We had a Great response to our evening programs “Did You Plan for Long Term Care?” in Southfield, Taylor and Livonia. In fact the response was so favorable we will work on putting on another series. (When we get time, WHEW!)
What is “Long Term Care”? It’s not just about the nursing home. It begins in home with the need for assistance with routine business. It progresses to the need for daily assistance and it may end up in the nursing home. There are many, many legal issues and government benefit rules to know about.
Who should know about being ready for long term care? Everybody. But perhaps those who are most keenly aware of the need and need to know more are:
Elders preparing for the crisis of the nursing home;
any retiree or spouse who is diagnosed with dementia or cognitive impairment;
and Children of Aging Parents.
If you are concerned about an aging parent or just planning for retirement and want an inside look at Long Term Care this is the program for you. Want to see what we covered? Click here.
Welcome to our home on the Web. We think you will find a lot of useful information here. That’s our goal, to provide honest and good counsel to our clients. You can see we treat everybody who comes to our office with respect, which is no surprise since the client is the Boss! Look around and if you need more information for your particular situation, whether you are an elder or a child of an aging parent, just give us a call for an appointment. You will find us to be a “real, old time, down to earth” law office. At our office you get respect, good advice and answers to your questions.
I (Jim Schuster) often hear “the other attorney did not explain that.” I believe that a lawyer must act as an adviser and that means coming to a mutual understanding. If a lawyer cannot explain a concept so that a client can understand what he is saying, with all pros and cons as well, then how can a client make a decision?
One thing you will not hear in your consultation is “Trust me. This is what you need.” You will get the information you need and You will make Your decision based on Your judgment. And, of course, we think you will trust us!
Just a note to those who are following this story. Here we are in mid-June and no word yet from the VA. Some “in the know” say that it may be December 2016 before we hear anything. Until then some VA offices are giving closer looks at applications where assets have been transferred. And, on the other hand, where there has been no asset sheltering applications for pension benefits have been sailing through.
On January 23, 2015 the VA published a proposed regulation in the federal register announcing a number of changes to its administration of the special improved pension plan, commonly but mistakenly known as “aid and attendance.” While a number of the changes are a welcome effort to bring clarity to the often mysterious eligibility policies of the VA, perhaps the most worrisome is the imposition of a three year look back on asset transfers. The VA is reacting to a GAO report that found over 200 organizations, that market primarily financial planning services, helping otherwise ineligible veterans obtain the pension benefit. The proposed rule would:
The proposed rule means that if an unwary vet transfers a portion of his net worth to family or to purchase an annuity to qualify for benefits, the vet may be barred from the benefit for as long as 10 years!
The proposed regulations and commentary is found at https://www.federalregister.gov/articles/2015/01/23/2015-00297/net-worth-asset-transfers-and-income-exclusions-for-needs-based-benefits?utm_campaign=subscription+mailing+list&utm_medium=email&utm_source=federalregister.gov The comment period closed March 24, 2015. So far we have not heard any more from the VA. The best “tell” is that the VA will issue the final rule proposal early in 2016. How early? Stay tuned!
Here’s the update to this story that is two years old. Cases challenging the rule change are in the courts. The Michigan Court of Appeals has two cases pending and others are in the court process. The original post follows:
Here is an example of unpredictable Medicaid rules. On August 20th of 2014 the Department of Human Services (DHS) sent out a memo stating it was no longer recognizing the community spouse “sole benefit trusts” (also known as “trusts solely for the benefit of”). For the past 15 years the Michigan Medicaid program has recognized that assets are not counted if they are in a trust created solely for the benefit of the community spouse of a long term care Medicaid spouse. This has allowed the spouse of a nursing home resident to keep more savings for his or her later years instead of being required to spend it on the nursing home. Without formal policy change or a period for public comment the Department has arbitrarily reinterpreted its rule concerning these trusts.
The new “interpretation” is invalid on its face. It relies on one paragraph of the current policy and ignores the rest that support the sole benefit trust provision. Perhaps more importantly, the Michigan department is violating provisions of the federal Medicaid law that the Michigan program is supposed to be in compliance with. The Department’s policy conflicts with the history of the Medicaid law, that is the assets and actions of the applicant were reviewed while those of a spouse were not. A court challenge will be filed in the near future.
Until then seniors are at even greater risk of poverty by the hand of the Attorney General Schuette and the Snyder administration.
We currently have this issue on appeal to the Wayne County Circuit Court. Stay tuned for developments as they come in.
Looking for a nursing home? This is something you will really appreciate. Check out our newest service: a handy map of nursing homes in the Metro-Detroit area, with Medicare ratings! Click here for map.
Who do we help? We help elders retain independence and control in the face of the challenges of aging, be that temporary incapacity due to a medical condition or long term care. We help aging parents authorize their children to manage their business and medical affairs. We help spouses and families choose a good nursing home and pay for it without going broke.
Here are some examples: We help Children of Aging Parents with the advice and legal documents they need to carry out their parents’ wishes and take care of their needs. We help child or relative Caregivers navigate the legal maze and legal problems including prosecution for vulnerable adult abuse. We help families to get a good nursing home, apply for Medicaid for long term care and keep a lifetime of savings. Look around our website and you will find a wealth of useful information. We will be pleased to help you out. Just call for an appointment.
We have had these Alzheimer’s Educational programs before and there is one continuing lesson I want to share with you. I offered to review any attendee’s “estate planning” documents from the Elder Law point of view. The distinction is that elder law focuses on life issues and so we call it “life planning.” “Estate planning” is about “death and taxes.” I analogize the difference to a life guard. The “death and taxes” lifeguard will help you after you have drowned. The Elder Law lifeguard will help you while you are struggling. You don’t need both. 99% of us folks don’t need to worry about taxes after death. And, of course, an Elder Law focused life plan must, and does, include a will or a trust to carry out your wishes for property distribution after you die.
Many folks have taken me up on the offer to review their existing “estate planning’ documents. I focused on their trusts and powers of attorney. In every case the documents did not grant complete authority to take care of all matters of the client. I had the following report:
They were all inadequate.
What did that mean? That failing could force anybody into life-long probate – guardian or conservator. And that means that the probate court is in charge of every facet of your life. Where you will live, what medical treatment you will receive is all under the control of the guardian. All your finances will be in the public record. The conservator will file and inventory of your property and will file an account every year. The account will detail every dollar that you got and every expenditure that was made on you. Attorneys fees for the public hearings may run into the thousands of dollars.
I’ll give you a practical example: if a husband is in a nursing home his wife may have to spend over $50,000 in nursing home bills and attorney fees before the probate court will give her permission to withdraw from his IRA. And, on top of that, the court may open a conservator file and put all of his assets under probate supervision till he dies.
All of that is easily avoidable.
All you have to do is have your legal documents tailored to fit your needs. You can be in control even when you must rely upon others to help you. So if you are at all concerned about aging and your long term care needs, just give us a call and let’s get your protection started!
See our Aging Parents Tip Sheet filled with information to make you an empowered advocate and help you avoid expensive mistakes.More Here”
Be sure to check Jim Schuster’s speaking schedule and how to request Jim Schuster to speak to your group.