Continuing Care Retirement Communities are the Least Profitable Businesses in the US

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By: Attorney Nathan Simpson

Continuing Care Retirement CommunitiesAccording to a new article in Forbes, Continuing Care Retirement Communites (CCRCs) and Assisted Living Facilities are the least profitable business in the US, turing on average a -1.0% profit margin. While this may simply seem like an interesting fact, it is a fact that could have potentially devastating effects on seniors.

Many CCRCs require seniors, as part of the contract to live there, to agree to spend down all of their money on the cost of the facility. In exchange, the CCRCs will agree to take care of the person, if possible, even after their funds have been exhausted. However, if the CCRC is unable to meet the care needs of the individual, or if the CCRC goes out of business, they are no longer under any obligation. Seniors could be spending their money on an agreement that the CCRC is unable to fulfill.

While many CCRCs are run as non-profits, this still raises grave concerns about their long term viability. If the CCRC is unable to fulfill their end of the bargain, the senior is forced to find a new facility. This can be difficult, as Assisted Living Facilities often refuse to take seniors who have already spent down their assets, and even some Nursing Homes often have long waiting periods for admission.

What Is the Role of the Case Worker in my Medicaid Application?

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By Jess LoPiccolo

Your case worker is an employee of the county Department of Job and Family Services. Their job is to collect and enter the information needed to determine whether you are eligible for Medicaid benefits. Each county has their own case workers.

As part of my job as a case manager at Cooper, Adel & Associates, I try to make the job as easy as possible for your county case worker to help facilitate the process. I organize your information and give your case worker the big picture about you and your qualifications. This makes sure the case worker has the information they need to make a timely decision. And time is money in these cases!

If you or a loved one needs to apply for Medicaid, we’re hear to help. Please call us at 1-800-798-5297 for a free consultation.


Medicaid Estate Recovery- A threat to the family farm

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By: Jessica LoPiccolo

Here in Ohio, we see quite a few clients who have farms that have been in their family for many, many generations. Most of the time, the family wants to continue to pass the farm down to their children, grandchildren and on down the line. But many families don’t realize that there is a very serious threat to that dream. For instance, what happens if Grandma dies and then Grandpa gets sick and has to go into a nursing home? Once he has spent through his hard-earned savings, Grandpa will have to go on Medicaid in order to continue to pay the nursing home bill. The farm can be in his name for 13 months after being admitted to the nursing home. [Read more…]

Are Your Medicaid Benefits Going Up?

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By Attorney Virginia McCann

If you are receiving Medicaid benefits, keep in mind that your benefits for 2014 may have changed. As you are probably aware, even when you are eligible for Medicaid, you are still required to pay your gross income, or a portion thereof, toward your cost of care. This is known as your “patient liability”. A stipend, known as a “personal needs allowance” (PNA) is deducted from the patient liability for you to spend on your needs. As of January 1, 2014, Medicaid recipients residing in nursing homes saw a rise in their PNA from $40 to $45 while the PNA for those living in an assisted living facility stayed the same at $50. If you are living at home and receiving benefits through one of Medicaid’s waiver programs, you are entitled to keep $1,406. If your income does not meet or exceed $1,406 you have no patient liability at all.

For married individuals receiving Medicaid benefits, the maximum amount of assets their spouse (known as the community spouse) is entitled to keep has gone up to $117,240. For couples with fewer assets, the community spouse is now entitled to keep at least $23,448 worth of assets. This is based on what is called the “community resource allowance” (CSRA) and is dependent on the total amount of assets held jointly, either at the time a Medicaid application was filed or when the spouse receiving benefits first entered a care facility for 30 days or more.

Individuals still living at home while their spouse (the “community spouse”) is residing in a long term care facility may be entitled to keep a portion of their spouse’s income. In fact, community spouses can retain enough of the other spouse’s income that their own monthly income could be as high as $2898. The total amount of income a community spouse can retain is dependent on factors such as the community spouse’s income as well as the cost of mortgage, taxes, insurance and utilities.

Seek help from an experienced elder law attorney to sort through the maze of Medicaid rules and regulations.

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