Florida Asset Protection, Estate Planning, Probate and Elder Law Blog
C. Randolph Coleman
The Coleman Law Firm, PLLC
9250 Baymeadows Rd, Ste 450
Jacksonville, FL  32256
Phone: (904) 448-1969
Fax: (904) 448-5244
Email:  RColeman@TheColemanLawFirm.net
Florida Asset Protection & Estate Planning Blog

Medicaid Immersion Camp

Steven Covey, in his best seller "The Seven Habits of Highly Effective People," maintains that to be highly effective you must take time to "sharpen the saw."  Last week I sharpened the saw. Three intense days of immersing myself, along with 29 other lawyers from around the country, in the issues, planning and implementation of practices, procedures and techniques designed to help someone legally qualify for Medicaid benefits to pay for nursing home costs, while preserving assets and income for the spouse who is not in the nursing home, or for other family members so they can provide additional support for the parent or spouse in the nursing home beyond what Medicaid provides.

I've been helping people qualify for nursing home Medicaid benefits for about the past 15 years. I've read the cases, read the Medicaid manual and the applicable state and federal legislation. I thought I was pretty well "on top" of the Medicaid ...
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Wills and Trusts Online Documents Wins ABA eLawyering Award

A Lexington, Kentucky, based law firm, Hargrove Madden, has been named the recipient of the 2012 American Bar Association eLawyering Award, given annually to recognize innovative delivery of personal legal services. Special attention is given by the ABA to firms that serve both moderate income individuals and the middle class.

Roger Madden, a founding partner who holds an advanced tax degree, added: “Everyone can benefit from a Last Will and Testament, a Living Trust, as well as medical and financial Powers of Attorney. Together, these documents can help families avoid some of the burdens associated with estate administration and the probate process. With the right technology, requisite security and systems in place, an estate plan can be made readily available to anyone who has internet access. We’re pleased that the ABA has endorsed our efforts to bring legal services to a broader audience.”

Although Hargrove Madden is focused on high net worth estate planning in its traditional practice, the firm began its online ...

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If I Am In a Nursing Home, Is It Too Late to Give Away My Assets and Qualify for Medicaid to Nursing Home Costs?

In Florida, if you are already in a nursing home, it may be too late to "give away" your assets and still qualify for Medicaid benefits for nursing home care, but that doesn't mean that you can't protect most of your assets and still qualify for Medicaid benefits to pay for the cost of the nursing home care. With the assistance of an elder law attorney experienced in Medicaid planning and nursing home care planning, you can protect substantial assets from nursing home costs that can exceed $80,000 a year.

There are a number of options that can be taken to legally "spenddown" your assets in a way that allows you to preserve most of those assets for your own financial support, or the support of other family members, and still qualify for Medicaid benefits to pay for nursing home costs. However, you must be very careful to ...
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Why Do I Need Help Obtaining Medicaid Coverage for Nursing Home Costs?

Getting Medicaid benefits to pay for nursing home costs may be something that is easy and straightforward for some. For others, those who want to protect assets from nursing home costs, the Medicaid planning process and the application for Medicaid benefits to pay for nursing home costs is a potential minefield that practically requires the assistance of an elder law attorney experienced in Medicaid and nursing home care planning.

Many courts have commented on the complex nature of the Medicaid laws and rules, and generally find the Medicaid process to be second in complexity only to the Internal Revenue Code. If your objective is to preserve as many assets as possible to provide financial support for the nursing home resident's spouse or other family members, it is imperative that you work with a Florida elder law attorney
who is experienced with Medicaid planning to pay for nursing home costs. The costs of nursing home care ...
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How Much Income Can I Make and Still Qualify for Medicaid?

In Florida, which is an "income cap" state, eligibility for Medicaid benefits is barred if the nursing home resident's gross income from all sources exceeds $2,094 a month (for 2012). However, if the excess income above this amount is paid into a "(d)(4)(" qualified income trust" ("QIT"), or "Miller" trust, any person in Florida, regardless of income level, can qualify for Medicaid benefits to pay for nursing home costs.

A QIT is a trust that is designed to allow the individual whose income is above the "income cap" to deposit all of the income in excess of the allowable limit into the trust on a monthly basis. Each month the income is then paid from the trust to the nursing home up to the nursing home's standard rates.


...

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Must I give away all my assets to keep them from being taken to cover the costs of my spouse's nursing home care?

If your spouse is required to enter a skilled nursing facility it is not necessary for you to "give away" all of your assets to protect your assets from the cost of your spouse's nursing home care.

Assuming that you and your spouse do not have adequate assets, or long term care insurance, to pay for your spouse's long term care needs in a skilled nursing facility, you will want to apply for and obtain Medicaid benefits to pay for your spouse's nursing home care. There are two financial critieria that must be met to qualify one for Medicaid benefits to pay for nursing home care:
an income test and an asset test.

For the purpose of answering this question, we will assume that your spouse has met
the income requirement and will address only the question of meeting the asset test ...
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How can I avoid being impoverished by the high cost of nursing home care?

Nursing home care in a skilled nursing home in Northeast Florida now averages about $85,000 per year. If you, or a family member or other loved one, needs skilled nursing home care, there are only three ways to pay for the cost of the nursing home care. The first is to use your own assets to pay for nursing home care, assuming you have sufficient assets. The second is to use long term care insurance, which is becoming increasingly difficult, and expensive, to obtain, as more insurance companies eliminate long term care insurance from their offerings.

The third option for paying the cost of nursing home care is through Medicaid benefits, specifically the Institutional Care Program ("ICP") offered through Medicaid. A Medicaid spend down plan, put together by a qualified and experienced elder law attorney or Medicaid planning lawyer, can allow you to preserve signficiant assets for your family and the nursing home resident, while qualifying for Medicaid benefits to pay for ...
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Is it a good idea to list my TRUST as beneficiary for my 401k plan?

There is a difference of opinion among estate planning professionals regarding designating a revocable living trust as a beneficiary of a 401(k) plan or other retirement plan (such as an IRA).

Some of the differing opinions derive out of misconceptions involving the Internal Revenue Code and the income tax. Prior to 2003 there was much concern with regard to naming a trust as the beneficiary of a retirment plan. The concern was that it would be necessary to immediately distribute the retirement plan account to the trust and realize income tax on all of the distribution in the year of death.

Beginning in 2003, the IRS issued a number of rulings that allowed a properly drafted revocable trust to be the beneficiary of a retirement plan account without adverse income tax consequences. In 2005, Congress passed the Pension Protection Act of 2005. That Act allows a revocable trust to be an eligible beneficiary of a retirement plan.

The primary advantage of ...

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Academy Awards Nominee "The Descendants" Really About Estate Planning

If you can get past the swooning over George Clooney, this year's five time Oscar nominee "The Descendants" is really about estate planning. In the movie plot, Clooney's character's ancestors left valuable Hawaian real estate in a trust, of which Clooney's character is a beneficiary and the trustee of the trust. The trust is about to end, and George Clooney's character, King, as the trustee, must decide whether to sell the land to a developer make him and his cousins all very wealthy, or keep the pristine Hawaian property in the family.

The movie is based on a book by the same name that was written by Kaui Hart Hemmings, a Hawaian who was actually involved in the sale of land that was in a trust from her ancestors. She talks about the movie, working with George Clooney, and her family's inheritance of Hawaian land with Forbes, Deborah Jacobs, in this article.

The plots and sub-plots in ...
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How a Qualified Income Trust Can Help You Qualify for Medicaid to Pay for Nursing Home Care

Florida is an "Income Cap State" with regard to eligibility for Medicaid benefits to pay for nursing home care. That means that if the nursing home resident's income exceeds the "income cap", he or she will not be able to qualify for Medicaid benefits to pay for their nursing home care, unless a "Qualified Income Trust" is implemented.  [A "qualified income trust" is often referred to as a "QIT", a "QIT Trust", or a "Miller Trust".]

How much income can I make and still qualify for Medicaid?

For 2012, the income cap for Florida is $2,094 per month (effective 1/1/2012). Accordingly, if you, a family member, or loved one, are otherwise eligible for Medicaid benefits to pay for  nursing home care, but have gross income greater than $2,094 per month, then you must put in place a Qualified Income Trust so ...
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Proper Long Term Care Planning Helps Ensure Best Care

There is no question that long term care for the elderly is expensive.Similarly, there is no question that as the population ages, the cost of long term care will continue to increase if for no reason other than the basic economic propositon that increased demand pushes prices higher when the supply doesn't increase proportionally. With boomers turning 65 at the rate of 10,000 a day there is practically no way for supply to keep up with demand.

It's also true that everyone doesn't have the financial resources to obtain Cadillic levels of long term care for their elderly family members. That doesn't mean that you should throw in the towel and take whatever care is available for your elderly parent, sibling or spouse.

Long term care planning, whoever your are, whereever your ...

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Why You Should Not Create a Special Needs Trust

Let's say you have a child with "special needs," or a sister, brother, mother or other family member. You have not created a special needs trust as part of your own estate plan. Why not?

We know why not. We have heard pretty much all the explanations and excuses. Here are a few, and some thoughts we would like you to consider:

I don't have enough money to need a special needs trust. Really? You don't have $2,000? Because that's all you have to leave to your child outside a special needs trust to mess with their SSI and Medicaid eligibility.

I can't afford to pay for the special needs trust. We apologize that it can be expensive to get good legal help. But the cost of preparing a special needs trust for your child is likely to be way, way less than the cost of providing a couple month's worth of care. That is what is likely to happen if you die without having created a special ...

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Happy Holidays! Merry Christmas! Happy Hanukkah!

To all of our friends, clients, vendors and readers, we wish each and everyone of you a very happy holiday season, filled with good spirit and family gatherings. May your New Year be your happiest, and most prosperous, ever.

But, should that holiday party or family gathering turn out to be a little stressful, here's some good counsel on how to avoid committing a crime against family from Gina Simmons of Forbes.com:

Holidays: An Occasion for Crimes of the Heart

 

Illustration from children's novel, Christmas ...

In Beth Henley’s Pulitzer Prize-winning play Crimes of the Heart, an attempted murder, graft and suicide form the backdrop for a story about the vulnerability of the human heart.

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Veterans Pension Benefits - Aid and Attendance - Housebound Aid

For about the last year I have been an Accredited Attorney with the Veterans Administration, Department of Veterans Affairs. Over that period of time I have been exploring all of the nuances of Veterans Benefits and the situations in which Veterans Benefits can be of most value to my clients and prospective clients. During that period of time we also have successfully represented several clients through the process of applying for and being awarded Veterans pension benefits and Aid and Attendance benefits.

 

The Veterans pension benefit and Aid and Attendance benefit have been available to veterans since the Spanish American War. A significant improvement was made in 1979. The benefits can be quite meaningful especially for the veteran, or surviving spouse of a veteran, who needs or is receiving in-home care or needs or lives in an assisted living facility. In some cases the Aid and Attendance benefit can be a favorable alternative to ...

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Medical Emergencies During the Holidays - The Need for Advance Directives

It's the holiday season. No one wants to talk about estate planning, advance directives, life prolonging procedures, or dying. It's supposed to be the festive part of the year. But, people do die during the holidays. They also have strokes, heart attacks, aneurisms, and other health failures. Accidents occur daily. Some of them fatal.

The story told by Carolyn Rosenblatt, in "Don't Pull the Plug! A Family's Battle with the Hospital," is reflective of what can happen if consideration of end of life  decisions are put off until its too late. In "Don't Pull the Plug!" the patriarch of the family experienced an aneurism. The brain was essentially vegetative, but still had some activity in the lower brain. There was no advance health care directive in place (living will or health care power of attorney). The hospital didn't want to continue providing life support procedures for someone who was essentially "brain dead" (and who didn't have insurance ...
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Honoring Veterans 11-11-11

Today is Veterans Day 2011. Our sincere thanks and gratitude to the many in America who have served our great country, and our heartfelt desire that the politicians running our country can have the backbone and resolve to keep it great.

More than 41 million Americans have served in the US military since 1775. Approximately 23 million of them are alive today, and more than 17 million living veterans served during a period of conflict. There are approximately 7.391 million veterans of the Vietnam War (1964-1975). Approximately 2.275 million veterans alive today served in the Korean War (1950-1953). More than 2.244 million veterans of Operation Desert Shield/Storm are surviving (1990-1991). And, more than 1.711 million veterans of World War II are alive today (1941-1945). [Statistics courtesy of  "America's Wars", Department of Veterans Affairs.]

All of those veterans serving during the period of time of any conflict (almost 12 million veterans) may be entitled to various benefits from the Veterans Administration, including, among other potential benefits, pension ...

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Aging Boomers Ignorantly Blissful About Long Term Care

Ignorance is bliss!  The baby boomers, turning 65 at the rate of 10,000 per day, seem to be fooling themselves into believing they won't need long term care during their lifetime.

In a recent study conducted by Genworth Financial (the 2011 Financial Reality Check Study), one of the larger providers of long term care insurance, less than 33% of the respondents believe it is only somewhat likely that they will need long term care. Only 7% think it is "extremely likely" they will need long term care.

The reality of long term care is quite different from the wishful thinking exposed by the Genworth study.

According to Medicare.gov:

        1.   This year more than 9 million men and women over the age of 65 will ...

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Why You Should Periodically Review Your Estate Planning

Diamonds are forever!  Estate planning is not!

The travails of the James Brown (Godfather of Soul) estate show just how bad things can get when estate planning documents are not updated when there are changed circumstances. Brown didn't update his estate planning after a late in life marriage, nor after his last child was born. The result is five years of probate litigation - and still counting! For a detailed analysis, take a look at this Forbes article: 
Court Battles and Debt Leave James Brown Estate Not Feeling Good.

As we have discussed in
previous posts, beneficiary designations are often the most overlooked changes that need to be made when life intervenes. As recently as yesterday, a client needed a "reminder" that his retirement plan and life insurance beneficiary designations had not been changed to coordinate with his estate planning documents, as a result of his second marriage.

Additionally, ...
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Nursing Home Costs Now $87,000 Annually

MetLIfe has just released its annual survey of long term care costs. Not surprisingly, those costs are rising faster than inflation with the national average cost of a skilled nursing home facility at $87,000. The cost of an assisted living facility rose from $3,293 to $3,477 monthly, or $42,000 annually. For those needing dementia care, the costs are even higher - an average of $92,000 annually for a skilled nursing facility, and $55,000 a year for an assisted living facility.

The full 
MetLife Mature Market Survey also reveals that the costs of extra services can significantly increase the averages. For instance, the additional montthly charge for assisting a resident with bathing is $307, to manage medications $370 per month, or for personal care such as toileting, transferring or incontinence management $530 monthly.

Average ...
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Special Needs Trusts - Shifting Purpose, Increasing Value

Over the past week, our office has experienced an unusual influx for a one week time period: three new clients seeking special needs trust planning for their disabled relatives. One case dealt with autism, one with Downs Syndrome, and one with severe epilepsy. The common thread running through all three cases was a dual concern that public benefits for disabled individuals are threatened by budget issues, and the desire to ensure that their loved were able to qualify for and receive whatever public benefits programs were available.

What is a special needs trust?

A special needs trust is a trust that is specifically designed to provide support for disabled individuals without causing ineligibility for various applicable public benefits programs, such as Medicaid, SSI (supplemental security income), or other programs offered by various state and local governments. Such a trust is imperative for those who plan, or desire, to leave an inheritance to a relative or loved one who ...

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The Coleman Law Firm, PLLC

9250 Baymeadows Road, Suite 450
Jacksonville, FL  32256
Phone: (904) 448-1969
Fax: (904) 448-5244
Email:
RColeman@
TheColemanLawFirm.net

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