Posted on October 26, 2022 by Ruder Ware Alumni
Blog
Paying for nursing-home and long-term care can seem daunting when the cost can be $5,000 to $12,000 per month – or more. When a married couple is no longer able or willing to privately pay out of pocket for care and chooses to apply for Medicaid, it’s a complex process. The Medicaid agency must analyze […]
Posted on June 1, 2021 by Mark D. Munson
Blog
The Wisconsin Department of Health Services recently announced the “minimum monthly maintenance needs allowance” (“MMMNA”) will be increased from $2,873.34 to $2,903.34 starting on July 1, 2021. As part of laws designed to prevent spousal impoverishment due to the high cost of long-term care, the “community spouse” (who is the spouse of an individual receiving […]
Posted on July 22, 2020 by Ruder Ware Alumni
Blog
Donna’s husband Phil is in a nursing home and receives Medicaid benefits to pay for his care (a.k.a. Medical Assistance or Title-19). Donna wants to make sure Phil’s Medicaid remains in place and is protected, so she wants to know “Is there anything else I need to do?” As the spouse who is not receiving […]
Posted on April 16, 2020 by Ruder Ware Alumni
Blog
As the IRS begins to send out payments under the Coronavirus Aid, Relief, and Economic Security (CARES) Act, recipients of Medical Assistance for long-term care (i.e., Medicaid or Family Care) are wondering how this payment may affect their benefits. In other words, will the payment be considered either income or an asset that causes issues […]
Posted on July 17, 2019 by Ashley L. Hawley
Blog
As our aging population grows so does the cost of nursing homes, assisted living facilities, and in-home care services. Contrary to popular belief, Medicare will only cover certain short-term stays and typically will not cover non-rehabilitative long-term care. This leaves many elderly and disabled individuals with few options for covering costs. Often, at first, family […]
Posted on March 12, 2019 by Ruder Ware Alumni
Blog
Did you know that Medicaid is the largest source of funding for nursing home care? Medicaid, often called Medical Assistance or Title 19, has many rules that are confusing, and thus a mystery to many people. Even more of a mystery surrounds the idea that you can protect your assets and still be eligible for […]
Posted on October 22, 2018 by Ruder Ware Alumni
Blog
Last month, the Centers for Medicare and Medicaid Services (CMS) announced a proposed rule designed to, in CMS’s words, “relieve burden on healthcare providers by removing unnecessary, obsolete or excessively burdensome Medicare compliance requirements for healthcare facilities”. CMS estimates that the annual savings to healthcare providers would be $1.2 billion. The proposed rule is some […]
Posted on June 21, 2017 by Ruder Ware Alumni
Blog
A federal court recently dealt a victory to a health care provider over whistleblower allegations that free parking and valet service at a medical office building violated the Stark Law and the Anti-Kickback Statute. In Bingham v. BayCare Health System (No. 8:14-cv-73, M.D. Fla.), a federal district judge adopted the report and recommendation of a […]
Posted on March 17, 2017 by Ruder Ware Alumni
Blog
In 2013, the HHS Office of Inspector General issued revised protocols outlining the process through which health care providers are able to self-disclose and resolve potential liability under the OIG’s civil monetary penalty (CMP) authorities. The 2013 Self Disclosure Protocols (SDP) clarified the process of self-disclosure and provided answers to some of the questions previously […]