Medicaid's Recent Changes to Long Term Health Care Eligibility

Presented by Raymon B. Harvey, P.A., Arkansas ElderLaw and Special Needs Trusts
The White River Area Agency on Aging, Inc. is proud to present Mr. Raymon Harvey, P.A., an Eldercare Attorney from Little Rock, Arkansas.  Mr. Harvey’s presentation is about the latest rules and regulations regarding Medicaid qualification for nursing home care and other long term care services as a result of the Deficit Reduction Act of 2005.

Raymon Harvey has a legal practice in Little Rock, Arkansas specializing in Arkansas Elder Law and Special Needs Trust.  He has been in practice for over 25 years, he served as the Arkansas State Long Term Care Ombudsman, providing advocacy services for nursing home residents.  In 1995 he was one of Arkansas’s delegates to the White House Conference on Aging.. 

You may watch the various segments of his video presentation by clicking on the various topics.

For all practical purposes, in the United States the only “insurance” plan for long term institutional care is Medicaid. Medicare only pays for approximately 2 percent of skilled nursing care in the United States. Private insurance pays for even less. The result is that most people pay out of their own pockets for long-term care until they become eligible for Medicaid. While Medicare is an entitlement program, Medicaid is a form of welfare - or at least that’s how it began. So to be eligible, you must become “impoverished” under the program’s guidelines.  For many individuals, the object of long-term care planning is to protect savings (by avoiding paying them to a nursing home) while simultaneously qualifying for nursing home Medicaid benefits. The changes made to the Medicaid program are designed to prevent artificial impoverishment to obtain benefits. In fact the changes take a sledgehammer approach that goes far beyond penalizing people for giving away their assets for the purpose of obtaining Medicaid.  To download and read Mr. Harvey's 25 page article, in .pdf format, click here.

To watch a video, click on a link below.  A new window will open, and the Windows Media Player will appear. The video will start in a minute or two, depending upon your connection speed, as soon as sufficient buffering occurs. 

If you would like to see the video in full-screen mode, once the video has started, first left-click on the Media player, then right-click. A drop down menu will open up, and move your pointer to "zoom", then select "full-screen mode".  However, the resolution will not be as sharp in full-screen mode as in the smaller screen. 

When you have finished watching the video, close the popup, and you may then select another video from the list 
 

1.   Introduction  6.   Miller Trust
2.   Basic Estate Planning/Documents  7.   Spousal Impoverishment
3.   Guardianship  8.   Assets And Resources
4.   Spectrum of Long Term Care  9.   Citizenship
5.   How Long Term Care is Paid For 10.  Final Thoughts


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