NAMI, DRA and Other Maladies The LTC Collections Process
M edicaid Eligibility In NYS <ul><ul><li>Financial and “Categorical” Standards </li></ul></ul><ul><li>Community vs. LTC C...
D eficit Reduction Act of 2005 Stricter, Stronger Standards
D RA-05 Overview <ul><ul><li>Asset Transfer Changes - DQ Period. </li></ul></ul><ul><li>5 year look back </li></ul><ul><li...
Inter secting Paths Medicaid Pl anning vs. Fra udulent Conveyances 8/1/07 Rule of Halfs Applied by Counsel H ome Sold to ...
Impact of Promissory Note Exemption Impact of Promissory Note Exemption <ul><li>Promissory Note Criteria under DRA-05. </l...
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Nami And Dra Issues

Published on: Mar 3, 2016
Source: www.slideshare.net


Transcripts - Nami And Dra Issues

  • 1. NAMI, DRA and Other Maladies The LTC Collections Process
  • 2. M edicaid Eligibility In NYS <ul><ul><li>Financial and “Categorical” Standards </li></ul></ul><ul><li>Community vs. LTC Coverage </li></ul><ul><li>Net Available Monthly Income (NAMI) </li></ul><ul><li>Spousal Obligations </li></ul>Overview
  • 3. D eficit Reduction Act of 2005 Stricter, Stronger Standards
  • 4. D RA-05 Overview <ul><ul><li>Asset Transfer Changes - DQ Period. </li></ul></ul><ul><li>5 year look back </li></ul><ul><li>Home Equity Limitations </li></ul><ul><li>Annuities </li></ul><ul><li>Transfers in consideration of loans (promissory note), mortgages and life estates. </li></ul><ul><li>“Hardship” Requests </li></ul>Stricter Standards
  • 5. Inter secting Paths Medicaid Pl anning vs. Fra udulent Conveyances 8/1/07 Rule of Halfs Applied by Counsel H ome Sold to BFP 5 /15/2007 P art A Stay Ends 2 /1/2007 S NF Admission 1 /1/2007 S on is POA $ 500,000 R etains Home Val ued at G ambling F unds Lost C onsultants C PA Firms I R etains Funds L aw Options E mployment $4,500/ month to Grandma H ouse Purchase N iece - 1/1/2006 $ 400,000 Transfe r $ 900,000 Assets G randma
  • 6. Impact of Promissory Note Exemption Impact of Promissory Note Exemption <ul><li>Promissory Note Criteria under DRA-05. </li></ul><ul><li>Continued use of the “rule of halves”. </li></ul><ul><li>Calculations of monthly payments. </li></ul><ul><li>Impact on NAMI and Private Pay Charges. </li></ul>

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