Reimbursement--Medicaid eligibility

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Reimbursement--Medicaid eligibility Expand / Collapse
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Posted 8/29/2008 11:25:53 AM
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I recently admitted my parents into an assisted living facility in FL.  They have limited money so I've paid the difference in what their income is and what the facility charges.  Their income is below the $3,800/month for a couple that Medicaid requires.  They do own a home and my name is on the deed.  I'm in the middle of trying to sell their home and have the proceeds go towards payment of the assisted living expenses.

I have used my own money to pay for the deposit, necessary furniture, and miscellaneous items needed for the move.  I also intend to pay for the difference in what they have coming in and what the expenses are at the assisted living facility until the home is sold.

My questions are: 

  1. Once the house is sold will I be able to reimburse myself for the expenses I've incurred? 
  2. Does the fact that my name is on the deed give me certain rights to part of the proceeds of the house?
  3. I understand that Medicaid has a 5 year look back period, where they scrutinize all monetary transactions to determine eligibility.  Will I be able to deduct my expenses from the proceeds of the house without jeopardizing my parents becoming eligible for Medicaid? 
  4. Does the fact that my name is on the deed to the house effect how the proceeds can be distributed or must all of the proceeds go towards their care until they reach the <$3,000 resources?
  5. Once they do reach that <$3,000 resources limit how long is the process to have them become eligible for Medicaid?
  6. I've been told Medicaid pays for nursing homes but do they also pay for assisted living?
  7. I was told by the assisted living facility where they are now residing that once they are there a year they can't remove them.  At that point if they didn't have the resources needed to pay for their care Medicaid would then kick in.  Is that the case?

Any assistance you can provide in answering these questions would be greatly appreciated.

Deb

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Posted 8/30/2008 11:18:56 AM
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Deb, you need to meet with a consultant or attorney that does Medicaid planning in Florida.  You would have to provide a lot of additional info to get specific answers to most of your questions and while this forum is great for general info it is not suitable for all of your questions.

Some factors & considerations, in general, that may at least get you pointed in the right direction are:

When did your name get added to your parent's deed?  Did you or did you not contribute any funds for being added to the deed and if so can you substantiate your portion?  Do you have records & receipts for all of the expenses you have incurred?  What type of agreement do you have with your parents regarding reimbursement for your expenses?  Is there a written agreement?

And to be just a bit more specific with regard to questions 6 and 7, surely the assisted living facility they are in can tell you whether or not the Florida Medicaid Program will pay for assisted living (a few states do).  But what the assisted living facility told you about Medicaid "kicking in" when resources are depleted is not correct.  Medicaid never "kicks in".  You must go and apply for Medicaid.  And if Medicaid determines your parents made any "prohibited transfers" during the lookback period an ineligibility period will be established during which time Medicaid benefits are not issued even if an individual is Medicaid eligible in all other respects.

I hope I have been at least a bit helpful.  And I hope I have made you realize that you need to meet, IMMEDIATELY, with a qualified Medicaid planner and allow them to review your parents' circumstances in detail.

Joe Whitehouse, Medicaid Consultant, Louisville, Ky.  

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