Tearisci
Pearl Clutcher
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Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Mar 18, 2025 14:45:15 GMT
My parents are likely going into a nursing home once my mom gets released from rehab. We're looking at the same facility, just another wing. We found out that the only way that they will likely qualify is to go on medical Medicaid.
They have about 10k in savings and that is their only asset. This would need to be reduced to about 2k in order to qualify. Can they gift that money to one of their kids to save for them?
Anything else that we need to be thinking about?
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Post by mom on Mar 18, 2025 14:48:12 GMT
No, they cannot gift that money nor can they spend more than what's 'normal' for them or Medicaid will come for that money or declare them ineligible for assistance for a certain period of time. And Medicaid does not mess around - so don't try and be sneaky. This article explains how it works, and also gives you legal ways of spending down their account. www.medicaidplanningassistance.org/medicaid-look-back-period/
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Tearisci
Pearl Clutcher
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Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Mar 18, 2025 14:50:00 GMT
No, they cannot gift that money nor can they spend more than what's 'normal' for them or Medicaid will come for that money or declare them ineligible for assistance for a certain period of time. And Medicaid does not mess around - so don't try and be sneaky. This article explains how it works, and also gives you legal ways of spending down their account. www.medicaidplanningassistance.org/medicaid-look-back-period/That's what I was afraid of. Thanks for the info!
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Post by mom on Mar 18, 2025 14:52:14 GMT
No, they cannot gift that money nor can they spend more than what's 'normal' for them or Medicaid will come for that money or declare them ineligible for assistance for a certain period of time. And Medicaid does not mess around - so don't try and be sneaky. This article explains how it works, and also gives you legal ways of spending down their account. www.medicaidplanningassistance.org/medicaid-look-back-period/That's what I was afraid of. Thanks for the info! If they don't have any debt to pay off or a home they can do repairs on, do they have a funeral plan? The extra money can go towards that.
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iowgirl
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Jun 25, 2014 22:52:46 GMT
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Post by iowgirl on Mar 18, 2025 14:54:02 GMT
Can they gift that money to one of their kids to save for them? I would contact someone with real knowledge in your area. Look to see if you have a local Area Agency on Aging or Aging Resources service in your parents area. They would have factual and current info for you. But I would say no - there isn't any way for them to gift money, due to the Medicade lookback period. That period is 60 months* (5 years). Meaning they can 'look back' and any gifts, asset transfers, etc. can be recovered and given to Medicade. * This can vary by state! So do check to see what is pertinent to your exact location. Do they own their home? That is also an asset that can be claimed by Medicade. Here is a link to the American Council on Aging that has more info. You can see what you can spend their money down on - as some things are allowed. But again - I would 100% contact a local agency that will get you the actual facts for your area and even maybe handle this with a lawyer that has knowledge in elder laws to make sure you are not going to get penalized. America Council on Aging
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MrsDepp
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Jun 30, 2014 18:36:02 GMT
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Post by MrsDepp on Mar 18, 2025 14:54:21 GMT
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Post by christine58 on Mar 18, 2025 14:57:10 GMT
That's what I was afraid of. Thanks for the info! If they don't have any debt to pay off or a home they can do repairs on, do they have a funeral plan? The extra money can go towards that. That that’s a great idea. Tearisci a good social worker should be able to answer all those questions for you. I know when my aunt went into a nursing home, someone walked their oldest through the entire process. I also can’t say enough good things about the Office of the Aging. They are in every state. Tons of great info and help.
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Tearisci
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Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Mar 18, 2025 14:57:24 GMT
We had a consultation with an elder law attorney yesterday to just go over the basics of what they might qualify for. They don't own a home or have any debt. I'm checking on the funeral/burial expenses because I think they have already paid for that.
I'm wondering if we might need to do a month of rent at the facility to use up some of their savings.
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Post by nightnurse on Mar 18, 2025 15:12:03 GMT
Can use the money to prepay a month at the nursing home, can prepay funeral expenses, get dentures or glasses or hearing aides. I always recommend a really good recliner that power lifts if that’s appropriate. Nursing homes never have enough recliners for people to sit in.
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Post by mikklynn on Mar 18, 2025 15:15:49 GMT
Can use the money to prepay a month at the nursing home, can prepay funeral expenses, get dentures or glasses or hearing aides. I always recommend a really good recliner that power lifts if that’s appropriate. Nursing homes never have enough recliners for people to sit in. Those are very good ideas. They definitely can not give away those funds.
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Post by nightnurse on Mar 18, 2025 15:26:06 GMT
This won’t help much with a spend down but I’ll put in a plug for Buck and Buck. If you have an elderly family member with swollen feet having trouble finding shoes, this is your place! They also have a bunch of other adaptive clothing and items for people who need a little help with mobility or endurance. www.buckandbuck.com/
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Tearisci
Pearl Clutcher
Posts: 4,964
Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Mar 18, 2025 15:59:57 GMT
One thing that they will have to do is break their lease on their current apartment so I'm hoping that some of the funds can be used for that.
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Post by mom on Mar 18, 2025 17:09:47 GMT
We had a consultation with an elder law attorney yesterday to just go over the basics of what they might qualify for. They don't own a home or have any debt. I'm checking on the funeral/burial expenses because I think they have already paid for that. I'm wondering if we might need to do a month of rent at the facility to use up some of their savings. They can use it to purchase things they will need in the nursing home -- a tv, recliner, etc.
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Post by mom on Mar 18, 2025 17:10:15 GMT
One thing that they will have to do is break their lease on their current apartment so I'm hoping that some of the funds can be used for that. It can be used for that. But keep receipts and paperwork. Do they have a vehicle? They can use the extra funds for tires, etc. But do not sell or give away the vehicle before this is all settled out.
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Post by lurker on Mar 18, 2025 17:28:55 GMT
When my mother moved to LTC, I went ahead and applied for Medicaid for her. She had enough funds for about 3 months care. Then when she ran out of $$$, Medicaid picked up the fees immediately. She did own her home. She had passed by the time it finally sold. Reimbursed Medicaid from the proceeds. Best of luck in the transition.
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scrapngranny
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Jun 25, 2014 23:21:30 GMT
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Post by scrapngranny on Mar 18, 2025 17:34:32 GMT
My dad went through the same thing. He had to use what assets he had to pay the nursing home until that money was gone. Then Medicaid took over. His SS also went towards the nursing home, he got a small allowance each month. The monthly nursing home bill was $11,000 a month back then. He died in 2013.
With the new government, who knows how Medicaid will work.
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Post by Penellopy on Mar 18, 2025 17:35:38 GMT
Are doctors stating they both should go into a nursing home? I ask this because we ran into an issue with this with my grandparents.
Please keep in mind, I am in Texas so I am not sure about other states. My Grandfather could only be released to go to a nursing home and we could get him in through Medicaid. My Grandmother, who said they would never live apart was going to go in with him. But we had a meeting with the Social Workers and Medicaid staff at the nursing home to get the ins and outs of both going in. Medicaid would not cover her care because she was not deemed to have a reason to go other than she could no longer care for him at home. We were told for her to come in, it would be $6000 a month. When I told her to get out her checkbook, she quickly decided she would not go with him.
It may be something else to look into.
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Post by hopemax on Mar 18, 2025 18:16:02 GMT
In the “anything else” category… unfortunately, I hate to be the one to bring this up, but Medicaid is one of the primary things this administration, with the help of a GOP Congress, is trying to eliminate. Anyone you talk to, I’d have a few questions prepared about what happens in your state if they are successful. I would hate for people dealing with this to spend down only to end up scrambling again in a year or two. Especially, if you are in a state with filial responsibility laws. Roadmaps based on past history, may not be as much use going forward. It still may be the best or only option, but it’s a factor that people didn’t have to give much thought to before all this. *sigh*
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Tearisci
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Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Mar 18, 2025 18:55:26 GMT
Are doctors stating they both should go into a nursing home? I ask this because we ran into an issue with this with my grandparents. Please keep in mind, I am in Texas so I am not sure about other states. My Grandfather could only be released to go to a nursing home and we could get him in through Medicaid. My Grandmother, who said they would never live apart was going to go in with him. But we had a meeting with the Social Workers and Medicaid staff at the nursing home to get the ins and outs of both going in. Medicaid would not cover her care because she was not deemed to have a reason to go other than she could no longer care for him at home. We were told for her to come in, it would be $6000 a month. When I told her to get out her checkbook, she quickly decided she would not go with him. It may be something else to look into. My dad is 93 and we are in the process of declaring him legally blind so i think he'll qualify. We're also in Texas so good to know.
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sweetpeasmom
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Jun 27, 2014 14:04:01 GMT
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Post by sweetpeasmom on Mar 18, 2025 22:04:36 GMT
You can't give it away. But you can spend down for things they will both need/use. I purchased mom an ipad so she could watch movies and download audio books. I got a case and a apple pen to go with it. I also got her some new clothes. I also was able to put some money away for her final expenses. And I felt so lucky that I was able to do that because otherwise it would have fallen on us. I was able to have a celebration of life that I felt she deserved.
I'm sorry you are going through this. I did it with mom and I can't imagine having to do this for both parents. It is nice that they will be in the same place though. Will the staff be able/allow them to visit with each other?
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scrappinmama
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Jun 26, 2014 12:54:09 GMT
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Post by scrappinmama on Mar 18, 2025 23:19:17 GMT
I would contact a local social worker and they should be able to give some guidance. Every state is different, so what applies for my state may not apply for the state that your parents live in. For example, here are the requirements for California, the state where my mother lives. www.dhcs.ca.gov/services/medi-cal/Pages/DoYouQualifyForMedi-Cal.aspx As of January 1, 2024, they no longer look at assets to determine eligibility. That is not the norm though.
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Post by lisae on Mar 19, 2025 0:06:56 GMT
I think you can prepay their funerals.
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janeinbama
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Jan 29, 2015 16:24:49 GMT
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Post by janeinbama on Mar 19, 2025 0:18:17 GMT
Apply immediately as it may take. Few months to get qualified through your state. The facility will have someone in the office who can help with the paperwork. There is ALOT of paperwork. Best wishes to you and your family
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Post by danalz on Mar 19, 2025 14:41:29 GMT
I work with medicaid every day, helping my clients complete their renewals. in WI you can fund a burial trust with extra funds and that doesn't count towards assets. You can go to a local funeral home to get help setting that up. Many of my clients have burial trusts and it works out perfectly.
Also, if one spouse is staying in the community when the other is going into an assisted living or nursing home, they would be considered a "community spouse" and assets/income could be allotted to them so they can remain living in the community.
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Post by questioning on Mar 19, 2025 15:21:10 GMT
Great timing, my neighbor has taken over the responsibility of her sister. She is in the process of changing the deed of sister's home so she owns it. I haven't looked it up, won't that be noticed during a "look back"? I'm going to send these links to her and keep suggesting expert help- not just helpful men with opinions at her church. Best wishes, Tearisci, I know first hand Parent care is tough.
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Post by mommaho on Mar 19, 2025 15:33:41 GMT
Even if they have prepaid for their funerals, check with the cemetery that the opening/closing, vault and headstones have been take care of. If not, they would be about $3,500 each for headstones and the vault is a substantial amount.
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Kerri W
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Jun 25, 2014 20:31:44 GMT
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Post by Kerri W on Mar 19, 2025 19:16:53 GMT
Even if they have prepaid for their funerals, check with the cemetery that the opening/closing, vault and headstones have been take care of. If not, they would be about $3,500 each for headstones and the vault is a substantial amount. When we went through this process with my dad, the funeral home included those charges on their quote. They also included an allotment for flowers. They were very knowledgeable about what would be eligible for spend down on his account.
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FurryP
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Post by FurryP on Mar 19, 2025 19:46:23 GMT
Great timing, my neighbor has taken over the responsibility of her sister. She is in the process of changing the deed of sister's home so she owns it. I haven't looked it up, won't that be noticed during a "look back"? I'm going to send these links to her and keep suggesting expert help- not just helpful men with opinions at her church.Best wishes, Tearisci , I know first hand Parent care is tough. Yes it will. The home will not be protected from medicaid if she does that. The links provided will answer this question more specifically. She does need expert advice, not men who think they know everything. The links suggest "medicaid planning". ETA: I just remembered there is a section about "siblings" but I think the sibling needs to live in the home for the prior year to applying. Or something like that.
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Tearisci
Pearl Clutcher
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Nov 6, 2018 16:34:30 GMT
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Post by Tearisci on Mar 20, 2025 14:52:54 GMT
Another question- If one of them go into care and the other doesn't, does the 2k limit still apply? We've got a call with an elder care attorney later today but thought the peas might know.
There may be the possibility that my dad lives at home with in-home care giving before going into care.
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Post by mommaho on Mar 20, 2025 14:55:41 GMT
Even if they have prepaid for their funerals, check with the cemetery that the opening/closing, vault and headstones have been take care of. If not, they would be about $3,500 each for headstones and the vault is a substantial amount. When we went through this process with my dad, the funeral home included those charges on their quote. They also included an allotment for flowers. They were very knowledgeable about what would be eligible for spend down on his account. Kerri you are right depending on the situation. Mom and Dad set up their plots prior to 1990 and at that time the vaults had to be set up at the cemetery. Dad passed in 1993, and we had to take care of the funeral but the cemetary was all paid. We went ahead and purchased Mom's vault then but did not preplan Mom's funeral. We just did that for Mom the year prior to her passing. This is all in Ohio so things might be different in other states. My husband and I both need to do our preplanning, so our daughters don't have to worry about that.
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