Have Your Cake and Eat It Too

On: By: Bill Gatesman

Traditional Medicaid Asset Preservation Planning enables the well spouse to protect some or all of the assets while allowing the spouse in the nursing home to obtain Medical Assistance to pay the cost of nursing home care.  Post-Medicaid eligibility planning techniques enable the well spouse, should she predecease the spouse in the nursing home, to pass all of the assets to children without having to pay back any of the nursing home costs.

This type of traditional Medicaid planning, however, does nothing to preserve assets for the well spouse should the well spouse also require long term care in a nursing home sometime in the future.  Indeed, many of the powerful asset preservation tools available to a married couple cannot be used to preserve assets for a single person seeking Medical Assistance benefits to cover nursing home costs.

Consequently, even where a couple has done asset protection planning when one of them enters a nursing home, after that individual has died, the well spouse remains at risk to lose all of her assets in the event she should require long term nursing home care.

William M. Gatesman has been a leader in developing asset preservation techniques for individuals and families facing the possibility of high long term care costs.  Mr. Gatesman’s latest development in long term care asset preservation strategies is the Spousal Asset Preservation Trust.

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2009 Medicaid Update

On: By: Bill Gatesman

In January, 2009, the Maryland Medical Assistance program revised it’s income and asset thresholds.  For 2009, the maximum spousal resource allowance is $109,560, and the minimum allowance is $21,912.  Remember, however, that the spouse whose partner is in a nursing home may not be able to retain the maximum resource allowance depending on how much money the couple had when one of them entered the nursing home.  To see how one might take action to ensure that the spouse at home can keep the maximum, you can read the article I have written on the subject by clicking -HERE-.

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Medicaid Planning with Asset Transfers

On: By: Bill Gatesman

Ever since the implementation of the Deficit Reduction Act of 2005 (“DRA 2005”) elder law advisors have been informing clients that Medicaid asset preservation planning using gifts to family members has become more complex. While many people believe that DRA 2005 was the death knell for such planning, in fact one may still preserve assets using a gift giving strategy.

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Estate Plan Check Up

On: By: Bill Gatesman

Many people are in the habit of visiting their doctors for an annual physical or other regular check-up.  Still more visit their accountants each year to assist them with their income taxes.  And most people regularly visit their auto mechanics to change the oil in their cars every three months or so.

The practice with lawyers is different, however, and people may put themselves in peril if they do not periodically review their affairs with their attorney.

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Expanding our Reach

On: By: Bill Gatesman

William M. Gatesman has joined the law firm of Michael G. Day & Associates, which firm serves clients in western Maryland. Mr. Gatesman will continue to serve clients in other parts of Maryland and in the District of Columbia through the Gatesman Law Office.

Medicaid Estate Recovery after Schoukroun

On: By: Bill Gatesman

A technical Article for Maryland Elder Law Practitioners

Soon after the opinion was issued, this writer posted an article discussing the case, Schoukroun v. Karsenty (Md. App. December 11, 2007), which article you may access by clicking on the case name in this sentence. That article suggests that the court-created augmented estate rule set forth in that opinion might have implications in the Medicaid planning context.

There are other rules that are important for Elder Law Practitioners to bear in mind when considering the implications of Schoukroun.

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Medicaid Largesse

On: By: Bill Gatesman

When people think about using Medicaid to pay for nursing home care, they generally think that the program will pay only after most of their assets are gone. However, there are little known rules that allow people to keep certain substantial assets and still get Medicaid for nursing home care. Some of these rules apply only if there is a spouse living at home, and others apply even if a single person is seeking Medicaid benefits.

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