I have to apologize for the absence of blogs posts over the last few weeks. This is a result of the crisis planning we have been undertaking with our clients. As the Medicaid rules have significantly changed, we have attempted to create as many opportunities as possible for clients who are in the planning process.
Now that the law has changed, there are still a few planning opportunities to be utilized under the new law. Initially, however, it is important to provide an update as to the major changes in the law.
The first change is that the waiting period of transfers is now a maximum of five years for all gifts made. This so-called “look back period” has been extended to five years from three, and this is the GOOD news.
The bad news is that the date for the look back period no longer begins in the month that the individual transfers an asset, but rather, when the individual applies for Medicaid benefits and would have been eligible except for the asset transfer and the corresponding divestment penalty period.
The penalty period is determined by each particular state, sometimes on an annual basis, and some states even vary on a geographic area basis within themselves.
The real kicker is that the way the new law is written, all transfers will now be counted toward this penalty, without respect to timing. For example, if I give my child a gift today, and I enter a nursing home in 30 years, today’s gift will be penalized.
As another example, under the old rule, with a penalty of $7,000 per month, if a gift of $14,000.00 was gifted on November 1, 2005, the penalty period would have been extinguished on January 1, 2006. Under the new rule, the divestment period begins on the date that the applicant applies for Medicaid, so if this occurs on July 1, 2006, the period would not be extinguished until September 1, 2006.
This harsh penalty period is not good for any particular group except the government. This new rule will cause significant problems with Medicaid benefits applicants because records must now be kept indefinitely.
In addition, this will be a problem for the facilities that accept individuals. The new rules are going to create havoc when applicants who may have gifted assets five years previously, but are impoverished when entering the facility, believe that they will qualify for Medicaid. Since they will not qualify, the facility will be forced to request that their children pay for the residents’ care, or the facilities will have to ask for hardship waivers from the state in order to obtain Medicaid benefits for these residents. Worst case scenario, the nursing home facility may be required to evict any residents that can’t pay for care.
By: Hyman G. Darling, Esquire