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What is a Medicaid Trust, and How Can it Help Me?

If you are getting older, chances are that you have considered how you will pay for your long-term care needs should you need care in your home or in a facility. Long-term care is very expensive and it becomes more difficult to pay for if you will be relying on your savings or other assets.  Medicaid may be a viable solution, but first, you may need to consider placing assets into a Medicaid trust to protect your assets and qualify for Medicaid. Continue reading “What is a Medicaid Trust, and How Can it Help Me?”

CMS Orders States to Return to Normal Nursing Home Inspections

The Centers for Medicare and Medicaid Services (CMS) have ordered states to resume regular annual surveys of nursing homes and to once again investigate claims of abuse and neglect at these institutions. These investigations and surveys were temporarily put on hold due to the coronavirus pandemic but as states have begun returning to normal, more emphasis is being placed once more on ordinary operations. Thus, all the tasks that had been previously put on hold by CMS are now set to resume. Continue reading “CMS Orders States to Return to Normal Nursing Home Inspections”

What Happens if You Are Charged with Medicaid Fraud

Medicaid fraud is a persistent issue across the country, costing state governments billions of dollars every year. It was estimated in a report by PBS that nearly one in every ten Medicaid payments are in some way erroneous and potentially fraudulent. But what exactly is it, and what are you supposed to do if you get charged with it? Continue reading “What Happens if You Are Charged with Medicaid Fraud”

Medicaid Planning During the Coronavirus Pandemic

Planning for retirement while the coronavirus pandemic is ongoing may seem strange, considering how many people are simply struggling to make it through the current crisis. However, in some ways there has never been a better time to figure out how you intend to care for yourself in your later years, especially if you are approaching retirement age. If you are an older American and wondering how you will manage healthcare costs after you retire, you should consider Medicaid planning as part of your retirement plan. Continue reading “Medicaid Planning During the Coronavirus Pandemic”

Medicaid Home Care Services

A new law, recently passed by the New York State Legislature and signed by Governor Andrew Cuomo, will have a significant impact for anyone receiving Personal Care Services or Home Care services through Medicaid. Among these changes are the imposition of a “look back” period for determining whether a person meets the requirements to be eligible for the Medicaid Home Care program. Previously, there was no “look back” period for the Medicaid Home Care program. There are also changes to services under the Consumer Directed Personal Assistance Program (CDPAP) and Personal Care Services (PCS). All these changes will be effective April 1, 2021. Continue reading “Medicaid Home Care Services”

Guildnet Closes Its Doors

On August 21, 2018, Guildnet CEO, Alan R. Morse, notified employees that the company will be closing its doors as of December 1, 2018, leaving New Yorkers in need of managed long-term care (MLTC) services at a disadvantage. The Guildnet program was designed to offer therapeutic/medical care, home healthcare services, case management, and medical equipment to those who qualify and will be in need of the provided services for a minimum of 120 days. Guildnet announced that by January 1st of 2019, all medical services to their 8,211 managed long-term care members will be terminated. United Healthcare, who until recently offered a partial MLTC plan, will also be pulling out of several counties in up-state New York by February of 2019, affecting nearly 1,500 enrollees who are said to be notified of these changes by November.
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Determining Medicaid Eligibility

Medicaid is a joint federal and state public assistance program that provides health insurance to low-income Americans, regardless of age, and is based on financial need and hardship. This program is publicly funded through taxes that are collected from each working individual.
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Expect to Pay More for Home Health and Assisted Living Costs

According to the most recent data from the U.S. Census Bureau, there were 2,797,589 people in New York who were aged 65 and over in 2016 which is 14.6% of the state’s population. Compare that number to 2015, when 2,724,135 seniors lived in New York State (14.3% of the population), and 2014 (2,655,913 people ages 65 and over, 14.0% of the population). Continue reading “Expect to Pay More for Home Health and Assisted Living Costs”

How Joint Accounts and Gifting Affect Medicaid Eligibility

As individuals begin to age, long-term care services and how to finance them become major concerns. Many turn to Medicaid to pay for their long-term care needs. Medicaid is a joint Federal and State funded program that provides medical insurance and long-term care payments on behalf of middle- to low-income individuals, including those who are elderly and disabled. However, since Medicaid eligibility is determined by the combined value of income and assets, gifting money and joint accounts may impede a person’s ability to secure Medicaid benefits.

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What is Medicaid Fraud?

There are several types of Medicaid fraud, such as those who receive Medicaid fraudulently. Medicaid recipient fraud may include an applicant falsifying information on the application and certification failure to disclose information about income and assets owned, and the failure to disclose income earned by a spouse or other household member. Other activities that can be deemed as fraud are loaning another person their Medicaid identification card, changing or creating a falsified order or prescription, using more than one Medicaid identification card, deliberately receiving excess, duplicative or conflicting medical service and/or supplies, and selling Medicaid-provided supplies to others.

Continue reading “What is Medicaid Fraud?”