Federal Law limits involuntary discharge of nursing home residents
The federal Nursing Home Residents’ Rights Act protects residents against arbitrary, involuntary discharge by specifying only 6 grounds for discharge..And above all, even when one of those 6 bases exists, a nursing home also has the duty to make a safe discharge. A nursing home cannot involuntarily transfer a Medicaid resident unless there is another placement available which is...
Protecting the family business as the owner ages
“Business succession planning” sounds like a concept for multi-millionaires, but if you have worked your whole life to create and sustain a small business which is loved by your community, you may feel worried at the prospect of what will happen to the brand you’ve built up through all your hard work. As a senior business owner, your business may be a delicatessen, or a...
Special Needs Fairness Act signed into law by President Obama
Today is a good-news day for people with disabilities who want to set up a Special Needs Trust to preserve their eligibility for critical benefits: the President has signed the Special Needs Fairness Act — S349 — into law. . Since 1993, an applicant or recipient of Supplemental Security Income (SSI) or Medicaid (now MLTSS in New Jersey) has been able to shelter their excess...
Save your receipts and bills for five years, for the look-back
If medical catastrophe strikes and someone in your family needs nursing home care, they may want to apply for Medicaid to pick up those costs. The regulations are complex, but there are lots of legal strategies that we use to help a person become eligible and to protect the rest of the family at the same time. The process doesn’t stop there, though. The applicant has to prepare and file...
Family Trusts to protect assets for the next generation
Has this happened to you? There is often a point in a person’s life when he looks at his children and grandchildren, starts thinking about how hard he worked to build his house or his business or his savings and investments, and wonders as he ages whether he will be able to still provide a financial legacy for his children. In particular, he may be worried that if he ever develops...
Leaving employment after 65? Check into Medicare Part B right away.
Just recently someone asked me why she was being permanently surcharged on her Medicare Part B premiums. She had worked beyond age 65 When she stopped working, she then elected to pay for insurance continuation under COBRA. She started to receive her Social Security, and automatically began receiving Medicare Part A, but opted out of Medicare Part B until after her COBRA benefits ran out....
CMS Rule banning arbitration clauses is blocked for now
A few months ago we wrote about a new rule issued by the Center for Medicare and Medicaid Services (CMS) that banned pre-litigation mandatory arbitration clauses in the admission contracts of nursing homes that receive federal Medicaid or Medicare dollars. A group of five organizations filed suit in federal district court in Mississippi, asking that the regulation be invalidated on the basis...
Person under Guardianship still has the right to vote
When a Court enters an order in a guardianship action that finds a person to be “incapacitated,” the Court is required in New Jersey to consider the functional areas in which the person needs or does not need a surrogate decision-maker, and must fashion the least restrictive arrangement that is consistent with the individual’s best interests. The Court can structure the...
Homemade Powers of Attorney can create expensive legal problems
I ran into a situation recently that I thought I’d share with my readers since it’s the type of thing that happens over and over again. The Elder person is living in New Jersey but owns real estate in another state that needs to be listed or sold because he is applying for Medicaid to pay for his nursing home. The person has Alzheimers Disease and no longer has capacity to sign...
Medicaid penalty imposed when life tenant received no proceeds of the home sale
A “life estate” in property is an interest that has a quantifiable value. If ownership of property can be thought of as giving the owner a “bundle of rights,” the life estate is a partial ownership of that bundle. For instance, the owner of property has the right to sell it, improve it, demolish it, rent it, give away a partial interest, and reside in it. The life...