A. 2022 Medicaid Income Limits. In 2022, the maximum total monthly income from all sources (Social Security, pensions, etc.) that a person seeking Medicaid may have is $2,523. If a Medicaid applicant has income greater than this amount, it is necessary to establish a “Qualified Income …
Mar 22, 2022 · After the consultation / planning conference and gathering of the facts and needs, a price for services can be quoted. Medicaid planning fees can range from $3,000 to $15,000.The following factors can all impact the cost the cost of a Medicaid planning engagement. The …
Mar 18, 2022 · On the downside, hiring an attorney is, far and away, the most expensive Medicaid planning option. Depending on the state, fees can range from $300 – $600 per hour. The cost …
Jun 20, 2019 · If single, the amount of the applicant’s assets that can be retained is $2,000.00 in Ohio, along with any exempt assets. If the institutionalized recipient has a spouse living at …
Household Size* | Maximum Income Level (Per Year) |
---|---|
1 | $18,075 |
2 | $24,353 |
3 | $30,630 |
4 | $36,908 |
On the other hand, Medicaid attorneys often focus more on the legal aspects of Medicaid planning, such as creating Medicaid asset protection trusts or Qualified income trusts, which makes them the better option for this type of assistance.
For persons who have Medicaid cases that are fairly simple and straightforward, a Medicaid planner, also called a Medicaid specialist or a Medicaid Advisor, might be a good option. Working with a professional Medicaid planner can be a lot more cost efficient than working with a Medicaid attorney.
What Elder Law Attorneys Do? Elder law attorneys, also called elder care attorneys, estate and trust attorneys, or Medicaid lawyers, assist persons in preparing for long-term care and death. They assist seniors in a large and diverse array of legal tasks, which encompasses retirement planning, estate planning, creating wills and durable power ...
This is because Medicaid has a look back period. During this period, an applicant cannot gift assets or sell assets for less than market value in an attempt to meet Medicaid’s asset limit.
The look back period is 5 years in all states except California (Medi-Cal has a 2.5 year look back).
One such strategy that elder law attorneys can implement is a Medicaid asset protection trust (MAPT). This type of trust not only prevents one from becoming ineligible for Medicaid due to gifting assets ...
An option to meet the income limit in this case is a Miller Trust, often referred to as a Qualified Income Trust (QIT). In oversimplified language, income that is over Medicaid’s income limit is put into an irrevocable (meaning it cannot be changed or cancelled) trust to be used for very specific purposes.
This category of Medicaid planners, commission-based, is focused on helping individuals whose assets exceed Medicaid eligibility limits. They provide free services to families and individuals and take a commission when they purchase Medicaid compliant annuities to help applicants meet the Medicaid asset limits. While typically very knowledgeable about Medicaid eligibility, they are less familiar with alternatives to Medicaid, and do not have an incentive to advise clients in those areas. Since they are only compensated through the purchase of annuities, they are unlikely to assist individuals who are not in the position to purchase one. Commission-based Medicaid planners tend to advertise their services under Asset Protection. One should proceed with caution when working with an annuity salesperson / commission-based Medicaid planner.
Elder Law Attorneys. Elder law attorneys are very knowledgeable about the Medicaid eligibility laws in the specific states in which they are licensed to practice law. Attorneys are also empowered to establish any necessary trusts on behalf of their clients.
In addition, Medicaid planning can be difficult because while Medicaid is a Federal program, it is administered on a state level, and the regulations and rules (such as eligibility) that govern it can vary greatly by state. Even within a state, Medicaid laws and programs may regularly change.
Furthermore, eldercare financial planners are experts at building a plan that addresses the nature of long term care. As with attorneys and care managers, one pays these professionals directly. Therefore, one can be confident they are receiving consul in their best interest and there is no conflict of interest.
Public benefits counselors / case managers work for state agencies at Area Agencies on Aging (AAAs), Aging and Disability Resource Centers (ADRCs), or Medicaid offices. They have a good understanding of Medicaid eligibility, as well as the alternatives to Medicaid. Also, on the positive side, they do not charge for their services.
State Health Insurance Programs Counselors, often called SHIPs Counselors, are individuals who are usually volunteers, trained by the state to be knowledgeable about the existence of public benefits, such as Medicare and Medicaid.
Insurance agents’ primary goal is to sell insurance products. The purchase of certain insurances can help lower one’s assets so that they meet Medicaid’s asset limit. These are primarily “final expense” insurance policies or burial insurance. In this context, some agents offer free Medicaid planning assistance. However, while useful, it is important to remember that assisting the family is not their primary goal. This is not to say that these individuals cannot provide valuable advice, just that the family should be aware of the potential for a conflict of interests. One might achieve their desired results by working with an insurance agent and a public benefits counselor.
Medicaid Planners help clients structure their financial resources and prepare documentation to ensure the best possibility of being accepted into the Medicaid program. They create trusts, manage asset transfers, and convert countable assets into exempt assets to ensure eligibility and preserve a family’s resources.
The consequences of being denied by Medicaid are severe and can negatively impact the comfort, happiness, and even the health of the individual applying and their entire family.
There is a simple option called an irrevocable funeral trust. This is essentially prepaying a funeral and all the associated expenses. The family simply allocates the amount of money by which they are over the Medicaid limit to the irrevocable funeral trust.
A category of professionals called Life Resource Planners, or sometimes Eldercare Resource Planners, offer an alternative to traditional Medicaid planning. These advisors take a larger, holistic view of how to help families plan for paying for aging care. While Medicaid Planners are very focused on the task of helping families qualify for Medicaid, Life Resource Planners also look to see what other options exist and are available. As with Medicaid Planning professionals, their fees must be paid for out-of-pocket. However, those fees are substantially lower. Eldercare Resource Planners typically charge 50% – 75% less than Medicaid Planners. Learn more.
In Ohio, a private room in a long-term care facility can cost over $100,000 per year. Even if you have saved carefully for most of your life, it’s likely that you couldn’t afford to pay out-of-pocket for long-term care for very long.
Most people think of Medicaid as a federal program, but it is administered jointly by state and federal governments. States can make their own decisions about certain aspects of Medicaid administration, including which assets are counted toward the allowable limit (available assets), and which will be exempt.
However, Medicaid is also available to help pay for nursing home care, assisted living, and in some cases home-based care, if a person qualifies. Part of that qualification is not having income or assets above a certain amount.
Spend down means that the applicant has only $2,000 at the time of application. If an average suburban married couple follows the advice of most nursing homes they may spend over $100,000 at the nursing home before applying for Medicaid. The attorney should be able to help an average couple to save that $100,000.
A Medicaid application will be rejected without “documentation” of the current cash value of the asset. It can take four weeks to get the needed paperwork. When children help elderly parents, finding or recovering the documentation can be challenging and time consuming.
Third: A little known fact is that Michigan has “Medicaid estate recovery.”. That means the government will take the house for repayment after the applicant and spouse dies. This can be a loss form $100,000 to $300,000 and up. Part of the attorney’s work is to make sure the government does not get the house.
The 2019 monthly income limit for a married couple with both spouses applying is $4,626. (Ohioans who receive SSI already qualify to receive Medicaid.) If your income is above the limit, you still might be able to qualify for Medicaid if the income you have over the limit doesn't cover your medical expenses.
If you are 65 or older, blind, or disabled, and you need long-term care in a nursing home, then you must have income at or below $2,313 per month (as of 2019) to qualify for Medicaid. The 2019 monthly income limit for a married couple with both spouses applying is $4,626. (Ohioans who receive SSI already qualify to receive Medicaid.)
Medicaid is the only option for many people, since private health insurance policies generally don't cover long-term care (LTC) and few people buy LTC insurance policies.
Ohio allows nursing home residents receiving Medicaid to keep only $50 per month as a personal needs allowance.
In Ohio, there are two nursing facility levels of care: intermediate and skilled. To receive Medicaid-paid nursing facility services in Ohio, you must need at least an intermediate nursing facility level of care.
Retirement accounts are counted as assets only to the extent you can withdraw money from them. If you have a spouse who will continue to live "in the community" (at home), then one car is exempt with no restrictions on its value. In addition, your home is exempt so long as your spouse still lives there.