Feds announce new Medicaid/Medicare rule banning arbitration clauses in nursing home contracts
Effective in November, 2016, mandatory arbitration clauses in nursing home admissions contracts will be prohibited for all nursing homes which accept federal Medicaid or Medicare dollars. This is a dramatic shift in the landscape which will enable injured parties to decide whether to pursue their negligence claims or other claims through the civil courts or through binding arbitration....
VA Appeals Modernization Act of 2016 and Related Bills
There are a number of bills that have been introduced both at the House and Senate to modify the procedure by which veterans or claimants can dispute a decision from the Department of Veterans Affairs .
H.R. 5620: VA Accountability First and Appeals Modernization Act of 2016 was recently passed before the House of Representatives and will be voted on at the Senate. The link to GovTrack above...
Start your long term care planning before the reverse mortgage is used up
I have encountered the following crisis too many times. A frail elder is living at home, and since the home is safe and nice, is happily aging in place. Once the homeowner reaches the point of hiring a home health aide, they start using up their savings. At that point, they place a reverse mortgage on the home. This provides a significant amount of cash that can be drawn out month after...
Some trust assets may disqualify a Medicaid applicant
One friend tells another, “Put your assets in a trust so the nursing home won’t take them.” But this technique isn’t necessarily the “magic bullet.” The concept of countable assets and resources is broader under Medicaid law than it is under some other bodies of law. Placing your assets into a trust structure might avoid some problems — like probate...
New Jersey’s Medicaid agencies are imposing extra unpublished requirements for “caregiver child” house transfers
Federal and State Medicaid law allow the transfer of an applicant’s home to his/her “caregiver child” without imposing the usual penalty for that transfer. But what does it take to be a “caregiver child?” There is an alarming trend we are seeing. County Medicaid agencies are imposing penalties when houses are transferred to such children, citing factors which the...
Testator’s hostility toward the heir he excluded doesn’t necessarily invalidate the Will
In the recent case of In the Matter of Estate of Jameson , the New Jersey Appellate Division reiterated that there are limited bases to set aside a duly-signed Last Will and Testament. Kenneth Jameson’s Will disinherited his daughter and made various strongly-worded statements about his feelings about her alleged behavior toward him and about her relationship with someone of a...
Texas is trying out Supported Decision-making as an alternative to guardianship
The law allows a Court to appoint a legal guardian for a person who is incapacitated. An Incapacitated Person is defined in NJ as someone who by reason of mental illness, intellectual disability, physical illness, physical disability, chronic drug or alcohol use, or other cause, “lacks sufficient capacity to govern himself and manage his affairs.” Since we are dealing with the...
The Secret Life of Pet Trusts is a Heartwarming Tail!
A few weeks ago, I took my kids to see The Secret Life of Pets. It was cute, fun and the kids loved it. Of course, when I take my kids to the movies, my elder law brain has to go with me. So, spoiler alert, there was a pet in the movie who had an older owner who had died. This put the pet in a vulnerable position. Wacky hi-jinks ensue, and all is well at the end. But my brain goes to, wow,...
Camp Lejeune Presumption of Service Connection Proposed Regulation
On September 9, 2016, the Department of Veterans Affairs (DVA) proposed regulation governing the presumption of service connection for veterans stationed at Camp Lejeune, North Carolina, between August 1, 1953 and December 31, 1987. A link to the PDF copy of the proposed regulation can be located at https://www.gpo.gov/fdsys/pkg/FR-2016-09-09/pdf/2016-21455.pdf
The DVA set a thirty (30) day...
Behavioral Therapy Techniques Show Promise for Alzheimers’ Patients
If you are caring for a person with Alzheimers’ dementia, you are probably seeing a number of behavioral changes that are difficult to understand and challenging to respond to. These are sometimes called “neuropsychiatric symptoms,” and they span the spectrum from apathy and depression to wandering, disinhibition, irritable verbal onslaughts, agitated pacing, and...