Watch Your Language: Grantor
The grantor is the person who creates a trust. No matter what type of trust you have, the grantor is always in charge because they set the trust’s terms. [Read More]
The grantor is the person who creates a trust. No matter what type of trust you have, the grantor is always in charge because they set the trust’s terms. [Read More]
The trustee manages trust assets, but the grantor is the person who’s really in charge.
Medicaid only cares about your finances on a specific date.
Medicaid only cares about your finances on a specific date.
When you first submit a Medicaid application for nursing facility care (and Elderly Waiver, in Iowa), DHS takes a “snapshot” of your financial status as of the date you first moved into the nursing home. This is called the “snapshot date.” [Read More]
Need proof that the Medicaid rules are confusing? Consider: an “asset” and a “resource” are not the same thing.
In the Medicaid world, the term “asset” is used when discussing Medicaid’s transfer penalty rules. As a result, “asset” includes both income and resources. [Read More]
A resource is one of the three important elements in determining Medicaid eligibility.
The third test in the Medicaid application process considers whether the applicant has too many resources. But what is a resource?[Read More]
The Deficit Reduction Act of 2005 spread changes to the Medicaid rules over hundreds of pages of the federal code.
In 2005, Congress passed legislation which, among many, many other things, changed the way a Medicaid applicant’s resources and past transfers are considered. This bill is called the Deficit Reduction Act of 2005 and was signed by the President on February 8, 2006.[Read More]
If you thought the IRS was hard on your income, look at how Medicaid treats it.
The Medicaid definition of “income” comes from federal law and reads as follows: Income is “[a]nything a person receives either in cash or in kind that can be used to meet the person’s basic needs of food, clothing, or shelter.” [Read More]
Here’s how the Iowa Medicaid manual describes an attribution: “When one spouse enters a medical institution or applies for a home- and community-based services waiver, […] resources are attributed to the ‘community spouse’ to protect sufficient resources for the community spouse’s maintenance.” What does that mean in normal english? [Read More]
Medicaid is in charge of dividing the pie between you and your spouse.
The primary classification of assets under the Medicaid rules is whether an asset is countable or non-countable. But there’s a special class of resources that is both countable and non-countable – an exception to the general rule: the unavailable resource. [Read More]
Sometimes resources are both countable and non-countable at the same time.
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]
Non-countable resources are exempt – they’re not used to determine eligibility.
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]
Medicaid eligibility hangs on the value of your countable resources
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