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The Value of Home Modifications For Older Adults

The focus of our elder care law firm is to offer a multi-disciplinary approach to address the issues associated with the aging process. Traditional legal services such as drafting estate planning documents, trust planning, and guardianships are important legal tools that everyone should plan for. However, these purely legal tools do not prevent seniors from falling in their home and subsequently requiring a hospital stay and possible nursing home placement. As such, we provide both legal and non-legal care advocacy services to keep seniors at home where most older [...]

By |2021-04-30T08:08:36-04:00April 30th, 2021|Aging, Blog, Elder Care|

“Shared Living” – Older Parents Living with their Adult Children

“Shared Living” is a term that can refer to parents moving in with their adult children. This type of shared living has become more common in recent years for many reasons. Parents may move into their adult children’s homes because of financial or medical reasons, as well as to simply strengthen family bonds. The Covid-19 pandemic has also spurred an increase in shared living as families have been concerned about the high incidence of infections of Covid-19 in nursing homes and other senior living alternatives. Recently, a friend and [...]

By |2021-04-22T08:49:27-04:00April 22nd, 2021|Aging, Blog, Caregiver, Elder Care|

Where is My Third Stimulus Check?: Possible Problems

As your friends and family receive their third stimulus checks, you may have grown increasingly worried about the status of your own economic impact payment. Due to some changes in check distribution this time around, your third economic impact payment may still be coming. Additionally, the IRS is no longer providing assistance via phone, as they did for the first stimulus payments, instead encouraging those eligible to check the status of their payment through the IRS's payment tracker tool, which you can access by clicking here. If your payment [...]

By |2021-04-08T08:45:26-04:00April 8th, 2021|Blog, Social Security|

How the $1.9 Trillion COVID-19 Relief Bill Impacts Seniors, Health Care

The American Rescue Plan Act of 2021, commonly known as the COVID Relief Bill, became law on March 11, 2021.  The law includes the widely publicized $1,400.00 stimulus checks and expanding vaccine distribution, in addition to increasing access to health insurance, funding for the long-term care community, and continued support for the Elder Justice and Older Americans Acts. For those on Medicaid, the the COVID Relief Bill stimulus check is not income or a resource for Medicaid purposes.  The funds may be gifted penalty-free for the first 12 months.  [...]

By |2021-03-25T08:31:55-04:00March 25th, 2021|Blog, Law Update, Medicaid|

Unsupported Elders and Advocacy Services

Prior to starting my job as the Rothkoff Law Group Pennsylvania Client Services Director, where I work with many clients, including unsupported elders, I had plenty of experience in senior care, but I did not have any experience in the legal field. I was under the assumption that you meet with an elder care law attorney to have your will and powers of attorney prepared. I quickly realized that this could not be further from the truth. Outside of knowing my title, quite honestly, I was unaware of what [...]

By |2021-03-23T14:49:35-04:00March 11th, 2021|Aging, Assisted Living, Blog, Elder Care|

Expanded Skilled Nursing Facility Medicare Coverage During the Pandemic

The COVID-19 pandemic has been particularly devastating for nursing homes and their residents. Aside from the tragically disproportionate loss of life, care for surviving residents has been delayed or interrupted due to infection, facility lockdowns, or other health system disruptions. As a result, the Centers for Medicare & Medicaid Services (CMS) has waived two limitations on Medicare Part A skilled nursing facility (SNF) coverage during the coronavirus pandemic: The 3-day qualifying hospital stay requirement; and The 100-day benefit period.  However, CMS treats the two SNF coverage expansions differently from [...]

By |2021-03-23T14:38:01-04:00March 4th, 2021|Aging, Assisted Living, Blog, Elder Care, Medicaid, Medicare, Nursing Home|

Addressing the Needs of an Elderly Parent and Her Special Needs Adult Child

Mary’s mother and sister needed help. Lots of it. The sister, Violet, is developmentally disabled and needs 24-hour care. Janice, their mother, was Violet’s sole caregiver for over 50 years. Mary knew that Janice was becoming increasingly confused, but it seemed like she was still taking great care of Violet. Then, Janice and Violet went for a long walk that ended with them wandering into a local nursing home and Janice asking if they could move in. Alarmed, a manager at the facility called for help. Janice was admitted [...]

By |2021-03-23T14:39:54-04:00February 18th, 2021|Aging, Assisted Living, Blog, Caregiver, Elder Care, Family, Nursing Home|

Elder Law Planning: More Than Just Medicaid

When it comes to elder law planning, and when I meet with clients, the focus tends to be heavily centered on finances. When retirement accounts are dwindling due to a spouse’s high nursing home bill or a parent’s complex financial management style has left an adult child overwhelmed and confused, it is easy to become focused on Medicaid as the magic solution. However, Medicaid is just one piece of a much larger puzzle. A few years ago, I worked with the sister caregiver of a client who required long-term [...]

By |2021-02-25T08:19:00-05:00February 15th, 2021|Aging, Blog, Elder Care, Health Law, Medicaid|

Supernova: A Love Story for Valentine’s Day

Director Harry Macqueen’s sophomore film, Supernova (2020), joins the ranks of Away From Her (2007), The Savages (2007), and Still Alice (2015)—films that depict individuals with dementia struggling to maintain their independence and the mental toll the illness takes on not only the patient but also their kin. What makes Supernova distinct from its predecessors, however, is its focus on a gay couple. Tuskar (Stanley Tucci), a man living with early-onset dementia, and his husband, Sam (Colin Firth), struggle to navigate the uncertain terrain that accompanies caring for a loved one with dementia. While on a road trip to [...]

By |2021-02-11T14:18:05-05:00February 9th, 2021|Blog|

Update on Telehealth Insurance Coverage

Over the past year, telehealth insurance coverage has evolved. While telehealth is not a new practice, it has become much more widely utilized since the outbreak of COVID-19.  Historically, telehealth was utilized in certain instances, such as for patients who lived in more rural areas with limited access to resources. In regard to telehealth insurance coverage, effective March 2020, Medicare began covering these visits under much broader guidelines and were paid at the same rate as in-person visits. Some of the most common technology platforms include FaceTime, Zoom, Google [...]

By |2021-03-23T14:40:35-04:00February 4th, 2021|Blog, Elder Care, Health Law|

Effect of Stimulus Payments on Medicaid Eligibility

elder lawIn light of the recent $600 stimulus bill payments, as well as the potential for up to $1,400 more to be paid to all eligible individuals over the next few months, we wanted to update you regarding the effect of the stimulus payments on Medicaid eligibility.  Additionally, as well as an update on the long-term care communities’ responsibilities regarding the payments for residents. In May 2020, the NJ Division of Medical and Health Services (DMAHS) advised that an individual, including a nursing home resident, can make cash gifts [...]

By |2021-03-23T14:44:44-04:00January 29th, 2021|Assisted Living, Blog, Medicaid|

Can a Nursing Home Require Vaccination of Residents and Staff?

A recent article in the Doylestown Patch detailed that Neshaminy Manor, a Bucks County, Pennsylvania nursing home, announced they will require all staff to accept the COVID-19 vaccination.  Those staff that choose not to vaccinate risk losing their jobs.  This naturally leads to the question - Can a nursing home require vaccination of staff as a condition of continued employment?  Can any employer?   The answer is rather murky. Generally, if failure to vaccinate puts other employees, clients, or the public at risk of infection, then employers may require vaccination [...]

By |2021-03-23T14:43:38-04:00January 22nd, 2021|Assisted Living, Blog, Elder Care, Nursing Home|

What Seniors Need to Know About the New Stimulus Package

The new $900 billion stimulus package was signed into law last week in order to address the continued health and economic fallout of the COVID pandemic. The relief measure includes a one-time $600 payment per eligible adult and child, but those $600 payments are not the only provision seniors should know about. The coronavirus relief package was included as a part of a $1.4 trillion omnibus spending bill, which also contained changes to key senior programs. Here are some of the legislation’s most important provisions for older Americans. $600 [...]

By |2021-03-23T14:44:06-04:00January 4th, 2021|Blog, Caregiver, Elder Care, Health Law|

Adapting to Change Brings Both Joy and Sadness

We have had to change the way we do practically everything from attending care conferences, to client meetings, to marketing, and as 2020 comes to a close, I find myself reflecting on the past year working in long-term care planning with both sadness and happiness. The sadness, of course comes from the all of the chaos that the Covid-19 pandemic has caused. Never in my life would I have imagined such a crisis could occur. In March, I remember thinking “This cannot be that bad, right?”, but with each [...]

By |2021-01-22T09:36:20-05:00December 15th, 2020|Around the Office, Blog, Elder Care|

Your Public Benefits Have a Lookback – Even Around the Holidays!

The holiday season is upon us yet again. It is easy to get caught up in the festivities and forget that if you or a loved one are enrolled in a public benefits program or are planning to apply in the future, it is important to remember that even holiday gifting can impact eligibility. Are you or your spouse receiving Medicaid benefits? Or will you need long-term care in the next five years? If so, a review of five years’ worth of all financial documents is conducted during the [...]

By |2020-12-10T08:54:12-05:00December 10th, 2020|Blog, Health Law, Medicaid|
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