Articles Tagged with new york medicaid lawyer

Getting remarried as a senior can have a whole host of important consequences from estate planning, retirement, and any future medical care needs, particularly if either spouse has children. Without careful planning and consideration before remarriage, seniors may find themselves in unexpected financial trouble and even create a fight in probate court over the estate if new will and testaments are not drawn up.

First and foremost, a remarriage affects the inheritance of the deceased’s surviving family members, even after the trouble of crafting a well thought out last will and testament. Under New York probate laws, surviving spouses are entitled to a portion of the estate, even if the deceased’s will explicitly divides the estate amongst his or her surviving children.

In this situation, each party should re-examine his or her will and consult with an experienced New York estate lawyer to draw up new plans for the disbursement of the estate. Without a revised will following a remarriage, the deceased’s estate may be held up in probate court due to legal challenges over beneficiaries looking to collect pieces of the estate they believe they may be entitled to.

When we send our beloved elders to a nursing home, we expect them to receive the care and attention need to live happy, comfortable, and dignified lives. Unfortunately for many seniors and their families, nursing home abuse and neglect is an all too common problem facing our nation’s elder care and assisted living system. While we expect nursing homes to do the right thing, nursing home abuse allegations can often lead to time consuming legal fights to recover damages and hold the facility accountable.

To make matters worse, many nursing homes have the power to insert clauses in their contracts with residents that strip away their right to due process in a court of law and instead require any disputes be settled in an administrative process known as arbitration. Because many families make the decision to place a loved on in an assisted care facility under duress, they often overlook key clauses in nursing home contracts.

What are predispute binding arbitration clauses?

Being named as a beneficiary to the estate of a loved one often comes with its own set of responsibilities and expectations following the passing of the deceased. Often times, individuals create estates and trusts to ensure their hard earned assets like homes, businesses, and sentimental items remain with close family members to ensure these articles are well taken care of and create a lasting legacy for future generations.

However, sometimes the strings attached with inheriting such assets are simply too much for the beneficiary to bare and could actually create a burden instead of benefit. Many of us have probably seen movies or heard news reports of beneficiaries needing to perform some sort of unusual task to claim an inheritance like taking care of a pet or living in a home for a certain period before the property may be sold.

While many of these examples are rare and impractical to say the least, there are many times when accepting an inheritance can create untenable financial liabilities like paying property taxes on homes and businesses. Despite the financial hardship some inheritances create, beneficiaries may still want to ensure their portion of the estate remains under their sphere of influence and provide some good to other families members down the line.

Medicaid is a terrific program designed to help older Americans pay for the cost of their prescription medication, hospital care, and even long term assisted living facility needs. Of course, like any other program, the system is in imperfect and comes with its own unique set of limitations, restrictions, and penalties that seniors and their families need to understand in order to take full advantage of under the law.

Designed as a resource to help low income and disabled seniors, Medicaid requires applicants meet certain financial criteria to qualify for benefits. Sometimes, seniors find themselves in a delicate situation where the state considers them too wealthy to qualify for Medicaid but unable to pay for vital nursing and hospital care on their own. In these circumstances, seniors may need to spend down or transfer assets to qualify for Medicaid assistance.

While this may seem like a practical idea, application for Medicaid in New York requires seniors to disclose asset transfers over the previous five-years to ensure applicants are truly in need of government assistance. The Department of Social Services ”looks back” at financial transactions made by the applicant or his/her spouse and may institute a so-called “penalty period” on non-exempt transferred assets which creates a waiting period on benefits which varies depending on the situation.

The Erie County District Attorney recently announced the creation of a new enhanced multidisciplinary team (eDMT) to help combat the 1,600 cases of senior financial exploitation reported each year in the country. The approach is a brand new model design to create a public-private partnership across multiple disciplines to investigate, prosecute, and educate the public about the very real danger facing many vulnerable elders both in the county and the state as a whole.

According to the Erie County District Attorney’s website, the eDMT “is coordinated by social worker Kathy Kanaley of Center for Elder Law & Justice, and includes the Erie County District Attorney’s office and representatives from Erie County Adult Protective Services and Senior Services.” Furthermore, the task force includes a forensic accountant assisting in the accounting of stolen funds, as well as a geriatric psychiatrist to help with determinations of capacity.

“This collaboration will help our office spot and aggressively prosecute those who prey on these vulnerable members of society,” said Erie County District Attorney John J. Flynn. “The sooner we can take action, the easier it will be to get justice for these elderly victims.”

SOME LIMITED RELIEF

Patients who rely on Medicare sometimes experience sticker shock after being released from the hospital only to find out that because some hospital administrator classified their stay as “observational” that they must pay a large portion of the final bill. Many times a doctor will seek to have a patient admitted for any number of reasons, only to have a bureaucrat reclassify the patient’s time at the hospital as observational. Such a designation will mean that Medicare will not pay for this time in the hospital. For Medicare to pay for a hospital stay, the patient has to be an admitted patient for at least three days (three midnights in the hospital).

Observational status does not equate to an admitted patient in Medicare’s own set of self defined definitions. That may be quite different to the patient who went to the hospital and received a number of drugs and tests during their time their and was consistent with the majority of their non-surgical stays in a hospital in life. In an effort to address these obvious problems that will only grow with time, President Obama signed a bill that required hospitals to warn patients that their stay will be considered observational in nature and that they are not being admitted under Medicare’s rules, which may result in a bill from the hospital that they will have to pay. The Notice of Observation Treatment and Implications for Care Eligibility Act would have to inform the patient that they are going to receive outpatient services under Medicare’s rules which requires cost sharing from the patient and that the observational status does not count towards the necessary three day inpatient in order to transition to a skilled nursing care facility.

In many ways, growing older is not easy. Neither is choosing the right long-term care solution. The range of options vary from complete in home care to skilled nursing facilities. The resources you have to pay for your care, will in part guide the choices you have for long-term care, including individual care, boarding homes, assisted living, nursing homes, among others. The following are some common options for long-term care needs.

Long-Term Care Facilities and Communities

Personal In-Home Care. In-home care can range from full time, live-in nursing professionals to periodic care provided by private services and not-for-profit organizations. Personal in-home care is highly desirable for many, but equally as expensive and often cost prohibitive. Because in-home care can be an effective solution for the health of an individual, some states have implemented options for staying home while receiving Medicaid benefits.

Contact Information