Medicaid Applications – Like a Tax Audit on Steroids
While I am not an accountant and have never experienced an income tax audit, when describing the Medicaid application process I often reference it to a tax audit. It is an intrusive government review of an applicant’s finances over a 5 year time period. I have been filing Medicaid applications for
A Word about the PAS (Part 2)
Last week I wrote about the medical part of Medicaid eligibility. The preadmission screening (PAS) process requires the state to certify that the applicant needs nursing home level care. Nursing home level care means needing assistance with at least 3 of the activities of daily living. Those activities are transferring (eg. in and out
A Word about the PAS
When talking to clients about achieving Medicaid eligibility, we spend most of our time focused on the financial requirements. That includes an asset test and an income test and transfers that are potentially subject to a Medicaid penalty. However, I always tell families that we can’t forget about the medical test. If we
Withdrawing IRA Funds Before Year End – Part 2
This year has been unlike any other. The pandemic has resulted in hundreds of thousands of deaths and many Americans continue to face economic hardships caused by the government imposed shutdowns and restrictions. At the same time Congress did pass a relief package back in March called the CARES Act. As I said
Withdrawing IRA Funds Before Year End – Part 1
As we get to the close of the year, many seniors if they haven’t done so already must withdraw enough from their retirement accounts to meet required minimum distribution requirements. The tax deferred status of these accounts can increase their value substantially, however, eventually the government wants its share in taxes. The
The Problem of Unexplained Deposits – Part 2
Last week I wrote about how unexplained deposits have the potential to be more damaging to a Medicaid application than unexplained withdrawals. That’s because deposits must be explained or the application is denied for being incomplete and those same deposits must be explained in any new application unless the deposit then falls outside
The Problem of Unexplained Deposits – Part 1
More and more of the Medicaid applications we handle these days involve issues surrounding assets received by way of the death of a family member. More often than not it will be a spouse who died, however, it may also be a parent or other relative. As part of Medicaid applications now,
Medicare Open Enrollment Time
While I don’t spend much time here talking about Medicare issues, the end of the year is an important time. That’s because it is Medicare’s open enrollment period, a once a year special event. Medicare is one of the many government programs that can be confusing. There are so many different options
More Numbers for 2021
Last week I talked about some of the important Medicaid and VA numbers that will increase in 2021. This week we’ll review some more adjustments for 2021 in some of the other government programs and taxes relevant to our clients. Medicare Part B premiums will increase slightly next year. Most people pay the standard
Medicaid and VA Figures for 2021
The Social Security Administration recently announced its cost of living adjustment (COLA) for 2021. This adjustment is important not only because many seniors depend on Social Security benefits as their primary source of income. This adjustment is also applied to many of the other government programs that affect our clients’ lives. This year’s