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MEDICAID: Asset Planning While Ensuring Eligibility

presented by NBI, Inc.
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Summary

MEDICAID: Asset Planning While Ensuring Eligibility

Workshop Description/Agenda

Safeguard the Financial Future of Elderly Clients

Middle class Americans seeking asset protection cannot afford to ignore the potentially devastating costs of nursing home and other long-term care. Nursing homes are among the most common and largest creditors an average American is likely to face in his or her lifetime, but only about 10% of the population has long-term care insurance. For the other 90%, Medicaid is the primary source of payment, so a basic understanding of the Medicaid asset protection process is vital for all professionals who work with seniors and their families. This course will provide an overview of asset protection concepts and strategies that elder law attorneys can use to legally and ethically protect assets while facilitating earlier Medicaid eligibility; and a set of crisis-management tools to prevent and correct inadvertent loss of benefits. Register today!

  • Learn what the resource eligibility requirements are when applying for Medicaid.
  • Protect your clients' interests by knowing what's exempt and what's not.
  • Guide clients through the Medicaid qualification process by knowing what's involved.
  • Employ the most practical and effective asset transfer methods to comply with the spend-down requirement.
  • Explore crisis planning methods to restore Medicaid benefits as quickly as possible.
  • Find out what waiver programs are exist and what unique opportunities they provide.

Agenda

11:00 am - 6:00 pm Eastern Standard Time

  1. Applying for Medicaid - The Four Eligibility Requirements
    11:00 - 12:00, Rachel A. Kabb-Effron
    1. Medical Eligibility - The Needs Assessment
    2. Resource Eligibility: Exempt vs. Countable Assets
    3. Income Eligibility
    4. Transfer Eligibility
      1. The Lookback Periods
      2. Transfers and Penalty Periods
        1. Transfer Penalty
        2. Penalty Beginning Date
        3. Partial Months of Ineligibility
        4. Monthly Maintenance Need Allowance (MMMNA) for the Community Spouse
        5. Annuity Transfer Rules and Tactics
        6. Estate Recovery Rules
  2. Pre-Need Asset Planning
    12:15 - 1:15, Rachel A. Kabb-Effron
    1. Medicaid Planning for Single vs. Married Applicants
    2. Transferring Real Property Without Jeopardizing Medicaid Eligibility
      1. When Does the Home Become a Countable Asset?
      2. How is "Intent to Return Home" Interpreted?
      3. Titling of the Home and Basic Homestead Issues in a Medicaid Planning Context
    3. Revocable vs. Irrevocable Life Estates
    4. Asset Valuation - Fair Market Value Under DRA
    5. Using Life Insurance to Spend Down
    6. Interstate Transfers
    7. Protecting Veterans Benefits
    8. The Gifting Powers in Powers of Attorney
  3. Crisis Planning and Assistance
    1:15 - 2:00, Thomas J. Murphy
    1. Asset Purchase Strategies Available in Most States
      1. Purchases
      2. Payments
    2. Asset Transfer Strategies Available in Most States
      1. How to Transfer Residence to Caregiver Child
      2. How to Transfer Residence to Sibling on Title for More Than a Year
      3. How to Transfer Residence Subject to Life Estate
      4. How to Transfer Residence Subject to Occupancy Agreement
      5. Caregiver Agreement Between Parent and Child
      6. Contesting/Appealing the Penalty Period Dates
  4. Trust-Based Medicaid Planning in Detail
    2:30 - 3:15, Thomas J. Murphy
    1. Choosing the Assets for Funding the Trusts
    2. Key Provisions and Sample Trust Language
    3. Self-Settled Trusts and Their Impact on Eligibility
    4. Using Income-Only Trusts
      1. Purpose of Using IOTs
      2. Principal Distribution Provision
      3. Taxation of IOTs
        1. Income Taxation and Tax Reporting
        2. Gift Tax and Reporting
  5. Using Special Needs Trusts - Sample Trust Review
    3:15 - 4:00, Thomas J. Murphy
    1. When Can SNTs be Used?
    2. Drafting an SNT - Common Mistakes to Avoid
    3. Documenting the Assets Transfer Into the Trust
    4. Choosing a Suitable Trustee
    5. Sample Special Needs Trust Document Review
  6. Medicaid Waiver Programs
    4:15 - 5:00, Debra L. Scott
    1. Waiver Overview and Purpose
    2. Nationwide Medicaid Waiver Program Comparisons
    3. Types of Medicaid Waivers
    4. Section 1115 Waivers and Demonstration Programs
    5. Section 1915(b) Waivers
    6. Section 1915(c) Community-Based Services Waivers
    7. Medicaid Waiver Programs for Disabled and Special Needs Children Including Children with ASD
  7. Applied Legal Ethics
    5:00 - 6:00, Debra L. Scott
    1. Avoiding Conflicts of Interest (Who is Your Client?)
    2. Dealing with Clients' Diminishing Mental Capacity
    3. Spotting and Preventing Elder Abuse
    4. Appropriate Client Communications
    5. Navigating through Family Conflict
    6. Setting and Collecting Attorney Fees

Who Should Attend

This focused legal course is designed for attorneys. It will also benefit accountants, social workers, geriatric care managers, trust officers, estate planners, and paralegals.

Additional Information

Training Provider: NBI, Inc.

Course Topics: Law Training > Health Care Law

Training Course Summary: MEDICAID: Asset Planning While Ensuring Eligibility


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