Once you’ve disclosed all your resources to Medicaid, it’s up to the state to determine which ones are countable and which are non-countable. The term “non-countable resource” is defined quite narrowly. It only includes a very small list of specific assets that the federal government has said should be disregarded by the Department of Human Services. [Read More]
Watch Your Language: Countable Resource
If you’re asking Medicaid to help pay for nursing home care for a loved one, you’ll have to tell the state about everything they own. Everything. It’s the state’s job to determine whether they’re eligible based on the value of those assets that are considered countable resources. [Read More]
Watch Your Language: Community Spouse
In our last entry we talked about what it means to be the institutionalized spouse. But the mild-mannered spouse who is not in the nursing home has special “powers” and a special title to go with it: community spouse. [Read More]
Devils, Details, and Deadlines: Calculating the Penalty Period
If you can’t prove you didn’t make a transfer to get on Medicaid, that transfer becomes a disallowed transfer. And that’s bad because a disallowed transfer means a penalty period will be imposed, delaying the time you are allowed to receive Medicaid coverage for the nursing home. The real question becomes: how do you calculate the penalty period? [Read More]
The length of the penalty period depends on the value of the assets transferred.
Watch Your Language: Penalty Period
A transfer occurs anytime you sell, trade, or give away money or property. Sometimes a transfer is for fair value, such as when you trade in your car or buy groceries. Sometimes, though, you make a transfer without expecting anything in return – like a birthday or Christmas gift. This is called a disallowed transfer, and it means you will not be eligible for Medicaid for a certain period of time called the penalty period. [Read More]
Watch Your Language: Transfer
Seems obvious, right? In daily life, a transfer happens when property changes hands. You can transfer money between bank accounts or transfer germs between school children. In grilling and smoking, “transfer” means removing food from the grill or smoker. Unfortunately, it’s not that simple in the Medicaid world. [Read More]
You Need a Medicaid Guidebook – and an Expert Guide, too
Iowa Medicaid – sometimes called Title XIX (Title 19) – is a mashup of federal statutes and regulations, state-specific rule tweaks, and both formal and informal agency policies. The system itself is intricate enough, but then the individual case workers who process Medicaid applications don’t always apply the rules in the same way. It’s virtually impossible to navigate the maze without a guide. [Read More]
How to Take Control of the High Cost of Nursing Home Care
Nursing homes are expensive. Whether you’re looking at long-term care insurance well in advance of needing care or you’re visiting with the nursing home admissions office to move your elderly mother into her room tomorrow, you know that the out-of-pocket costs for nursing home care can quickly reach five digits. Paying $60,000 per year is not only likely, but it’s almost guaranteed. In the face of numbers like this, it’s only natural to despair. But you don’t have to feel lost as you face down the looming nursing home crisis. [Read More]
High Five: 5 Ways to Pay for Your Nursing Home Stay
Nursing home care is expensive, and it’s not going to get better any time soon. With the 2014 average cost of nursing home care reaching $169 per day in Iowa, 70% of people reaching age 65 this year can expect to pay about $123,370-$141,115 (or more!) for their end of life care. The question becomes, how do you pay for an expense that huge? [Read More]
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