Last week the Centers for Medicare & Medicaid Services (CMS) released a final rule updating the Medicare Shared Savings Program to encourage the delivery of high-quality care for Medicare beneficiaries and build on the early successes of the program and…
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WRAPPING A MEDICARE SET-ASIDE ARRANGEMENT INSIDE A SPECIAL NEEDS TRUST
by Thomas D. Begley, Jr., Esquire, CELA In any recovery involving a personal injury case, the interest of Medicare must be considered.[1] The idea is that because Medicare is a secondary payer, a beneficiary should not be permitted to receive…
SPECIAL NEEDS TRUSTS AND MEDICARE SET-ASIDE ARRANGEMENTS
by Thomas D. Begley, Jr., Esquire, CELA Generally, Medicare Set-Aside Arrangement (MSA) funds are deposited in a custodial account with a professional trustee or given to the client to self-administer. For cases less than $100,000, giving the funds to the…
Medicaid Updates Nursing Home Ratings, Helping to Make Long-Term Care Decisions Easier
One of the hardest decisions to make is determining when a dear loved one needs long-term care. Realizing that families can no longer provide care at home and a nursing home is the practical option is difficult. Many turn to Medicaid…
What is covered by Medicare in a skilled nursing facility?
Many people on Medicare assume that the program will cover any medical costs they encounter, including the cost of care in a skilled nursing facility. However, coverage for care in a nursing home is actually quite limited, and it is…
Tagged with: CMS, elder law, Hook Law Center, Medicare, Recovery Audit Contractors, special needs planning, veterans benefits
THE IMPACT OF WINDSOR ON TAX AND PUBLIC BENEFITS PLANNING FOR SAME-SEX COUPLES PART II
Article by Thomas D. Begley Jr. This is the second part of a two-part article dealing with the impact of Windsor on taxation and public benefits. This article will examine the impact of Windsor on public benefits planning. In United…
IS THE BIPARTISAN BUDGET ACT OF 2013 THE DEATH OF AHLBORN?
Article by Thomas D. Begley Jr. As a condition of Medicaid eligibility, a Medicaid applicant is required to assign to the state any rights to payment of medical care from any third party.[1] If the individual fails to pursue the…
Tagged with: Arkansas Dept, Begley Jr, Bipartisan Budget Act, CMS, Human Servs, New Jersey, State Medicaid Agency
Medicaid Rule Change Strengthens Home- and Community-Based Care
Millions of low- and fixed-income Americans depend on Medicaid for health care. Many are fortunate enough to receive that care in their homes or at nearby facilities. Unfortunately, some have no choice but to receive treatment in nursing homes and…
Free Medical Services for Qualifying Veterans & Family Members
The Michigan Endoscopy Center in Novi, Michigan has a unique offer for free GI procedures. This free service is made available by rules of the Centers for Medicare & Medicaid Services. Michigan Endoscopy Center has CMS approval until the…
Congressional Commission on Long-Term Care Makes Recommendations for Reform
Congressional Commission on Long-Term Care claims that CMS is too burdened to drive long-term care reform. By Chris Berry While typical long-term care reforms depend on the Centers for Medicare & Medicaid Services to be implemented, an overwhelming demand on…
Tagged with: ACL, Bob Cusack, Carol Raphael, CMS, Galen Institute, Grace Marie Turner, Henry Claypool, LTSS
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