200907.22
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Irrevocable Trust fails at Medicaid Planning

The Massachusetts appeals court recently held that even though an irrevocable, income-only trust expressly prohibited distributions of principal, other provisions in the trust could conceivably permit the trustees to invade trust assets, and thus the trust is countable for Medicaid purposes. Doherty v. Director of Medicaid (Mass. App. Ct., Essex, No. 08-P-939, June 18, 2009). In 2000,…

200805.27
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CMS Says Transfers to Pooled Trusts Subject to Transfer Penalties for those over Age 64.

The Centers for Medicare and Medicaid Services (CMS) have issued a new bulletin clarifying policy on the application of transfer of asset provisions to pooled trusts established by individuals age 65 and older. According to CMS, transfers to these pooled trusts are subject to transfer penalties for Medicaid eligibility purposes. The Bulletin says that States…

200803.18
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New Alzheimer’s Report

As many as 5.2 million people in the United States are living with Alzheimer’s. 10 million baby boomers will develop Alzheimer’s in their lifetime. Alzheimer’s is the seventh-leading cause of death. The direct and indirect costs of Alzheimer’s and other dementias to Medicare, Medicaid and businesses amount to more than $148 billion each year. $89 Billion of free family care-giving was provided to people…

200801.24
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Federal Medicaid Office Proposes Allowing Recipients to Direct Their Own Home Care

Now, the Centers for Medicare & Medicaid Services (CMS) has proposed a new rule that would give beneficiaries a cash allowance to hire, direct, and train their own personal care workers. Paid services could include help with preparing meals, household chores and other related services for independent living. You could even hire a family member…