Medicaid Planning When a Spouse Enters a Nursing Home: Avoiding Costly Pitfalls to Preserve Spousal Income
CSRA, Monthly Maintenance Needs Allowance, Exempt Asset Requirements, and More
Recording of a 90-minute CLE video webinar with Q&A
This CLE course will provide elder law counsel with the tools to assist their married clients in Medicaid planning when one spouse enters a nursing home. The program will discuss how to best leverage the community spouse resource allowance (CSRA) and Medicaid monthly minimum maintenance needs allowance (MMMNA) and how to comprehensively identify exempt assets and avoid spending down exempt funds. The program will discuss other approaches to maintain assets and income for the healthy spouse.
Outline
- Introduction to Medicaid Qualification
- Income Qualifications
- Individual Income Limits
- Monthly Maintenance Needs Allowance (MMNA)
- Asset Qualifications
- Single resource limit
- Community Spouse Resource Allowance
- Income Qualifications
- Pre-planning vs. Crisis Planning
- Transfers within the 60-month Look-back period
- Exempt Transfers
- Non-exempt Transfers
- Irrevocable Trusts
- Grantor trust
- Income provision
- Disinheriting sick spouse
- Strategic Spenddown
- Buying car
- Making home repairs
- Funeral expenses
- Gift & Note Planning
- Transfers within the 60-month Look-back period
- Divorce as a Strategy
- Durable Financial Power of Attorney
- Gifting provision
- Trust provision
- Caregiver Provision
Benefits
The panel will review these and other critical issues:
- How can the CSRA be optimized for the married client's benefit?
- When is divorce a viable option in a spend-down strategy?
- How does the strategy differ between nursing home pre-planning vs. crisis planning?
Faculty
Kyla G. Kelim
Attorney
Aging in Alabama
Ms. Kelim focuses her practice on proactive planning involving those in need concerning Medicaid, Medicare and Social... | Read More
Ms. Kelim focuses her practice on proactive planning involving those in need concerning Medicaid, Medicare and Social Security. She is a nationally recognized speaker on nursing home Medicaid, Medicare and Social Security disability matters. She launched Aging in Alabama to help address the crisis in health care coverage facing seniors and their caregivers.
CloseJeffrey L. Williamson
Founder
J. L. Williamson Law Group
Mr. Williamson’s practice specializes in taxation and estate planning. He has particular expertise in estate and... | Read More
Mr. Williamson’s practice specializes in taxation and estate planning. He has particular expertise in estate and gift taxation, income taxation of partnerships, and taxation issues unique to tax-exempt entities. He is also knowledgeable in the federal and state Medicaid rules and is skilled at drafting trusts and other types of sophisticated agreements.
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