Partial Cures: Assisted Living vs. Nursing Home

Partial Cures: Assisted Living vs. Nursing Home

  Using a partial cure is a planning technique only viable in an increasingly limited number of states.  Commonly referred to as a reverse half-a-loaf plan, the partial cure technique usually consists of the following steps, in a nutshell:   Applicant gifts entire net worth Applicant applies for Medicaid Medicaid assigns penalty period in light … Continued

The Death of the “Solely for the Benefit Of” Trust

  For years practitioners throughout the nation watched in envy as Michigan couples transferred their entire spend-down amount into a special needs trust solely for the benefit of a community spouse and immediately qualified for Medicaid.  The assets held in these “Solely for the Benefit Of” trusts, hereafter referred to as SBO trusts, were not … Continued

New Decision Supports the Name on the Check Rule

  The “name on the check” rule is the common guideline used by Medicaid in determining who owns income.  If a check is made payable to a particular individual, that individual is considered the owner of the income.  This guideline is most advantageous in cases involving married couples, where the institutionalized spouse owns an IRA. … Continued

What if Both Spouses are in a Nursing Home?

In a scenario involving a married couple, statistics show it’s usually the husband that will enter the nursing home first, while the wife continues to reside in the community.  However, on occasion both spouses will be in the nursing home at the same time.  The monthly costs incurred as a result of two nursing home … Continued

The Million Dollar Question: IRA Beneficiaries in Medicaid Planning

  In the majority of states an IRA is countable for both the institutionalized individual and community spouse.  In order to protect the IRA from a Medicaid spend-down and qualify the institutionalized individual for Medicaid benefits, a tax-qualified Medicaid Compliant Annuity may be purchased.  Two options exist to fund a tax-qualified Medicaid Compliant Annuity and … Continued

Zahner v. Mackereth: Short-Term Medicaid Compliant Annuities

  November 2014 Update: The oral argument has taken place.  We anticipate a decision in Spring of 2015.  Listen to the oral argument here.   June 2014 Update: The appellant’s brief has been filed, along with two Amicus Curiae Briefs.  Read more.   February 5, 2014, Update: The litigators will be appealing the Zahner decision.  I … Continued

Hughes v. McCarthy: Sixth Circuit Medicaid Annuity Win

In the recent matter of Hughes, et al. v. McCarthy, the U.S. Court of Appeals for the Sixth Circuit has reversed a judgment in an Ohio married couple case on the treatment of a Medicaid Compliant Annuity purchased by a community spouse. Since the case’s inception the Ohio Medicaid agency has been reorganized, which is why the case was formerly known as Hughes v. Colbert.

Medicaid Recipient Receives Inheritance

What can you do when a nursing home resident who has already qualified for Medicaid benefits receives an inheritance? The receipt of funds will disrupt program eligibility, assuming they cause the individual to exceed his or her countable resource limit. Several planning options to maintain program eligibility exist, one of which is to use a Medicaid Compliant Annuity.

Geston v. Anderson: Eighth Circuit Medicaid Annuity Win

In the recent matter of Geston v. Anderson, the U.S. Court of Appeals for the Eighth Circuit has affirmed a judgment in a North Dakota married couple case on calculating assets for Medicaid eligibility. Mr. Geston became a resident at a nursing home facility in July of 2010, while his wife continued to reside in the couples’ North Dakota home.

Name on the Check Rule Annuity Win: Jackson v. Selig

In May of 2008 Mr. Jackson entered an Arkansas nursing home while his wife, Mrs. Jackson, continued to reside in the community.  In February of 2009 Mr. Jackson purchased two single premium immediate annuities.  One of the annuities was an IRA annuity, and provided monthly payments to Mrs. Jackson under the “name on the check” … Continued