Medicaid & Medicare

September 12, 2023

Buyer Beware: Choose Your Medicaid Application Support Wisely

No one looks forward to applying for Medicaid. It’s a complex and grueling process, the rules are always changing, and there are so many things that can go wrong.

Unfortunately, as is often the case, there are companies that are only too willing to take advantage of this situation. These companies claim to be able to process your Medicaid application at a low cost. But these non-attorneys may cause their customers great harm – putting Medicaid applicants at risk for a number of serious issues including denial of eligibility, severe tax liability, loss of spousal assets and other situations that may threaten the client’s life savings and other assets.

Often it is a nursing home that refers Medicaid applicants to these companies, so there is the very real possibility of a conflict of interest.

May 15, 2023

Medicare versus Medicaid – What You Need to Know

by Czepiga Daly Pope & Perri LLC

Elder law attorneys are often asked by clients about the difference between Medicare and Medicaid. While the names of these government-sponsored programs sound very similar, each has a distinct purpose and serves a specific audience.

MEDICARE is a federal health insurance program. No matter what your income is, you can obtain Medicare benefits if you are 65 and over, or have a qualifying disability. The program is not free – you must pay part of the costs through deductibles for hospital stays and you must pay monthly premiums for coverage.

MEDICAID is a federal and state financial assistance program for people over 65, people with disabilities, children, pregnant women and parents of eligible children. To be eligible for Medicaid benefits, individuals from these groups must also have low income. Because it is run jointly by the state and the federal government, rules and eligibility requirements vary state by state.

February 13, 2023

Beware: Changes That Could Affect Your Medicaid Eligibility if You Don’t Act

by Czepiga Daly Pope & Perri LLC

On March 31^st, a change to Medicaid eligibility that was brought about by the onset of COVID-19, is scheduled to come to an end.

A federal policy that had allowed states to temporarily suspend redetermination – the process by which renewal of Medicaid benefits for recipients is reconfirmed – will stop.

Further, the Medicaid continuous coverage requirement will no longer be contingent to the end date of the COVID public health emergency.

January 10, 2023

Paying Your Family to Care for You May Not Impact Your Medicaid Eligibility

by Czepiga Daly Pope & Perri LLC

Transfers of assets generally raise a red flag when it comes to applying for Medicaid. They can trigger a penalty period, or a period of ineligibility.

The good news is the Connecticut Department of Social Services (DSS) will allow certain types of Medicaid asset transfers. For example, a family caregiver can be compensated for providing care to a loved one if the care they provide is necessary.

The rationale is this: DSS recognizes that when family members pitch in and provide needed care for a loved one, they are helping that person delay or avoid placement in a nursing home.

Making a caregiver agreement

Although your loved one can’t just give away his or her money to qualify for Medicaid, he or she can pay a family member who is providing care without jeopardizing eligibility for Medicaid. An individual must demonstrate a functional need for assistance with one or more activities of daily living. The type of care provided must be spelled out in a caregiver agreement, and certain conditions must be met. Continue reading

April 13, 2022

5 Things You Should Know Before Applying for Medicaid in Connecticut

by Czepiga Daly Pope & Perri LLC

Applying for Medicaid benefits can be overwhelming.

Between the paperwork, the ever-changing rules and regulations, and the inevitable waiting game that you’re up against, there’s a lot you need to know.

Here is information to get you started and hopefully, to make it easier for you.

July 28, 2021

Be Careful: Transferring Assets to Qualify for Medicaid in Connecticut May Backfire

by Czepiga Daly Pope & Perri LLC

If you want Medicaid in Connecticut to pay for your long-term care, one thing you should NOT do is give away your assets – unless you think you won’t need Medicaid within the next five years.

When you apply for Medicaid for long-term care in either a nursing facility or in your home, you are required to provide financial records for the past five years. This is called the “look back” period. Continue reading

June 10, 2021

How to Qualify for 100 Days of Medicare Coverage

by Czepiga Daly Pope & Perri LLC

While Medicare does not pay for long-term care, it will cover up to 100 days of care in a skilled nursing facility (SNF). There are, however, some fairly stringent and somewhat confusing qualifications patients must meet before Medicare will extend this benefit. Unfortunately, because there is some nuance to the rules, many patients find themselves having to pay for SNF care they assumed would be covered.

To help you navigate the ins and outs of Medicare’s SNF benefit, we put together a quick cheat sheet that explains the basics and a few of the details that are not always so obvious.

The Basic Requirements: Hospital Stays, Observation, and Skilled Care

May 26, 2021

Annuities as Asset Protection for Couples: Smart Move if You Do it Right

by Czepiga Daly Pope & Perri LLC

By Lara Schneider-Bomzer

Purchasing annuities is a good way for married couples to protect assets, but doing it wrong could mean huge penalties. Here is what you need to know about annuities as it relates to Medicaid planning in Connecticut:

If your spouse is residing in a nursing home or is in need of home care, chances are you’ve read our blogs about the ways to protect your assets and qualify your spouse for Medicaid benefits. But not all strategies apply to all couples.

Just as a refresher, under the Medicaid rules, the Institutionalized Spouse (IS) may only have a maximum of $1,600 in assets in his name. The Community Spouse (CS) may have a house, a car and up to half of a maximum of $130,380, called the Community Spouse Protected Amount (CSPA). While there are income requirements for the IS, the CS may have as much income as she receives with no limit.

April 1, 2021

3 Key Steps to Take Before Hiring an In-Home Caregiver

by Czepiga Daly Pope & Perri LLC

Many a well-intentioned family member has taken on the responsibility of caring for an aging parent only to realize that they’ve committed to more than they can handle on their own.

And many more people will need to step into a caregiver role in the coming years.

The U.S. Census Bureau projects that the population of people 65 and older will grow by approximately 50% over the next 30 years!

March 29, 2021

Do You Know You Can Save Thousands with the Medicare Savings Program?

by Czepiga Daly Pope & Perri LLC

If you haven’t heard of the Medicare Savings Program, today may be your lucky day. You could save thousands of dollars a year on medical costs courtesy of the State of Connecticut and Medicaid.

The Medicare Savings Program covers

out-of-pocket expenses for premiums,
deductibles
co-pays
and subsidizes your prescriptions drug costs if you are an eligible Medicare beneficiary.

Do you meet the criteria? Continue reading