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Orange City Estate Planning Blog

Watch Your Language: Penalty Divisor

If you’ve transferred assets within the lookback period, the state is going to assess an eligibility penalty period based on the value of all the transfers you made within that 60-month window. The penalty period can be calculated by dividing the value of that gift by the penalty divisor. [Read More]

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Watch Your Language: Lookback Period

If you’ve heard anything about Medicaid, you’ve probably heard about the lookback period. In Iowa, the lookback period is the period of time starting with the day you apply for Medicaid and extending back through time for sixty months. We break that definition down after the jump. [Read More]

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Devils, Details, and Deadlines: Calculating the Penalty Period

If you can’t prove you didn’t make a transfer to get on Medicaid, that transfer becomes a disallowed transfer. And that’s bad because a disallowed transfer means a penalty period will be imposed, delaying the time you are allowed to receive Medicaid coverage for the nursing home. The real question becomes: how do you calculate the penalty period? [Read More]

The length of the penalty period depends on the value of the assets transferred.

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Watch Your Language: Penalty Period

A transfer occurs anytime you sell, trade, or give away money or property. Sometimes a transfer is for fair value, such as when you trade in your car or buy groceries. Sometimes, though, you make a transfer without expecting anything in return – like a birthday or Christmas gift. This is called a disallowed transfer, and it means you will not be eligible for Medicaid for a certain period of time called the penalty period. [Read More]

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Watch Your Language: Transfer

Seems obvious, right? In daily life, a transfer happens when property changes hands. You can transfer money between bank accounts or transfer germs between school children. In grilling and smoking, “transfer” means removing food from the grill or smoker. Unfortunately, it’s not that simple in the Medicaid world. [Read More]

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You Need a Medicaid Guidebook – and an Expert Guide, too

Iowa Medicaid – sometimes called Title XIX (Title 19) – is a mashup of federal statutes and regulations, state-specific rule tweaks, and both formal and informal agency policies. The system itself is intricate enough, but then the individual case workers who process Medicaid applications don’t always apply the rules in the same way. It’s virtually impossible to navigate the maze without a guide. [Read More]

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The Biggest Mistake You Make Before Turning 65

We are about to experience – some say we’re already experiencing – the biggest workforce shift from full time work to retirement in United States history. If you’re a Baby Boomer, you are a part of this generational transition. If you can see retirement on the horizon, then I have a warning for you: there’s a train following close behind retirement that you absolutely must plan for: nursing home care. [Read More]

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The Medicaid Planning Hoax: 3 Myths

Nursing homes are incentivized by the state to perpetuate the hoax because the daily nursing home rate paid by the state is lower than the private pay rate. Lawyers who don’t know anything about the Medicaid regulations are telling people they have no options for planning for Medicaid eligibility. How do you overcome misinformation or a lack of information? You get educated. Here are three myths, rooted in the Medicaid Planning Hoax, that are all wet. [Read More]

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Nursing Home Workers vs Medicaid Experts

At an average of $180 per day in Iowa, paying $60,000 per year for a nursing home is not only likely, but it’s almost guaranteed. Staring that number in the face can make your stress level rise pretty quickly. So, you ask the nursing home social worker for information about applying for Medicaid. Unfortunately, nursing homes are being put in a position where they simply can’t talk to their patients about Medicaid eligibility planning. As a result, there are a few things the nursing home social worker may not tell you. [Read More]

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How to Take Control of the High Cost of Nursing Home Care

Nursing homes are expensive. Whether you’re looking at long-term care insurance well in advance of needing care or you’re visiting with the nursing home admissions office to move your elderly mother into her room tomorrow, you know that the out-of-pocket costs for nursing home care can quickly reach five digits. Paying $60,000 per year is not only likely, but it’s almost guaranteed. In the face of numbers like this, it’s only natural to despair. But you don’t have to feel lost as you face down the looming nursing home crisis. [Read More]

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