Introduction to Medicaid Estate Recovery

2 years ago

Medicaid, as opposed to Medicare, is a health insurance program, jointly funded by the state and federal governments that pays…

Idaho Medicaid Agency Sets Aside Deeds to Grandchildren in Estate Recovery Action

2 years ago

In State of Idaho v. Beason, 546 P.3d 684 (2024), the Medicaid agency filed an estate recovery claim in Juanita…

Guiding an Improved Dementia Experience (GUIDE) Model for Dementia Care

2 years ago

The Centers for Medicare and Medicaid Services launched the Guiding an Improved Dementia Experience (GUIDE) Model on July 1, 2024.…

Medicaid Post Eligibility Treatment of Income and Incurred Medical Expenses

2 years ago

Medicaid Post Eligibility Treatment of Income and Incurred Medical Expenses After Medicaid eligibility is established, 42 C.F.R. § 435.725 addresses…

Medicaid’s Refusal to Provide 24/7 Care in the Community Might be Discrimination

2 years ago

Medicaid's Refusal to Provide 24/7 Care in the Community Might be Discrimination In Harrison v. Young (5th Cir. June 6,…

Updates to Nursing Home Quality of Care Regulations

2 years ago

From time to time federal regulations covering nursing home quality of care are updated. Thus far, the following updates have…

Federal Nursing Home Quality of Care Regulations

2 years ago

Nursing homes that accept Medicare or Medicaid are required to comply with quality of care regulations. Although we have blogged…

New Article Discussing Medicaid Enrollment and Wealth Transfers

2 years ago

On June 11, 2024, the Gerontologist published an article on Medicaid enrollment and Intergenerational transfers of wealth among older adults.…

Virtual Dementia Tour

2 years ago

Dementia affects more than 50 million people worldwide. The Virtual Dementia Tour is designed to allow participants to experience what…

Supreme Court weighs in on valuation of insurance in stock redemption agreement

2 years ago

In 2021, we blogged about a valuation case, Connelly v. U.S., 20 F. 4th 412 (8th Cir. 2023). We noted…

Do I need a Gun Trust?

2 years ago

Gun trusts were developed so gun owners can pass their firearms to beneficiaries or heirs at death (or disability) without…

Danger of DIY Legal Work

2 years ago

Sometime people want to avoid the expense of paying an attorney and they try DIY (do it yourself) fixes. Recently…

Medicaid’s “any circumstance” test for trusts

2 years ago

Medicaid's "Any Circumstance" Test for Trusts In case you missed the memo, Medicaid doesn't like trusts. The rules relating to…

SNT Trustee Ordered to Reimburse Some Conservator Expenses

2 years ago

SNT Trustee Ordered to Reimburse Some Conservator Expenses In Weidner v. Stevenson (Cal. App. 2nd Dist. May 13, 2024), Roberta…

SNT Payback Provision Enforced

2 years ago

In Agency for Health Care Administration v. Spence (Fla. App. 3rd Dist May 22, 2024) the Court of Appeals reversed…

Claim that Trustee Breached Fiduciary Duty Backfires

2 years ago

When someone accepts the position of trustee, he (or she or it) must act for the benefit of the trust…

Long-Term Care Partnership Policies

2 years ago

Long-Term Care Partnership Policies One example of good planning is purchasing long-term care insurance. The greatest risk to non-taxable estates…

Superior Court Review of Georgia ALJ Decision

2 years ago

In ____ v. Brock, Judge Schwall, Fulton County Superior Court), affirmed an administrative law judge's Final Decision as supported by…

Elder Law Attorney disbarred

2 years ago

On May 14, 2024, the Georgia Supreme Court entered an Order in The Matter of James W. Davis, III, disbarring…

Transfer-on-Death Deeds in Georgia

2 years ago

During the 2024 legislative session, HB 1247 morphed into SB 420, which passed both houses and was signed by the…

Modifying a trust can be a taxable event

2 years ago

On November 28, 2023, the IRS Office of Chief Counsel published a memorandum addressing whether modification of an irrevocable grantor…

Home purchased after nursing home admission was not an exempt homeplace

2 years ago

In a Texas case decided on May 3, 2024, the Texas Supreme Court reversed the Court of Appeals and trial…

Preliminary injunction granted barring state from terminating QI Medicaid

2 years ago

In Parker v. Louisiana Department of Health (April 30, 2024), the U.S. District Court for the Eastern District of Louisiana…

Promise of life estate, based on oral promise, could be enforced

2 years ago

In Farmer v. Farmer (decided March 15, 2024), the Georgia Court of Appeals reversed the trial court's grant of summary…

SSI Decisions finding no penalty where beneficiary over 65 funds a pooled trust sub-account

2 years ago

The federal Medicaid statute authorizes the use of individual self-settled special needs trusts for individuals under the age of 65.…

Example of Georgia Medicaid Lien Inquiry

2 years ago

If someone is receiving Medicaid and was injured through the negligence of others, Medicaid asserts a third-party claim against any…

CMS Announces Nursing Home Minimum Staffing Rule

2 years ago

[Note: Section 71111 of The One Big Beautiful Bill Act placed a moratorium on enforcement of the nursing home minimum…

Dementia alone does not prevent someone from executing a valid Will

2 years ago

In Creamer v. Manley, decided March 14, 2024, the Court of Appeals affirmed summary judgment upholding the validity of a…

Caveator deprived herself of standing by withdrawing her challenge to Will

2 years ago

On February 21, 2024, the Georgia Court of Appeals decided the case of In Re Estate of Anne Smith Florance.…

Social Security Revises Policy on Recoverying Overpayments

2 years ago

The Social Security Administration pays various benefits including retirement benefits, disability benefits and Supplemental Security Income. An overpayment occurs when…

Updated Georgia Penalty Divisor Effective April 1, 2024

2 years ago

Effective April 1, 2024, the statewide averaged nursing facility private pay rate used in determining the penalty period for institutionalized…

New Form Approving Special Needs Trust Accounting

2 years ago

Recently we received a document we haven't seen before which informs Medicaid recipients that their special needs trust accounting was…

SSI to Remove Food as In-Kind Support and Maintenance

2 years ago

On March 27, 2024, the Social Security Administration published a final rule in the Federal Register which changes its calculation…

Re-Post on the State of U.S. Government finances from David E. Hultstrom

2 years ago

The following is a re-post of David E. Hultstrom's Financial Foundations April 2024. You can reach Mr. Hultstrom at  770-517-8160.…

Washington Post Reports Assisted Living Facilities Using Algorithm to Set Staffing Levels

2 years ago

On April 1, 2024, the Washington Post published an article titled "Algorithms guide senior home staffing. Managers say care is…

New Report cites dangers in relying on data regarding quality of care in Assisted Living Facilities

2 years ago

In February 2024, Justice in Aging released a new report based on California’s “performance measure” data from the state’s Medicaid…

Special Needs Alliance publishes new Disability Handbook

2 years ago

Recently the Special Needs Alliance published a new handbook for individuals with disabilities and their advocates. The SNA states: "The…

2024 Federal Tax Rates

2 years ago

Each year statutory provisions require the IRS to adjust tax rates based on inflation. Although we're a bit tardy posting…

Notice of Residential Real Estate Broker Commissions Antitrust Settlements

2 years ago

Recently a notice was published concerning a class action where the Plaintiffs alleged that real estate brokers engaged in anticompetitive…

Are unborn embryos children?

2 years ago

Historically, unborn embryos have not been considered children. Recently, in LePage v. The Center for Responsive Productive Medicine, P.C., the…

Guardianship Evaluation is Admissible Regardless of Stipulation

2 years ago

Guardianship Evaluation In most cases I've been involved in, the evaluator's report is stipulated into evidence or the evaluator is…

Is a Community Spouse required to name the State as remainder beneficiary of an annuity?

2 years ago

A Petition for writ of certiorari in the case of Dermody v. Massachusetts Executive Office of Health and Human Services…

Georgia Medicaid Manual Updated with Transmittal 71

2 years ago

On November 17, 2023, Georgia issued Manual Transmittal 71, updating its Medicaid Manual, making technical changes to the following sections.…

Cost of Long-Term Care

2 years ago

For many years, Genworth has produced a Cost of Care Survey tracking the cost of long-term care in America. According…

Predict the Markets

2 years ago

We've posted some of David Hultstrom's thoughts before and here we go again since he says "Feel free to pass…

2024 SSI and Spousal Impoverishment Standards Announced

2 years ago

On November 14, 2023, the Centers for Medicare and Medicaid Services announced the 2024 SSI and Spousal Impoverishment Standards. The…

2024 SSI Amounts and Estimated Impact on Medicaid

2 years ago

Effective January 1, 2024, the federal Supplemental Security Income payment amount will increase by 3.2 percent. The amounts paid to…

Medicaid Questions: Am I Eligible?

2 years ago

Am I Eligible for Medicaid? Recently we were asked about the following fact pattern. Parent had multiple properties in different…

Georgia Adult Protective Services Manual

2 years ago

Georgia Adult Protective Services Authority for Adult Protective Services is found at O.C.G.A. § 30-5-1 et seq. The stated purpose…