The 1.7% COLA increase in Social Security will be disregarded by SSI
Some people who are disabled receive a modest amount of Social Security Disability benefits and also receive Supplemental Security income (SSI). To be eligible for SSI, the total countable income in a given month must not exceed certain amounts that are set annually. If one receives at least a dollar of SSI, s/he can receive Medicaid for health insurance.
Effective January 1, 2015, the Social...
Medicaid isn’t the only program that requires a look-back
If you apply for Medicaid benefits to pay for long-term care in a nursing home, assisted living or at home, you have to be prepared for the grueling 5-year look-back, a process that can leave you in a quagmire as you search for answers to the most minute questions about the personal financial lifestyle of your household or the applicant you’re assisting. Medicaid is now being referred to...
MLTSS and You (and maybe your lawyer too)
Now that we know that expanded Medicaid is kicking off in a big way this month, with expanded eligibility and full integration of all the waiver populations and nursing home residents in the new Managed Long Term Services and Supports program, we need to start thinking about how this will affect clients’ particular interactions with Medicaid, the managed care organization (MCO) and...
It’s official: NJ Qualified Income trusts are needed for high-income Medicaid applicants as of 12/1/14
I am sure you’ve seen or heard about the changes coming to the NJ MLTSS Medicaid program with respect to applicants whose gross monthly income exceeds the “income cap,” which is presently $2,163. I’ve blogged about this over the last few months. Well it’s official now – the State has confirmed that December 1 is indeed the date in which this new procedure...
Federal Bill S2410 to benefit disabled children of US veterans
Legislation is pending in the Congress concerning the payment of a veteran’s survivor benefits. Under current law, a veteran’s survivor benefits which are payable to the veteran’s children must be paid directly to the beneficiary. If the beneficiary is disabled and is dependent upon other governmental benefits which are means-tested, this could cause the recipient to be...
NJ bill exempts reparations from estate recovery
Under federal and state Medicaid law, German reparations payments for Holocaust survivors are exempted from being counted as either “income” or a “resource.” Ideally, the Medicaid applicant has escrowed the reparations in a separately identifiable account, but this is by no means a requirement. By being exempt, these payments (1) are not counted when determining if a...
More on planning for a good old age
There comes a time in everyone’s life that they are slowing down in one way or another. Even the baby boomers are starting to face this. You may be working less — driving less — going out at night less often due to visual problems — avoiding large stores and shopping malls and shifting to smaller venues that are easier to navigate — and reducing the amount of...
Book Review: How to Care for Aging Parents
I recently read a book I wish I had written myself. It’s called How to Care for Aging Parents (3rd Edition) by Virginia Morris, and was published by Workman Press in its most recent update in 2014. I highly recommend this book to anyone who is stepping up to the plate to assist a parent in later life when physical frailty or dementia are the primary causes for concern. The child often...
Special Needs Trusts have to be Sole Benefit Trusts
If a person is disabled and cannot support themselves, they may need the support of government benefits over the long term to help with costs of housing, health insurance, transportation, residential services, and home health aides. If they then receive assets through a personal injury settlement, the impact of the settlement on their eligibility for benefits must be taken into account....
NJ Medicaid issues Guidance on new Qualified Income Trusts
I previously posted about the upcoming changes to the New Jersey Medicaid programs that pay for nursing home care and home and community-based services (HCBS) for people whose gross monthly income exceeds $2,163. This amount was formerly called the “income cap,” and people in that group could only receive Medicaid benefits in nursing homes. That was under the “Medically...