Stay on the Cutting Edge of MaineCare Practice
Skyrocketing health and long-term care costs are putting added pressure on your aging clients to find a way to afford assisted care. This focused course is dedicated to helping you offer the most current and effective MaineCare planning. Get detailed instruction on fulfilling all four eligibility criteria, with special focus on excluded assets, qualifying transfer techniques, same-sex couples planning, and estate recovery rules. Register today!
- Hear the latest changes to in-home care services coverage under the ACA.
- Clear up out-of-state coverage issues before applying for MaineCare.
- Find new ways to transfer assets without risking eligibility.
- Determine what assets count as "without saleable value" for purposes of qualified transfers.
- Walk through the MaineCare application, hearing and appeal steps; and get tips on speeding up the process.
- Prevent malpractice with legal ethics guidance tailored to MaineCare practice challenges.
- Make better use of waivers and estate recovery exemptions.
- IS MAINECARE RIGHT FOR YOUR CLIENT?
9:00 - 9:45, Sarah Neault
- Is MaineCare the Right Solution for the Client?
- Citizenship and Residency
- Application for Other Benefits
- Client and Agency Responsibilities (Reporting Changes of Income)
- Out-of-State Coverage
- New and Amended Eligibility Categories under the ACA
- MaineCare Coverage vs. Private Alternatives
- ACA Eligibility: Recent Changes to In-Home Care Services Coverage
- Four Basic Eligibility Criteria in a Nutshell
- Partial Eligibility and Share of Cost
- EXCLUDED VS. COUNTABLE ASSETS
9:45 - 10:30, Sarah Neault
- Community Spouse Resource Allowance and CSRA Appeal
- Assets Without Saleable Value
- Insurance and Other Assets Being Converted
- When are Bank Accounts Excluded?
- Creating Burial Contracts/Funeral Trusts
- Disaster Relief Act and Other Excluded Government Payment Programs (Reparation Payments, Alaskan Native Claims, Nazi Persecution Payments, etc.)
- Earned Income Tax Credit
- Garden/Wood Plots and Other Property Used for Home Consumption
- Limits on Household Goods
- Income-Producing Property
- Insurance Settlements
- Life Estates/Life Leases and Their Impact on Estate Planning
- When Life Insurance Becomes Countable
- Stocks, Bonds, and Mutual Fund Shares
- Valuation of Assets for Eligibility Purposes
- INCOME ELIGIBILITY
10:45 - 11:45, Sarah Neault
- How MAGI (Modified Adjusted Gross Income) is Calculated
- Common Risks to Income Eligibility
- Monthly Maintenance Need Allowance for the Community Spouse
- QUALIFYING ASSET TRANSFERS: WHICH TECHNIQUES WORK
12:45 - 1:45, Paul D. Shapiro
- Timing of the Transfers
- DRA and Look-Back Period
- Transfer Penalty
- Penalty Beginning Date
- Partial Months of Ineligibility
- What Counts as a Gift for Purposes of MaineCare Planning?
- Repayment of Debts and Prepayment of Expenses: Creative Uses
- Recording Purchase of Exempt Assets
- Treatment of IRAs and Retirement Accounts
- Purchase of a Life Estate
- Planning with Promissory Notes and Annuities
- The Reverse Half-Loaf Income Technique
- How to Protect the Community Spouse
- Reverse Mortgage: Legitimate Solution or Scam Artist’s Dream?
- Other Exempt Transfers
- APPLICATION PROCESS, APPEALS AND POST-ELIGIBILITY ISSUES
1:45 - 2:45, Paul D. Shapiro
- Application Procedure Step-by-Step
- Supporting Documentation to Include with the Submission
- MaineCare Fair Hearings Case Presentation Tips
- Crisis Planning to Shorten Penalty Period and Restore Eligibility
- Appeal Procedure
- Solving Overpayment Problems
- LEGAL ETHICS
3:00 - 4:00, Caitlin LoCascio-King
- Conflicts of Interest When Representing Both Spouses
- Protecting Confidentiality
- Attorney Fees
- Mental Capacity in Elder Law
- Practical Scenarios - What Would You do?
- LIENS, ESTATE RECOVERY AND HARDSHIP WAIVERS
4:00 - 4:30, Caitlin LoCascio-King
- Estate Recovery Rules
- Hardship Waivers
- Estate Recovery Exemption with Qualified Long-Term Care Insurance Policy
- Claim Reduction
This basic-to-intermediate level seminar will give you all the information you'll need to qualify clients for MaineCare and is designed for:
- Nursing Home Administrators
- Accountants and CPAs
- Financial Planners
- Investment Advisers
- Geriatric Care Managers