Medicaid Planning in Advance of Changes to the Healthcare System By: Salvatore M. Di Costanzo, Esq.   With Congress about to break for a two week Spring recess, the repeal of Obamacare appears to have stalled and remains uncertain.  Notwithstanding, we must pay attention to the various proposals that have been put forth by the…

This is a real fact pattern. I recently met with a family whose 86 year old Mother was admitted to a nursing home for dementia.  They sought my assistance in obtaining Medicaid eligibility to pay for the nursing home, which cost $15,000 per month.  Mother is still on Medicare which pays for the first 100…

The look-back period is very different from the penalty period and as always the rules are different depending on whether you are seeking Medicaid to cover the cost of homecare or nursing home care. Conceptually, the look-back period is the period where asset transfers may impact your eligibility for Medicaid. The penalty period is the…

Second to the house, an individual retirement account (“IRA”) is usually the largest asset when looking into someone’s financial portfolio. The tax and Medicaid rules dealing with IRAs are very different yet related, quite complex and often misinterpreted or misapplied. It is important to have a general understanding of these rules in order to avoid…

If you are reading this article, it is likely that at some point in your lifetime you may have worked through the placement of a loved one in a nursing home. If not, there is a high probability you know of someone who has. With the cost of nursing home care exceeding $150,000.00 per year…

I recently entered the world of beekeeping. When contemplating this new hobby, I obviously vetted my ideas with friends and family (not the neighbors). Their responses were comical and in all cases, far from the truth. Sitting down to write this piece I thought, this is no different than the practice of elder law. So…

In Yorktown, NY and the surrounding community, I often see the homestead as the single most valuable asset of an estate. The “American Dream” is to own a home, create memories there, and one day, leave it to your children. However, without proper planning, the dream can soon turn into a nightmare if nursing home…

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