Jump to content

Medicaid


Recommended Posts

1 hour ago, Horn_Spanker said:

Is there a way for an elderly person to receive long term care via Medicaid without liquidating all their assets?  

Mom needs a home, will probably live less than 5 years, and I don't want to sell her house.

Do you mean Medicare?

Link to comment
Share on other sites

Found Medicare doesn't do long term nursing care.  Only short (20 day) stints are care facilities, like rehabs. 

Back in the old days, elderly parents would give all their assets to the children, and then go to Government paid long term care.  Government figured out the loophole and now says, there has to be five years between the liquidation and nursing home.  Hense, my referral that mom won't last another five years.

Medicaid will do long term, but I need to know how poor you have to be?

Link to comment
Share on other sites

On 12/15/2020 at 6:32 PM, Horn_Spanker said:

Is there a way for an elderly person to receive long term care via Medicaid without liquidating all their assets?  

Mom needs a home, will probably live less than 5 years, and I don't want to sell her house.

https://www.medicaidplanningassistance.org/medicaid-eligibility-texas/#:~:text=2020 Texas Medicaid Long Term Care Eligibility for,%244%2C698 %2F month 2 more rows

 

Check the above.   

Also,  consider consulting an Elder Law Attorney.    Can't recall Surly Attorneys that specialize,  hopefully @TwiceHorn knows.  @hornian  ?

  • Hook 'Em 1
Link to comment
Share on other sites

41 minutes ago, torre said:

https://www.medicaidplanningassistance.org/medicaid-eligibility-texas/#:~:text=2020 Texas Medicaid Long Term Care Eligibility for,%244%2C698 %2F month 2 more rows

 

Check the above.   

Also,  consider consulting an Elder Law Attorney.    Can't recall Surly Attorneys that specialize,  hopefully @TwiceHorn knows.  @hornian  ?

I don't recall an elderlaw specialist here.  I do know Ian does some estate planning and maybe is up on the elderlaw stuff.

Thankfully, my parents didn't need anything extreme and were well off.  My knowledge of estate stuff comes from having probated both their estates and planned my own, along with being privy to theirs.

Link to comment
Share on other sites

10 hours ago, royiv said:

Any long term care facility that accepts Medicaid is not a long term facility that you want your mother in. Medicaid reimbursements are terrible so those facilities have to cut major corners to stay afloat.

 

10 hours ago, CooterBrown said:

Sell the house. The profits are hers for her care. What you want to do with the house is way down the list.

Agree with both of these. The only other realistic alternative is to find a live-in helper.

Link to comment
Share on other sites

12 hours ago, torre said:

https://www.medicaidplanningassistance.org/medicaid-eligibility-texas/#:~:text=2020 Texas Medicaid Long Term Care Eligibility for,%244%2C698 %2F month 2 more rows

 

Check the above.   

Also,  consider consulting an Elder Law Attorney.    Can't recall Surly Attorneys that specialize,  hopefully @TwiceHorn knows.  @hornian  ?

For elder law, I would point you to Lindsey Drake in Austin. 

  • Hook 'Em 2
Link to comment
Share on other sites

Medicare is not an option for long term or nursing home care.

Medicaid is essentially a welfare program for those without financial means to pay for their own care, whether that is traditional healthcare or long term / nursing home care.

The government will means test your mother's financial situation to determine if she qualifies.  They will/can also perform a look-back to determine if she has disposed of assets in an attempt to qualify for the aid/welfare when otherwise not eligible.  They do this to prevent someone from transferring assets in order to appear destitute and receive "free" care.

They means test both income and assets.  One could qualify for Medicaid (healthcare) and exempt their primary residence in that means testing.  However, when it comes to Medicaid and long term care - the assumption is that the home is no longer the primary residence and thus the value of the equity in the home becomes part of the equation.

Medicaid has its own limits and exclusions, but states may default to a higher limit.  It is geographically dependent.

Depending on the equity in her home, whether she has a full or divided interest in that equity, and if there are any other extenuating circumstances like a spouse or disabled person living in the home - it may or may not need to be sold.  Those proceeds might have to be spent down on her care before Medicaid kicks in.

There can also be a recovery of benefit costs against the estate by the state after the Medicaid recipient dies.

Bottom line is that it is complicated.  If you want to keep the home and she does not have the means to pay out of pocket for her long term care, then the advice about about seeking legal assistance is correct. 

It is often a highly emotional subject, the quality of her care is at stake, and there are moral considerations / legal ramifications regarding accepting welfare assistance if the money is otherwise available to pay for that care.

 

  • Hook 'Em 1
  • Like 2
Link to comment
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.

Guest
Reply to this topic...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.



×
×
  • Create New...