“Need for skilled care” is the Medicare standard for rehab payment
We are seeing an uptick in the number of fragile elderly patients whose post-hospital subacute Medicare benefits are being prematurely terminated due to lack of improvement. Before 2013, the insurance companies that were processing the post-hospital skilled care benefits under Medicare Part A were often using a “rule of thumb” whereby they would terminate benefits if the patient...
A handwritten Will may work …….. depending
A handwritten Will is called a “holographic Will.” In New Jersey, it is referred to as a writing intended as a Will. The baseline statute for what is a “Will” requires that for something to “be a Will” it must be (1) in writing; (2) signed by the testator or by someone else at the testator’s direction while the testator is consciously present, and (3)...
Memory Cafe and Support Group are Great Resources in Union County
Many of our clients are caregivers of elders with Dementia. They feel shut in taking care of their loved ones, never sure if they can go out together without incident. Well, here is one option: Jewish Family Services of Central New Jersey presents the Memory Cafe, on February 9th, March 23 and April 27th from 12 pm to 2pm at 655 Westfield Ave., Elizabeth, where individuals with dementia and...
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...