Elder Law News

The Medicaid program pays for nursing home care for financially eligible people. The program is administered by the State Division of Medical Assistance and Health Care Services (DMAHS), which delegates the application processing to the employees of the county Boards of Social Services (sometimes called county welfare boards). All of these people are government employees. They receive and...

If you are hiring someone to provide personal care services for a frail, aging or disabled person, you are probably comparing the “pros” and “cons” of “on the books” and “off the books” arrangements. State wage and hour laws require a household employer to pay into State unemployment and workers compensation systems for a person who is an...

When an individual resides in a nursing home and receives Medicaid benefits, the facility is paid an all-encompassing per diem rate which is designed to cover all of the costs of medically necessary services that the facility provides to the resident. There are times that a facility declines to provide some specialty service or equipment because of its extra cost, or the facility seeks...

For those of you who who are dealing with legal issues involving documents in foreign languages, whether on behalf of yourself or your clients,  one of my readers from the Language Alliance brought the following to my attention. She said that this on-line article could be of use to you:  Certified Document Translation for Estate Planning and Probate Attorneys, and Finding Intent in a Foreign...

A year ago,  the ABLE act was included in the Tax Extenders Package that was signed into law by president Obama. The ABLE Act is an amendment to section 529 of the Internal Revenue Code, which as you may know, provides for transfers into education funds whereby the income generated by the funds grows tax free. The ABLE Act provides a way for people who were diagnosed with a significant...

A person who receives SSI (Supplemental Security Income) or is applying for SSI needs to report their resources (assets), income and transfers or gifts that they have made. If the individual is under 65, they sometimes shield their excess resources by transferring them into a first-party Special Needs Trust for their own sole benefit, which enables them to have some money on the side for...

FRE-L attorneys frequently act as fiduciaries for people in need.  That could mean being someone’s Guardian, Conservator, Trustee or Durable Power of Attorney.  Some of the people we help have more functional ability than others.  You want to foster independence whenever possible but it can be very hard–as fiduciaries, we have to account to Medicaid, Social Security, the courts...

After a Medicaid long-term care application is approved and the Plan of Care (PoC) for  home and community-based services is approved (MLTSS-HCBS), the individual may be faced with a wait. The New Jersey Medicaid HMO’s that provide the services for the State of New Jersey are required by the State contract to have a deep enough provider pool to service the need. However, clients are...

New Jersey Medicaid has a program to deliver home and community-based services to people who meet the “institutional level of care” but would be able to remain at home as long as they receive an array of long term services and supports (LTSS). Examples of LTSS are: bathing, grocery shopping, meal preparation, feeding, dressing, safety supervision, and hands-on help with...

Senator Chuck Schumer introduced S-2427, the Disability Integration Act, on December 5, 2015,  to counteract discrimination in Medicaid funding which is disproportionately allocated towards nursing home services. One effect of the bill could be to force States to allocate funds within their Medicaid budgets for Home and Community-Based Services (MLTSS-HCBS) for Medicaid applicants who can...