Under the Medicaid program, an individual may be eligible for assistance with long-term care expenses, such as those incurred in a nursing home, if he or she meets certain financial qualifications. In determining eligibility, all assets of the individual and his or her spouse, whether held individually or jointly, must not exceed the program’s financial limitations.
Nevertheless, there is an exception existing under federal statute, which allows an individual living in an institution or nursing home to assign the right to be supported by his or her spouse to the State. When this right is transferred in this manner, the individual cannot be prevented from qualifying for Medicaid, even if his or her spouse’s assets exceed the financial threshold. This exception is often invoked where a spouse is unwilling or unable to provide the State information as to individual or spousal assets. In such a situation, an institutionalized individual is permitted to qualify for Medicaid benefits without being punished for his or her spouse’s inaction or refusal to cooperate.
In Morenz v. Wilson-Coker, this exception was utilized in a unique planning situation. In this case, prior to her husband’s qualification for Medicaid benefits, a wife transferred spousal assets in the amount of $323,131.00 out of the name of her husband, who was already in the nursing home, and into her name alone. Although these transferred assets far exceeded the financial threshold for eligibility and would normally render her husband ineligible for Medicaid benefits, she craftily submitted an assignment on her husband’s behalf, by way of a Durable Power of Attorney (with all necessary required language) he previously granted to her, which transferred his right to be supported by her to the State of Connecticut. Also, she submitted a document stating that she refused to support her husband.
In the end, the U.S. Court of Appeals for the Second Circuit held that the assignment and refusal were valid under the plain language of Federal and Connecticut law, and her husband could not be prevented from qualifying for Medicaid. Based on excellent legal Medicaid and estate planning advice, which included a basic, yet essential, Durable Power of Attorney, she was able to preserve her funds for herself and ensure that her husband’s long-term care needs were properly met.