In grandparent visitation dispute, Court must interview orphaned teenage minor regarding her interests
This case, B.J.P. v. K.F.W., involves the efforts by a minor’s paternal grandmother to obtain visitation rights with the child. The minor is a 16 year old whose mother is deceased Since 2004, she has been raised by her paternal aunt and uncle, but they did not adopt her. They were initially granted joint legal custody of the child with the child’s father in 2005 (and they had...
Block Grants Could Throw Elder Care into Chaos
Since the election, there have been serious plans put out there to radically alter the Medicaid program . Right now, while it can be hard to get Medicaid without guidance and assistance, if you meet the eligibility criteria you are entitled to receive certain statutory benefits under federal law. The benefits provided to every person on Medicaid are paid for through a combination of state...
Residence in Nursing Home not sufficient to defeat claim for Elective Share
The Medicaid program determines eligibility for a married applicant based on the amount of resources owned by the applicant and his spouse. If the community spouse dies first, the program will count as a resource the amount of assets that the surviving spouse is entitled to receive from the Estate to satisfy his claim for the “elective share.” If the individual fails to pursue his...
Food stamp eligibility saved; trust payments not “income”
In a recent decision by the New Hampshire Supreme Court, the Court ruled that trust payments to third party vendors were not countable as “income” to the trust beneficiary for purposes of determining her eligibility for food stamps. Petition of Kelly Hagenbuch.
The federal food stamp program (called SNAP in New Jersey) is available to individuals who meet certain income and asset...
Creating a safe home care plan for a loved one with dementia
For many senior citizens, being able to “age in place” and stay in their home is a really high priority. The obligation to use Medicaid dollars to support aged and disabled individuals in the least restrictive environment has been a cornerstone of federal policy since the Olmstead decision was issued by the Supreme Court in 1999. In addition to that there is the obligation to...
New “Medicaid numbers” available for 2017
If you regularly follow this blog, you know that there are resource limits and income rules for the Medicaid program for nursing home care, assisted living and in-home care benefits for individuals who are aged or disabled. Some of these Medicaid numbers are adjusted by the State of New Jersey each year. In addition, CMS adjusts certain Medicare numbers each year (premiums, deductibles and...
County Medicaid Agency Backs Off – Small Business Saved
Recently, a senior client who had a very small business that he ran by himself came to see me in a panic. He was just making ends meet. His spouse had been on Medicaid in a nursing home for several years, but the county board of social services was now questioning the nature of the business and whether it was a countable resource that should have been spent down. They were going to...
Act Fast to appeal termination of Medicare skilled care benefits
When a senior or disabled patient who is on Medicare transfers to a skilled nursing facility for “rehab” after a hospitalization (of 3 days or more), a treatment plan is developed based on the physician’s orders, which incorporates all of the skilled care services which need to be provided in an inpatient facility by licensed personnel. Medicare Part A will pay for up to 100...
Medicaid annuity planning is alive and well in NJ
When a person applies for Medicaid under the NJ MLTSS program after having made gift transfers during the most recent 5 years, there will likely be a penalty period in which Medicaid will not pay for the care that this person needs (unless the transfers were exempt, such as transfers to a spouse or disabled child). This transfer penalty is mandated by federal law, and the greater the amount...
Unsure about VA Burial? Now You Can Inquire in Advance.
Setting up meaningful funeral and burial arrangements is an important component of estate planning and end of life planning. Many veterans are unsure about whether they or their family members are entitled to burial in a VA Cemetery. Family members may not realize that VA burial is a possibility and may miss an opportunity despite the fact that service in the military was very important to...