Exempt Home

5 years ago

Determining Which Property is the Exempt Homeplace; Whether Jointly Owned Second Property was Exempt. Petitioner lived at her residence in…

Medicaid: Penalty Reversed Where Home Given to Caregiver Child

5 years ago

Penalty Reversed Where Home was Given to Caregiver Child. In 2002, Petitioner’s daughter moved into Petitioner’s home to provide care.…

Medicaid: No transfer penalty where transfer reimbursed third party for advancing expenses

5 years ago

No Penalty Where Transfer Reimbursed Third Party for Paying Applicant’s Expenses. Petitioner was admitted to a nursing home on May…

Medicaid: The Limit is Still the Limit

5 years ago

The Limit is the Limit, Part 2. Petitioner entered the nursing home on April 17, 2007 and applied for Medicaid…

Medicaid: Cost-Share Calculation

5 years ago

Calculation of Cost-Share. As of November 1, 2008, Petitioner’s gross monthly income was $2,385.54. DGCS calculated the cost-share as $2,189…

Medicaid: Corpus of Irrevocable Trust Countable

5 years ago

Corpus of Irrevocable Trust was Countable Resource. Two trusts Petitioner created in 2000 held a cumulative balance of approximately $64,000.…

Medicaid: Cost-share deduction for health insurance premium

5 years ago

Cost-share deduction for health insurance premiums. The ALJ stated the issue as whether a nursing home resident is entitled to…

Medicaid: The Limit is the Limit

5 years ago

The Limit is the Limit. An 84 year old applicant was denied Medicaid for the months of December 2007 through…

Medicaid: Lost application; eligibility retroactiev to three months from original appliction

5 years ago

Where application was lost, eligibility retroactive eligibility related back three months from date of original application. After receiving a personal…

Medicaid: DFCS directed to determine eligibility where application pending over one year

5 years ago

DFCS directed to determine eligibility where application was pending for over one year. Petitioner filed an application for Medicaid on…

Medicaid: Sole Benefit Trust rejected and transfer penalty imposed

5 years ago

Sole Benefit Trust rejected and transfer penalty imposed. An 86 year old applicant established an irrevocable trust for the benefit…

Medicaid: Transfer Penalty Reversed Where Cured

5 years ago

Transfer Penalty Reversed Where Home Was Returned. Three months prior to a nursing home admission, a 98 year old Petitioner…

Medicaid: Court Reaches Wrong Conclusion Regarding Community Spouse

5 years ago

Incorrect Decision Reached Regarding Status of Community Spouse. A nursing home resident’s spouse was denied a Community Spouse Monthly Income…

Medicaid: Federal Law Trumps State Law When They Conflict

5 years ago

Georgia’s Medicaid Manual cannot be enforced when it conflicts with federal law. Applicant resided in an assisted living facility until…

Medicaid: Ignorance of QIT Requirement No Excuse

5 years ago

Ignorance of QIT Requirement Does Not Excuse Failure to Comply. Nursing home resident’s son assisted with her October 25, 2007…

Assessment of transfer penalty on sale of life estate affirmed

5 years ago

Assessment of transfer penalty on sale of life estate affirmed. Conservators sold life estate for $1,500, then sold the applicant’s…

No Penalty Where Resources were Transferred to Disabled Child

5 years ago

No penalty may be assessed where resources are transferred directly to a disabled child. A nursing home resident transferred approximately…

Medicaid: Hire a Lawyer

5 years ago

Hire a Lawyer. An unrepresented nursing home resident applied for Medicaid on December 21, 2007. A 981 was issued after…

Medicaid: Community Spouse Resource Allowance administratively raised

5 years ago

Community Spouse Resource Allowance administratively raised. Evidence was stipulated that the combined marital income of the couple did not result…

Medicaid: Valuation; value of transferable promissory note

5 years ago

Valuation; value of transferable promissory note. Petitioner filed a motion for summary determination and respondent failed to answer. The issue…

Medicaid Transfer of Resources Penalty Affirmed (2008)

5 years ago

Transfer of resources penalty affirmed. Nursing home resident applied for Medicaid in January 2008. During review, caseworkers discovered a home…

Medicaid Treatment of Retirement Accounts

5 years ago

Treatment of retirement accounts. Section Section 2332 indicates that an applicant must apply for periodic benefits, but does not indicate whether the…

Medicaid Resource Limit Firm; Debt not a factor (2008)

5 years ago

Resource limit firm; debt not a factor. Petitioner’s application for benefits was denied twice because the Petitioner’s agent was unable…

Virtual Event: Challenges to Public Health Legal Authority, 12 noon – 1pm ET, October 6, 2021

5 years ago

Georgia State University College of Law Virtual Event (registered attendees will be sent WebEx link) The role of public health…

Process and Timeline for Georgia Guardianships and Conservatorships

5 years ago

Outline of Georgia Guardianship and Conservatorship Process and Timeline Process Begins When Petition is filed O.C.G.A. § 29-4-10(a). Any interested…

M.K. v. Division of Medical Assistance, Superior Court of New Jersey, Appellate Division (2016)

5 years ago

In M.K. v. Division of Medical Assistance, Superior Court of New Jersey, Appellate Division (2016), the Division imposed a period…

Denial of Eligibility Upheld Where Applicant Failed to Cure Penalty

5 years ago

An applicant filed three Medicaid applications from February 7 through November 26, and all of them were denied for failure…

VDRNC, LLC v Merrick, 191 A.D.3d 1430 (NY AP, 4th 2021)

5 years ago

In a Memorandum decision, the Supreme Court of New York, Appellate Division, Fourth Department, held that a nursing home may…

Arc Posts Videos Overviewing Special Needs Trusts and ABLE Accounts

5 years ago

The Arc of the United States recently posted new videos providing an Overview of Special Needs Trusts and ABLE accounts.…

Georgia Public Broadcasting to air special on former President Jimmy Carter

5 years ago

Next week GPB will examine the life of a titan with a two-part American Experience, learn what made Jimmy Carter…

2021 National Conference on Special Needs Planning and Special Needs Trusts, October 13-15, 2021

5 years ago

Registration is open for the 2021 National Conference on Special Needs Planning and Special Needs Trusts, October 13-15, 2021. It…

2022 Special Needs Planning Symposium, February 24 – 26, 2022

5 years ago

2022 Special Needs Planning Symposium We don't always give a shout-out for symposiums sponsored by others, but we'll make an…

Maryland Department of Health and Mental Hygiene v. Centers for Medicare and Medicaid Services, 542 F.3d 424 (2008)

5 years ago

In Maryland Department of Health and Mental Hygiene v. Centers for Medicare and Medicaid Services, 542 F.3d 424 (2008), the…

Timm v. Mont. Dep’t of Pub. HHS, 2008 MT 126 (2008)

5 years ago

In Timm v. Mont. Dep’t of Pub. HHS, 2008 MT 126 (2008), Linda Timm entered the nursing home in July…

HHS Rule to Protect Consumers from Surprise Medical Bills

5 years ago

On July 1, 2021, the Biden-Harris Administration, through the U.S. Departments of Health and Human Services (HHS), Labor, and Treasury, and…

New Twist on Grandparent Scam

5 years ago

Attorney General Chris Carr is warning Georgians about the latest version of the grandparent scam. The scam still starts with…

Georgia Doctor indicted in Hall County, charged with one count of Medicaid Fraud and one count of False Statements

5 years ago

The Office of the Attorney General, on September 17, 2021, announced that the office’s Medicaid Fraud Control Unit has indicted…

Georgia Attorney General Chris Carr Provides Update on Fight Against Robocalls

5 years ago

Attorney General Chris Carr, on September 20, 2021, released an update on telecom companies’ progress in implementing the Anti-Robocall Principles…

CMS Launches New Medicare.gov Tool to Compare Nursing Home Vaccination Rates

5 years ago

CMS Press Release 9/21/2021 The Centers for Medicare & Medicaid Services (CMS) is making it easier to check COVID-19 vaccination…

News Round-up September 13, 2021

5 years ago

News Sources: ThinkAdvisor, 4 Signs your Client is Ready for a Roth IRA Conversion Morningstar, The ABCs of Estate Planning…

Divorce as a Medicaid Planning Option

5 years ago

Divorce is one of the most aggressive Medicaid planning tools. Divorce should not be approached lightly and should not be…

Combating Social Isolation, Loneliness, and Suicide Risk

5 years ago

On September 1, 2021, the Administration for Community Living posted a guest blog titled "BE WITH: Combating Social Isolation, Loneliness,…

News Round-up – August 17, 2021

5 years ago

National Institutes of Health: The Amazing Brain: A Sharper Image of the Pyramidal Tract Administration for Community Living: DOL announced…