Elder Law & Medicaid Planning

SSI Related Medicaid Programs With Full Benefits

Institutional Care Program (ICP) The institutional Care Program (ICP) helps people in nursing facilities pay for the cost of their care and other medical services. The person is determined to be in need of nursing facility services and appropriate placement as determined by the Department of Elder Affairs (DOEA), Comprehensive Assessment and Review for Long-Term [...]

By | 2018-08-24T13:35:36+00:00 August 17th, 2018|

Uncovered Medical Expense Deduction For FL Medicaid

What is an Uncovered Medical Expense Deduction (UMED)? An uncovered medical expense deduction (UMED) is a credit received for out-of-pocket medical expenses. The deduction reduces the amount the nursing facility or Medicaid services provider is paid each month and enables individuals to keep more money to pay for uncovered medical expenses. Who can receive the [...]

By | 2018-08-24T13:36:45+00:00 July 24th, 2018|

What Is Medicaid?

Medicaid provides medical coverage to low-income individuals and families. The state and federal government share the cost of the Medicaid program. Medicaid services in Florida are administered by the Agency for Health Care Administration. Medicaid eligibility in Florida is determined either by the Department of Children and Families (DCF) or the Social Security Administration (for [...]

By | 2018-08-24T13:34:03+00:00 July 13th, 2018|

What Is A Qualified Income Trust (QIT)?

If an individual’s income is over the limit to qualify for Medicaid long-term care services (including nursing home care), a Qualified Income Trust (QIT) allows an individual to become eligible by placing income into an account each month that the individual needs Medicaid. The QIT involves a written agreement, establishing a special account, and making [...]

By | 2018-06-27T02:54:12+00:00 May 28th, 2018|

The Difference Between Medicare and Medicaid

Medicare and Medicaid are both designed to help disabled citizens and seniors address health-care expenses, but there are significant differences between them:   Medicare is the federal health insurance program for people who are 65 or older, certain younger people with disabilities, and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a [...]

By | 2018-06-27T02:55:10+00:00 May 16th, 2018|

Special Policies That Apply To Spouses For FL Medicaid

Resources and income are evaluated for married couples when one spouse is institutionalized and one spouse continues to live in the community (referred to as the “community spouse”) when applying for the Institutional Care Program (ICP), Institutional Hospice, HCBS Waiver (Cystic Fibrosis, iBudget SMMC LTC only) or PACE Programs. Resources at Application: All resources of [...]

By | 2018-06-27T02:50:42+00:00 April 13th, 2018|

What Is Florida Statewide Medicaid Managed Care?

Most Florida Medicaid recipients are enrolled in the Statewide Medicaid Managed Care (SMMC) Program. The Agency For Health Care Administration is responsible for administering the SMMC program and re-procuring health plans every five years. The SMMC program has two components, the Long-term Care (LTC) program and the Managed Medical Assistance (MMA) program.   Medicaid recipients [...]

By | 2018-06-27T02:35:04+00:00 April 5th, 2018|

Calculating Patient Responsibility For FL Medicaid

Medicaid coverage for ICP, Hospice, HCBS (SMMC LTC, iBudget, and Cystic Fibrosis) and PACE programs may have a patient responsibility based on the individual’s gross monthly income and their placement. The amount of the patient responsibility is determined by subtracting the personal needs allowance (PNA) and other allowable deductions from the individual’s gross monthly income. [...]

By | 2018-06-27T02:49:43+00:00 April 2nd, 2018|

Why Long Term Care Planning Matters

Many of our friends and neighbors in the Winter Garden area fail to plan for their long term care.  Unfortunately, failing to plan for this stage of life can have significant, detrimental effects on the family finances for years.  With advanced long term care planning, a family can preserve a very large portion, if not [...]

By | 2018-06-27T01:53:26+00:00 February 6th, 2018|