Elder penalized for wages paid to family caregiver, due to insufficient evidence
When a person applies for Medicaid to pay for home care or nursing home care, a penalty will be imposed if assets were given away during the preceding five year “look-back” period. There are numerous regulations in federal and state law concerning “uncompensated transfers,” which are gifts. A “gift” is distinguished by law from a “payment for goods...
What if the Medicaid home care services aren’t provided? part II
Previously I blogged about the problems faced by Medicaid-eligible people living in home and community-based settings when there isn’t a sufficient provider network to provide the services needed to maintain them in their residences, or there is substantial delay in getting the services started. The issue is that the government is obligated to provide the services in the...
When the caregiving ends, new problems to tackle as Executor
In our legal practice, we advise many family caregivers who are managing and supporting the lives of their frail loved ones, and we also advise executors in the administration of estates. Very often, the person who was our client in their role of caregiver is now the client in the role of executor. It’s a very tender time when that transition occurs.
They may have spent years involved...
It could happen here — wages paid for caregiver services can be treated as gifts
A recent appellate case in Michigan involved a Medicaid applicant who was paying a private home caregiver during the years just preceding his Medicaid application. The employee was not related to him. He paid a rate that was reasonable and necessary to maintain him at home. However, there was no advance written contract for the work to be done. When she applied for Medicaid benefits, all of...
“I am spending so much time caring for him that I can’t take care of myself.”
A few days ago, I overheard a conversation between two women who I think are in their 80’s. Evidently, the husband of one of them has been ill for about a year. It sounded like among other things, he may have diabetes mellitus that has progressively caused deterioration including retinopathy (impaired and blurry vision) (“he can barely see” and “I have to give him his...
The V.A. permits family caregivers to be paid, but watch out if applying for NJ Medicaid
The Veterans Administration provides a Pension and Aid and Attendance benefit for wartime veterans or their widows/widowers who have low assets and whose income is below the MAPR after deducting their uncompensated monthly health care expenses. Throughout the country, vast numbers of elders are being cared for by family members. Often those family members have given up their fulltime work...