Recently in Medicaid Look Back Period Category

May 27, 2008

Can Grandpa Take His Machine Gun to the Nursing Home?

What happens if Grandpa needs to Nursing home coverage and he owns a Class3 weapon like a Machine Gun?

Class 3 weapons or those controlled by the National Firearms Act are not exempt assets when it comes to Medicaid Planning.

There are ways to preserve these assets for your family but it involves converting the asset from an exempt asset to a non-exempt asset. On my other blog, Gun Trust Lawyer I wrote a Gun Trust Information article addressing this issue.

If you or your family has a person who needs nursing home coverage and they have war relics which may include a Machine Gun you should Contact a Florida Estate Planning Lawyer to discuss your situation.

March 25, 2008

Florida and The Medicaid Look Back Period -"Why you Can't Just Give It All Away"

Florida and The Medicaid Look Back Period -"Why you Can't Just Give It All Away"

Many people simply try to give their assets away to their children in an attempt to safeguard their estate. The Medicaid people have caught on to this. Many years ago, a popular planning technique was to transfer your assets into an irrevocable Medicaid Trust. This technique attempted to move your assets out of your name and control so that the would not be counted towards the asset test. Now any transfer to a Florida Revocable Trust is a disqualifying transfer for Medicaid purposes.

In 1993, the federal government partially closed this loop hole. Prior to February 2006, there were "look back" periods of 36 months or 60 months. Florida implemented these guidelines as of November 2007. This means is that if you have transferred assets to anyone other than your spouse (for less than value) within 36 months of applying for Medicaid, you will be denied Medicaid benefits and subject to an exclusionary period. The exclusionary period is equal, in months, to the dollar amount of the transfers divided by the average cost of a month of nursing home care (currently $3,300.00 in Florida). It is important to note that this number was rounded down and the exclusionary period was calculated from the date of the gift.

In February of 2006, the law changed! The Federal government has radically altered Medicaid qualification with the passage of the Debt Reduction Act of 2005 (DRA 2005). This law only applies to any transfer of assets after February 8, 2006 though the Department of Children and Families will enforce these and the other provisions of DRA 2005 only on asset transfers after November 2007. The "look back" period is now five years (60 months) for everyone. If you have transferred any assets for less than fair market value after November 2007, they will sum up the total of the transfers and divide by $3300. The resulting number is the number of months that you are disqualified from receiving Medicaid benefits from the time you apply for Medicaid. While it is impossible to know who will have a long term care event five years before it happens, do not transfer any assets after February 8, 2006. This includes gifts to your children, a charity or a church. You could be in a nursing home and private pay for three years (roughly $220,000) and still be denied benefits because you gave your church $5,000 four and a half years ago! Furthermore, DCF will no longer round down. This means any gift, no matter the value, will result in a disqualification period!

Gifts or transfers prior to November 2007 can be remedied by time. The current rate is $5000 for each month. You should Contact a Florida Estate Planning Lawyer to discuss how your specific needs are affected by any transfers.

Transfers include adding children's names to the title of assets such as deeds or bank accounts, removing your name from the title of an asset, or simply giving your children a check.

* Example: John adds his adult children, Beth and David, to the deed to his house within five years (60 months) of applying for Medicaid. The house is worth $132,000. Providing John remains on the deed as well and resides in the house, his portion would be exempt (Homestead). However, the portion transferred ($99,000 or 2/3 of $132,000) would not be exempt providing that the children did not reside with her and provide care for her. Thus, John would be denied benefits for a period of 30 months ($99,000/$3,300) from the time of application. Remember, the homestead is not counted. It is exempt. So there is no need to transfer it to your children.

Often clients do these types of transfers to avoid probate. There are other ways of accomplishing the goal of avoiding Florida Probate without risking the Medicaid ineligibility.

If you are a concerned relative or friend of an elderly person and need help with Florida Estate Planning, Elder Law, or Medicaid and are in the Jacksonville, Orange Park, St. Augustine, Fernandina Beach areas of North Florida, you should Contact a Florida Estate Planning Lawyer to discuss your Medicaid and Florida Estate Planning needs.

March 6, 2008

Florida Long Term Care Insurance Backfires

Many individuals have long term care insurance to help with nursing home and assisted living costs. Generally long term care insurance is considered a good investment when individuals are healthy can afford the premiums. Rarely does having long term care insurance lead to a negative result.

Things might have changed in Florida with outcome of a recent caseRosenshein v. Florida Department of Children (Fla. Ct. App., 3rd Dist., No. 3D07-989, Oct. 24, 2007). The Appeals court agreed with the state's determination that payments received from a long-term care insurance policy are income. This income can create an ineligibility for Medicaid benefits.

What does this mean for your current long-term care policy? Should you abandon long term care insurance to help pay for nursing home costs? I don't think so. You do need to evaluate the way in which your policy is written and how benefits are paid to avoid this type of outcome. If you would like your long-term care policy reviewed you should Contact a Florida Estate Planning Lawyer to review your policy in light of the outcome of Rosenshein v. Florida Department of Children.

This topic was covered by SeniorLaw Link on December 17, 2007 in an article by Richard Shea, a CT Estate Planning and Elder Law Attorney

November 19, 2007

Do it yourself Estate Planning: Bad News Part 4

Jacksonville, Jacksonville Beach, PVB, Ponte Vedra Beach, Orange Park, Florida WillProfessor Gerry W. Beyer author of the Wills, Trusts, & Estates Professors Blog, as reported on a mistake in estate planning where a "Do it Yourself" Estate Plan Backfires. In this case a mother who did not hire her own estate planning lawyer made a number a big mistake that ended up causing problems withe Medicaid eligibility.

The mother, a widow, was worth 500K. Her home is worth 400K and has 4 children. After her daughter and son-in-law declared bankruptcy and moved in with her, they suggest buying her home. Unfortunately the home was not transfered at fair market value, and the mother made part of the purchase a gift. Mom ended up not having assets to split between the children like she had intended, and if she needs to qualify for medicaid within 5 years she will be disqualified.

Some other examples of Do it your self wills and bad news are covered in my articles listed below

Do it Yourself Wills? More bad news and
Do it Yourself Wills? a Good Idea or Not?
Do it yourself Estate Planning: Bad News Part 3

A common mistake found in Florida Probate cases, is where Florida homestead, property that is exempt from probate, is changed to real property and subject to claims of creditors and not exempt from probate.

If you have used software, a form, or an online service to prepare your will, you should have it reviewed by a Florida Estate planning Attorney for potential problems.

October 26, 2007

Medicaid Application: What to do first?

Jacksonville medicaid Lawyer, Jacksonville Elder Law Lawyer
There have been many changes in the eligibility requirements for Medicaid. One of the most significant is that penalty periods and ineligibility periods begin from the date of application. It is for this reason, that you should have your documents reviewed by a Jacksonville Florida Elder Law Lawyer who works with Medicaid applications. As many posts of this blog have stated, the rules, and laws changed significantly in 2007. It is for this reason, you should not rely on books in print, friends, or family. It is highly unlikely that they have the experience necessary and have dealt with the new policies an procedures.

Michael Keenan of the Connecticut Elder Law Blog has begun a series which discusses How to Get Organized Before Filing Your Medicaid Application. I would suggest reading it and even if you are not a technically oriented person, make a copy and show it to your family or Florida Elder Law Attorney. Perhaps they can scan or help organize the documents for you.

October 15, 2007

Florida Medicaid: How does your state compare

Jacksonville Florida Medicaid Lawyer PlanningAs a Florida medicaid Planning Lawyer, clients often ask about coverage, eligibility, and benefits in other states. I ran across an article entitled A Ranking of State Medicaid Programs on the Public Citizen website.

Here is a link to the overall ranking of states by Score Florida Ranks 26th If you would prefer this is a ranking by state name.Use this link for some details on Florida . You might be surprised to know that Florida ranks 4th on Quality of care.

July 4, 2007

Jacksonville Living Will Seminar

Jacksonville Estate Planning Law Firm will continue it community service project by adding 3 Living Will Seminars in the month of September. This program provides Free information and the chance to create a free Florida Living Wills, Florida Designation of Health care Surrogate, and a Hipaa Release.

Jacksonville, Jacksonville beach, Ponte Vedra Beach, PVB-on-beach.jpgOn September 11, 2007 at 11 A.M.
Riverview Center
Attn Ms Annie Henderson
9620 Water Street
Jacksonville, Florida 32208
(904) 765-7511

On September 18, 2007 at 11 A.M.
Wallace Small Center
Attn: Ms. Gloria Gregg
1083 Line Street
Jacksonville, Florida 32209
(904) 630-0724

On September 26, 2007 at 11 A.M.
Longbranch Center
Attn: Ms. Margaret Hampton
4110 Franklin Street
Jacksonville, Florida 32206
(904) 630-0893