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Senior Living Summer 2021

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SENIOR LIVING SUMMER <strong>2021</strong> ESSEX MEDIA GROUP 3<br />

Do you know someone who needs assistance with a Medicaid long-term care application?<br />

We’re here to help!<br />

Nursing homes are expensive. Not everyone has<br />

the funds to private pay for 24/7 care. Most families<br />

don’t even consider nursing home care for their<br />

loved ones until a crisis occurs, and then are left<br />

with little options. Upon admission, the nursing<br />

homes will ask, “what are the assets and what is the<br />

payor source?” How the nursing home care for your<br />

loved one is going to be paid for can send panic<br />

throughout a family. Most families are not even aware<br />

life insurance policies, investment accounts, stocks,<br />

bonds, annuities. Has a Durable Power of Attorney<br />

been established? Do they have a pre-paid funeral?<br />

Is there an irrevocable or revocable trust? Do they<br />

have a reverse mortgage on their home? Is there a<br />

spouse still living at home? How do they obtain all<br />

of these documents and how is all of this handled<br />

with a Medicaid long term care application? Should<br />

they hire an elder law attorney to handle this? But<br />

attorney fees can be in excess of $10,000. Where do<br />

they turn?<br />

Medicaid is a state-issued medical assistance program<br />

to help pay for healthcare related costs, including<br />

for eligibility. Eligibility is determined by income,<br />

assets, residency and household composition.<br />

for a Medicaid application, and navigating the<br />

complicated regulations can be an overwhelming<br />

burden.<br />

Darcia Tremblay is the president and owner of<br />

Silver Lining Solutions, Inc. with over 12 years of<br />

experience in processing Medicaid applications.<br />

In Massachusetts there is a 5- year look - back<br />

opened or closed bank accounts. Asset transfers,<br />

are subject to the 5 year look back period. When<br />

applying for Medicaid, the application requires<br />

years preceding the date of application. It is critical<br />

to understand how any transfer of assets will be<br />

considered for Medicaid penalty periods and what<br />

steps may be necessary to cure the transfers.<br />

If the Medicaid applicant has a spouse still living<br />

at home, Medicaid looks at the income and assets<br />

that assets can be transferred to the spouse living<br />

at home with no penalty period. In addition, the<br />

at-home spouse is allowed to keep all of his/her<br />

monthly income. In some instances the spouse may<br />

be allowed to keep some of the applicants monthly<br />

income to bring him / her up to the federal and state<br />

minimum monthly maintenance allowance amount.<br />

There are still asset limits that will need to be met.<br />

Assets over the limits are considered to be part of<br />

a spend down.<br />

It is evident that the Medicaid application process<br />

can be challenging, confusing and frustrating.<br />

Fortunately, there are Medicaid application<br />

professionals that have extensive experience that<br />

will guide applicants and their families through the<br />

process. Companies such as Silver Lining Solutions,<br />

over 3000 Medicaid applications. Silver Lining<br />

Solutions is based upon caring, compassionate and<br />

personalized relationships with the applicants and<br />

families, while maintaining open communication<br />

the full Medicaid application process is an allowable<br />

spend down expenditure. Silver Lining Solutions<br />

provides full assistance with navigating the Medicaid<br />

application process.<br />

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SilverLiningSolutionsMA.com<br />

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