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Expanded Skilled Nursing Facility Medicare Coverage During the Covid-19 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 |2021-03-04T08:21:58-05:00March 4th, 2021|Aging, Assisted Living, Blog, Elder Care, Medicaid, Medicare, Nursing Home|

Elder Care Law Case Study – 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 |2021-02-25T13:23:22-05:00February 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|

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 |2021-03-02T11:35:53-05:00February 4th, 2021|Blog, Elder Care, Health Law|

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 |2021-02-02T17:08:43-05:00January 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 |2021-01-04T15:31:26-05:00January 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|

Helping Seniors Stay Connected During the Surge

Let's look at what we can be helping seniors stay connected during the pandemic surge. I think I was more upset about my father having Thanksgiving alone than he. My small family is scattered across the states, and it was not safe for us to be together. While I worry about my dad living solo, he sees friends, can handle facetime without tech support, and is the master of the pithy text. Not all seniors are faring as well. Physical and mental limitations cause many of our nation’s seniors [...]

By |2020-12-01T08:30:13-05:00December 1st, 2020|Blog, Elder Care, Family|

There is No Place for Politics in Elder Care Law

It is my personal opinion that there is no place for politics in elder care law. I recently discussed the election during a dinner conversation with a friend. We discussed our political views and opinions. He correctly observed he never sees political opinions on my Facebook or LinkedIn pages. He inquired why I chose not to engage in a political discussion, suggesting whether it was because I wanted to be perceived as apolitical from a business perspective. In a way, he was right, but not for the reasons he [...]

By |2020-11-11T10:43:02-05:00November 11th, 2020|Blog, Elder Care, Health Law, Nursing Home|

PA and NJ Long Term Care Visitation Guidelines

Let's take a moment to review the new PA and NJ Long Term Care Visitation Guidelines that have been established post COVID. It has been a very difficult eight plus months for both loved ones and residents of long-term care communities (LTC), referring to residents in assisted living, personal care homes and nursing homes). Social isolation has taken an extreme toll on the residents. During the past few months, many family members have taken advantage of outside visits with residents. However, as the weather turns colder and with the [...]

By |2020-11-04T09:10:40-05:00November 4th, 2020|Blog, Elder Care, Health Law, Law Update, Nursing Home|

A Caregivers Guide to How the Holidays Affect those with Alzheimer’s

Let's look at how the Holidays Affect those with Alzheimer’s. November not only brings with it the beginning of the holiday season and a time of gathering and celebrating with our loved ones, but it has also become a time to educate people about Alzheimer’s Disease. Thirty-Seven years ago, in 1983, President Ronald Regan declared November National Alzheimer’s Disease Awareness Month. At that time, there were under 2 million people living with this disease in the US. Sadly, that number is closer to 5.5 million currently. In fact, Alzheimer’s [...]

By |2020-10-27T14:02:43-04:00October 27th, 2020|Aging, Blog, Caregiver, Elder Care|

Hiring an Advocate for Seniors

Hiring an advocate for seniors is no easy task. I know first hand. Prior to working at Rothkoff Law Group, I had experience at multiple estate planning law firms as a legal assistant. When I was hired, I thought that there must be some mistake, as I had no experience with public benefits. Since then, I have learned from the ground up, manage my own team of Public Benefits Specialists and have found a platform to advocate for underserved populations. However, now that I have overseen multiple hiring processes [...]

By |2020-10-21T10:24:22-04:00October 21st, 2020|Aging, Blog, Elder Care, Health Law|

The Importance of Nursing Home Care Plan Meetings

As an elder care law firm, our emphasis is on health care advocacy via our five elder care coordinators. For those clients in a nursing home setting, especially during the COVID-19 pandemic, it is vitally important to engage in health care advocacy since loved ones are unable to regularly visit or participate in person in care plan meetings. This article will discuss what is a care plan meeting and why it is so very important for families to participate in the care plan to be aware of their loved [...]

By |2020-09-16T16:20:54-04:00September 16th, 2020|Assisted Living, Blog, Caregiver, Elder Care, Family, Nursing Home, Uncategorized|

Caring for Elderly Parents as an Only Child

Let's look at the challenges of caring for elderly parents as an only child. Growing up as an only child, I would repeatedly ask my parents why I did not have a sibling. I vividly remember my mother’s response. She believed in “one child per family.” While most of my friends had larger families, I did not readily accept this somewhat odd response, but I moved on. Now, at age 50, I have come to realize that the question I should have been asking was what will happen when [...]

By |2020-09-09T13:44:28-04:00September 9th, 2020|Blog, Caregiver, Elder Care|

Long Term Care Residents Can Vote and Should Vote

Long term care residents can vote and should vote. It is their constitutional right even in the midst of a pandemic. The latest coronavirus challenge: How do we hold a general election during a pandemic? As the politicians, media, advocacy groups, and pundits debate the merits of remote voting, one voice is notably absent – advocates for residents in long-term care communities. While some of the more cantankerous long-term care residents may disagree, moving to a long-term care setting does not strip people of their rights as citizens. Long [...]

By |2020-08-25T10:22:19-04:00August 25th, 2020|Assisted Living, Blog, Elder Care, Nursing Home|
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