More reasons to consult with a lawyer when filing for Medicaid
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...
Pitfalls of hiring home care workers off the books
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...
Nursing Home resident on Medicaid gets second chance to win her bid for a medically necessary power wheelchair
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...
Help is available with legal document translation
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...
Social Security procedures created for ABLE accounts
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...
SSA issues emergency memo re: Notice to recipients of Special Needs Trust problems
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...
True Link a Possible Solution for Many Fiduciary Problems
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...
VA Hearing Loss Evaluation – Self-Created DBQ (Disability Benefits Questionnaire)
On numerous occasions, veterans have expressed frustration to me concerning discrepancies between their VA-conducted Compensation and Pension Examination (C&P) and private audiologist-conducted hearing evaluation.
Normally, disputes between level of disabilities can be resolved with the private physician completing a VA-published Disability Benefits Questionnaire (DBQ) for the condition in...
Medicaid Eligibility – What if the Services aren’t delivered?
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...
The application for Medicaid Home Care Services is Just the Beginning
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...