The Medicaid Myth – Finally Busted For Good!

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Sep 05, 2017

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Everyones heard the statement Ya gotta be broke to qualify for Medicaid! Its a common myth that the most highly-skilled elder lawyers bust almost daily. You DO NOT have to be broke to qualify for Medicaid, and Medicaid is a terrific alternative for anyone concerned about the extremely high cost of long term care. But
Qualifying for Medicaid is not easy. Its laws, administrative regulations and related processes are very dense, intimidating and frustrating. And everyones situation is, inherently, different. For that reason, those interested in Medicaid should consult with an attorney who is deeply-steeped in the unique knowledge of how Medicaid works and how to protect ones hard-earned assets from the high cost of a nursing home.



Did you know these things about Medicaid?

There are fifty different types of Medicaid. Yes - fifty! Although its a federal program, each state runs its own, and theyre all a little different. Qualifying in one state, doesnt qualify you everywhere.



Texas is very generous to the spouse of someone who needs long term care. The well spouse can have a substantial amount of assets and still qualify their loved one for assistancebut only if they know how or seek the advice of someone who does.



Even in those emergency cases when the applicant needs long term care immediately, there are strategies that can preserve up to 75% of all his assets. Dont panic! Get advice from someone who deals in this area daily. Its not just some subset of estate planning.

Then, theres Medicaids pesky ole lookback period. Nearly everyone has heard of it, but very few really understand it. In short, Medicaid looks at the five years immediately preceding ones application, and they assume that transfers made (for less than fair market value) or gifts given outright, in that five-year timeframe, were done purely to qualify. So, Medicaid applies a formula to the value of such things and calculates a penalty period during which, even though youre otherwise qualified, you dont get your benefit check. But theres good news! If you know how, much of that penalty can be avoided.

Editorial Note: This article was written by J. Clarke Wilcox with Whatley Wilcox PLLC. He may be reached at 888-593-5337 or www.whatleywilcox.com. (See ad page 33)

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Navigating Health Insurance: Covering the Costs of Home Care

Understanding the financial aspects of home care is crucial for many families. Its about knowing your options, who to talk to, and where to begin. At Amazing Care, were here to help you navigate through the maze of home care payment options, ensuring you make informed decisions regarding paying for home care services.Home care, an essential service for many, can sometimes be a financial burden. However, with the right information and resources, you can find ways to manage these costs effectively. Amazing Care offers several payment options to alleviate this burden.Medicaid: A viable option for those who meet certain income and health requirements. Amazing Care accepts Medicaid for qualifying services, providing a lifeline for many in need of home care without the financial means to afford it out-of-pocket. For more detailed information on how you can utilize Medicaid for services at Amazing Care, visit our Medicaid payment options page.Medicare: Typically, Medicare covers medically necessary home health care services. If you or your loved one is a Medicare beneficiary, you might be eligible for coverage of Amazing Cares services. This includes nursing care, physical therapy, and more under certain conditions outlined by Medicare guidelines. To understand how Medicare can help cover your home care needs with Amazing Care, check out Amazing Cares Medicare guide.Private Insurance: Home care covered by insurance is available, and many private health insurance policies include home care services. Coverage details can vary widely, so its essential to contact your insurance provider to understand the specifics of your policy. Amazing Care works with numerous private insurance plans, assisting you in maximizing your benefits. For insights on navigating private insurance with Amazing Care, visit our private insurance payment options page.Starting this journey can be overwhelming, but youre not alone. The first step is to contact Amazing Care to discuss your needs and payment options. Our team is dedicated to guiding you through the process, ensuring you access the care you need without undue financial stress. By exploring Medicaid, Medicare, and private insurance options, youll find a path to covering the costs of home care. Questions, please contact us at 303-755-3170.

Community First Choice (CFC) is coming on 07/01/25

Get ready for Community First Choice (CFC), a new State Medicaid program that expands access to HCBS services! Starting 07/01/25 your favorite home care services, i.e. Personal care (PC), Homemaker (HMK) and Health Maintenance Activities (HMA), will start to be transferred to CFC:While the main home care services (PC, HMK, HMA) are moving over to CFC, other services, such as adult day, respite and mentorship, etc. remain under their respective waivers. Clients will be able to access services under waivers and CFC at the same time. In addition, certain limitations, such as for relative personal care (up 8.5h per week or 40h per week under IHSS) are being replaced with new limitations for legally responsible individuals (520h per year for homemaker). There is also some broadening of existing service options through the introduction of acquisition, maintenance & enhancement of skills. As mentioned above, CFC is being introduced starting 07/01/2025 with clients moving over to CFC on their Continued Stay Review date (CSR). The process is expected to be completed by 06/30/2026. Alpine can help you navigate these upcoming changes. Just give us a call at 303-309-6202

Don't forget about your Medicaid Redetermination!

Now that the Public Health Emergency has ended, all individuals currently enrolled in Medicaid will need to go through the redetermination process to ensure that they still qualify for Medicaid and the respective HCBS programs (which form the basis for receiving home care services).Here are a few things you should do in order to avoid experiencing delays or being denied your Medicaid:1) Confirm and/or update your contact information:This will ensure that you are receiving your Medicaid renewal paperwork at the correct location. You can update your address, phone number, and email information in one of these ways:Visit Colorado.gov/PEAK.If you do not have a PEAK account, you can create one Colorado.gov/PEAK.Use the Health First Colorado app on your phone. This free app is for Health First Colorado and CHP+ members. Download it for free in the Google Play or Apple App stores.CHP+ members can call 800-359-1991 (State Relay: 711). Help is available in multiple languages.Contact your County Department of Human Services or Social Services to change your contact information. You can find your county office at: https://cdhs.colorado.gov/our-partners/counties/contact-your-county-human-services-departmentContact Alpine at 303 309 6202 if you need assistance with this process.2. Check your mail for your Medicaid renewal letterYou will receive a letter and an email informing you of your renewal date. This date is very important, as it indicates when you can anticipate receiving your redetermination packet and begin the renewal process.PLEASE NOTE: Some individuals will be automatically renewed based on information that the State has them from other data sources. This means that some members will not receive a renewal packet but rather receive a notice of action letter that lets them know they are still eligible for coverage.The renewal letter will be sent from Consolidated Return Mail Center with URGENT PLEASE REPLY written in red.3. Receive and sign the redetermination packetHealth First Members should receive a renewal packet approximately 70 calendar days before their renewal deadline to allow time for completion. Your renewal date can be viewed at CO.gov/PEAK. Some individuals may need to provide additional information, e.g. changes in income, care needs, etc. Even if no additional information is needed, the packet MUST be signed and returned by the deadline listed.4. Return signed packetThe redetermination packet must be signed and returned on time. This can be completed via the following: 1) Online at: CO.gov/PEAK, 2) Through the Health First Colorado App, 3) By mail, fax, or bring the completed signature page and updated renewal form pages to the local county office.Alpine is here to help you every step of the way. Please do not hesitate to contact us at 303-309-6202 if you need any help with your Medicaid redetermination!

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        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#141seniorsbb_db_dev1.29msselect * from `listingattachment` where `listingattachment`.`listingId` = 5003 and `listingattachment`.`listingId` is not null and `type` = 'article' limit 1
        Bindings
        • 0: 5003
        • 1: article
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:141
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#146seniorsbb_db_dev990μsselect * from `listingattachment` where `listingattachment`.`listingId` = 5003 and `listingattachment`.`listingId` is not null and `type` = 'article' limit 1
        Bindings
        • 0: 5003
        • 1: article
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:146
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev1.43msselect * from `listingattachment` where `listingattachment`.`listingId` = 15214 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 15214
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev1.44msselect * from `listingattachment` where `listingattachment`.`listingId` = 15192 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 15192
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 3968f797b22a9c6b17ff202289cdb425.php#299seniorsbb_db_dev1.42msselect * from `listingattachment` where `listingattachment`.`listingId` = 15191 and `listingattachment`.`listingId` is not null and `type` = 'article' and `primary` = 1 limit 1
        Bindings
        • 0: 15191
        • 1: article
        • 2: 1
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/3968f797b22a9c6b17ff202289cdb425.php:299
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      • 6162bf581736fa7f4e9b70a52a1034b4.php#2seniorsbb_db_dev1.52msselect * from `articles` where `articles`.`deleted_at` is null order by `id` desc limit 3
        Backtrace
        • var/www/html/sbb/shared/storage/framework/views/6162bf581736fa7f4e9b70a52a1034b4.php:2
        • vendor/laravel/framework/src/Illuminate/Filesystem/Filesystem.php:124
        • vendor/laravel/framework/src/Illuminate/View/Engines/PhpEngine.php:58
        • vendor/livewire/livewire/src/Mechanisms/ExtendBlade/ExtendedCompilerEngine.php:22
        • vendor/laravel/framework/src/Illuminate/View/Engines/CompilerEngine.php:75
      App\Models\Article
      7Article.php#?
      App\Models\ListingAttachments
      3ListingAttachments.php#?
      App\Models\ArticleCategory
      2ArticleCategory.php#?
      App\Models\Category
      1Category.php#?
          ClearShow all
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          #12025-07-07 15:46:48GET/articles/the-medicaid-myth-finally-busted-for-good41713