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INTRODUCTION |
2006 SUPPLEMENT MEDICAID AND LONG TERM CARE IN MICHIGAN |
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Suppliment covers: Deficit Reduction Act of 2005, Effective Date, Look-Back Period, Divestment Penalty, Starting Date,
No More Rounding Down and Partial Transfers, Annuities, Limit on Homestead Value, Purchase a Life Estate,
Half A Loaf Lives, Conclusion. |
OBTAINING AUTHORITY |
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Chapter 1 covers: General Durable Powers of Attorney, Medicaid Durable Powers of Attorney, Durable Powers for Health Care,
Do-Not-Resuscitate Order form (PDF Document attachment), Guardianship and Conservatorship and Protective Order. |
SELECTING APPROPRIATE LONG TERM CARE |
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Chapter 2 covers: Independent Living, Retirement Communities, Senior Apartments, Subsidized Senior Housing,
The Assessment Process, Home Care: “Aging in Place”, Care Management, Assisted Living Facilities,
Adult Foster Care (AFC), Homes and Homes for the Aged (HFAs), Adult Day Care, Nursing Home,
Evaluating the facility, Forms of Payment, The Nursing Home Contract, Hospice,
Continuing Care Retirement Communities (CCRC). |
GOVERNMENT FUNDING OF LONG TERM CARE |
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Chapter 3 covers: Medicare-Nursing Home Care | In-Home Care, Medicaid-Nursing Home Care | In-Home Care,
MI Choice, Long Term Care Summary, Miscellaneous Programs-Home Help Program, The Michigan Aging Services System
(MASS), Program of All-inclusive Care for the Elderly (PACE), Miscellaneous Programs: Veterans Benefits. |
GETTING HELP |
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Chapter 4 covers: Area Agency on Aging, Michigan Long Term Card Ombudsman Program, Private Geriatric Case Manager,
Hospital Discharge Planner, Medicare Medicaid Assistance Program (MMAP), Other Helpful Resources. |
MEDICARE AND MEDICAID ELIGIBILITY |
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Chapter 5 covers: Medicare Eligibility, Summary of Medicare Skilled Nursing Facility Coverage, Summary of Medicare In-home Coverage,
Private Pay, Medicaid Eligibility, Income Test, Asset Test, Married Applicant, Jointly Held Assets, Snapshot Date, Exempt Assets,
Principal/Residence Income, Patient Pay Amount, Spousal Income Allowance, Divestment, Look Back for Transfers to Trust. |
MEDICAID PLANNING TECHNIQUES AND STRATEGIES |
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Chapter 6 covers: Gifting, Convert Countable Assets to Exempt Assets, Pay Family Members for Service,
Serial Divestment, Spousal Annuity Trust, Half a Loaf, Annuities, Retirement Accounts, Medicaid Application,
Annual Reporting and Post Approval Follow Up, Follow Up for Married Applicants. |
The three fact patterns on the pages that follow illustrate the planning techniques and strategies
described in this Chapter Six. The below Fact Patterns are PDF documents: Fact Pattern One | Fact Pattern Two | Fact Pattern Three
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THE FUTURE |
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Chapter 7 covers: State Reaction, Estate Recovery, Move to More In-home Community Based Care,
The Nursing Home Industry, Be Proactive. |
LONG TERM CARE INSURANCE |
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Chapter 8 covers: What to Look for in a Policy, Definitions and Explanations, Adequate Monthly Benefit,
Benefit Period and Policy Limit, Elimination Period (Waiting Period), Inflation Protection,
Guaranteed Renewable, Waiver of Premium, Major Covered Services, Tax Qualified,
Special Tax Situations, Self-Employed Taxpayers, Corporate Taxpayers, Comment,
Additional Benefits, Core Benefit Comparisons, The Cost of Waiting, Waiver of Elimination Period for Home Health Care, Enhanced Return of Premium Feature upon Death, Non-Forfeiture Provision, Shared Care Rider, Family Care Benefits,
Survivorship and Waiver Benefits, Additional Cash Benefits, Riders, Riders… Everywhere, Final Note |
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ACKNOWLEDGEMENT |
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We thank our clients for all that we have learned in the process of helping them.
Thank you to Sandra Reminga and the good people at Area Agency on Aging 1-B
for their valuable knowledge and input.
Thanks to Nida Donar of Citizens for Better Care for her help.
Many thanks to Deborah Rutti our graphic artist who always does such a great job
and to Margie Mackson and Carolyn MacMillan of Senior Solutions of Michigan, L.L.C. ;
the most caring and professional private geriatric care managers we know.
Also, thanks to James M. Knaus, CFP for his contribution of Chapter Eight on Long Term Care Insurance and for the humorous character names used throughout the book. |
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MEDICAID AND LONG TERM CARE IN MICHIGAN.
by P. Mark Accettura, Esq. |
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