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August 2, 2007
GOOD NEWS/BAD NEWS FOR
SENIORS
I’m pretty upset this
week! I just found out that Santa Claus is dead and the Easter bunny was
caught in a leg trap, skinned and barbequed!
What I’m referring to
is a new practice by MassHealth (Medicaid in Massachusetts) that requires
anyone applying for MassHealth to provide a copy of every check that they
have written in the last 5 years. If they find a check written as a
Christmas gift, Easter gift, birthday gift, church donation…ANY GIFT AT
ALL …the applicant will be disqualified.
Part of what has me
upset about this law that was passed on February 8, 2006 (The Deficit
Reduction Act) is that the President and Congress never told anyone about
it! Have you written a check, as a gift, to your child or church over the
past 5 years? If you have, you will be in trouble if you ever have to apply
for MassHealth to pay for long term nursing home care. Your only crime is
that you got too old to make a gift.
Could it be that
MassHealth is over zealously applying this new law? Maybe. The Federal
regulations allow some gifts, as long as they were not made to impoverish
the applicant and were made for reasons other than qualifying for
MassHealth. Attorney Neil Winston of Moschella and Winston, of
Somerville,
Massachusetts has suggested arguing that a hardship exception may eliminate
the harsh penalties associated with gifts made by seniors.
Now for the good news.
Nursing home residents on MassHealth give their nursing home all of their
monthly income each month for rent. The only exception being that they can
keep $60 per month to pay for their telephone, cable, haircuts, clothing and
all other personal needs. This amount has been increased to $72.80, and
although it is still not enough to cover all of their costs, at least it’s a
step in the right direction. Last week, MassHealth send a letter to all
MassHealth nursing home recipients informing them of this change.
The final bit of good
news for seniors was the case of Boleslawa Grant v. Ronald Preston(SUCV2005-1884).This
was a case aimed primarily at protecting the financial rights of elderly
women whose spouse is in a nursing home. The problem was that MassHealth
assumed that the spouse of a nursing home resident had invested ALL
of her assets in 5 year CD’s that earn a very high interest rate, instead of
savings accounts and short term investments that earn substantially less
interest. This practice resulted in spouses of nursing home residents being
short changed in the amount of assets that they are allowed to keep. New
regulations have yet to be issued, but the court has ordered MassHealth to
use a fair rate of interest, when determining how much assets the healthy
spouse can keep when her husband has been placed in a nursing home.
This article gives
general information and not specific advice on individual matters. Persons
wanting individualized advice on matters discussed should contact an advisor
experienced in those matters. To the extent this article provides
information on legal matters, it is based on law in effect in Massachusetts
on the date of posting (laws in effect in other states are often quite
different).
Ronald H. Surabian is a CPA and attorney who
works at the Elder
Law Center in Saugus, Massachusetts. He also
holds Masters in accounting and a Masters in tax law. He currently serves on
the board of directors of the Massachusetts Chapter of the National Academy
of Elder Law Attorneys. If you have any questions please call me at the
Elder Law Center, One Essex Street, Saugus, MA 01906 (781)233-4444. To view
this or any prior article, please visit our web site at
www.elderlawcenter.org
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