Posted on 10/26/2013 11:39:29 AM PDT by narses
This policy brief was prepared under contract #HHS-100-03-0022 between the U.S. Department of Health and Human Services (HHS), Office of Disability, Aging and Long-Term Care Policy (DALTCP) and Thomson/MEDSTAT. For additional information about the study, you may visit the DALTCP home page at http://aspe.hhs.gov/_/office_specific/daltcp.cfm or contact the ASPE Project Officer, Hunter McKay, at HHS/ASPE/DALTCP, Room 424E, H.H. Humphrey Building, 200 Independence Avenue, SW, Washington, DC 20201. His e-mail address is: Hunter.McKay@hhs.gov.
(Excerpt) Read more at aspe.hhs.gov ...
Freep-mail me to get on or off my pro-life and Catholic List:
Please ping me to note-worthy Pro-Life or Catholic threads, or other threads of general interest.
This is for Long Term Care.
And? Since the medicaid expansion now covers a much greater range of folks, downstream - many years downstream, folks who thought their medicaid long term care courtesy of Obama was free, well, not so much their kids will find.
This Daily Kos (Believe it or Not) article explains it more succinctly. Over 55 and use Medicaid then they can go after your estate.
“In 2003, estate recoveries amounted to $330 million, or 0.13% of total Medicaid spending in all states, with individual state collections ranging from 0.0 - 0.64%.11”
It’s a lot of effort to recover relatively very little money.
how much effort is put into recoveries?
So if Dad dies do they boot Mom out on the street?
From our own state: (I had to research this)
http://www.dshs.wa.gov/manuals/eaz/sections/EstateRecovery.shtml
Now people with appreciable assets are being automatically enrolled into Medicaid see link in my post #5.
They can put a lien on your stuff without you even having a chance to spend down.
Services provided from 7/1/95 through 5/31/04:Only the cost of the following services, not all medical assistance and services:
Nursing facility services
COPES
Traumatic Brain Injury - TBI
Community Alternatives Program - CAP (DDD program)
Outward Bound Residential Alternatives - OBRA (DDD program)
Coordinated Community Aids Service Alternatives - CASA (MAA program)
Medicaid Personal Care
Adult Day Health
Private Duty Nursing administered by AASA
State-funded long-term care services (administered by ADSA)
(Chore services, Adult Family Home, Adult Residential Care)Hospital and prescription drug services related to services listed above
Services provided as of 6/1/04
All Medicaid services, premium payments to managed care organizations, and Medicare cost-sharing services and Medicare premiums for individuals also receiving Medicaid. This includes long-term care services.
It’s a government and legal process. How much do those things usually cost?
We already are in a communist country. In everything but the name.
lol
I don’t really need to answer that.
Yepster.
They locked old folks out of their homes during the last shutdown, so who knows?
BFL
That article was most informative. Thanks for the link.
Most of us geezers are well aware of the property liens and have put property into a trust.
.
“They can put a lien on your stuff without you even having a chance to spend down.”
I guess they could do that, but the part that I read said that the recoveries come from probates or intestate people. I am just wondering if you put everything in a Trust, how they go about getting to that?
The reason is that Medicaid eligibility rules allow some slick legal maneuvers to make Grandma and Grandpa paper paupers and Medicaid eligible almost as soon as they need long term care. In the mean time the heirs would get to keep all their assets untouched. I have seen very wealthy people use these estate planning gimmicks to get a free ride from Medicaid once they enter a nursing home. This affects all of us since Medicaid in most states reimburses nursing homes less than the cost of care and forces them to shift costs to private pay patients in order to stay open.
Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.