Medicaid

On May 9, 2019, members of the Rothkoff Law team including Jerry Rothkoff, Bryan Adler, Roxanne Crowley, Kaitlin Dirxx, and Chelsea Ganssle traveled to Washington, DC to attend the Center for Medicare Advocacy’s sixth annual National Voices of Medicare Summit and Senator Jay Rockefeller Lecture at the Kaiser Family Foundation.  The theme of the day […]

The Centers for Medicare and Medicaid Services (CMS) has released the new Medicare premiums, deductibles, and co-payments for 2019:• Basic Part B premium: $135.50/month (was $134.00 in 2018)• Part B deductible: $185 ($183.00 in 2018)• Part A deductible: $1,364 (was $1,340 in 2018)• Co-payment for hospital stay days 61-90: $341/day (was $335 in 2018); Co-paymentfor […]

The nursing home admission process can be a daunting process for elders and their families. Unfortunately, some nursing homes are compounding the difficult process by referring residents and their families to non-attorney unlicensed Medicaid advisors. Non-lawyer Medicaid advisors can include financial advisors, geriatric care managers, disbarred attorneys, former nursing home employees, and a variety of […]

Modeled after a program that encourages low readmission rates to hospitals, the Centers for Medicare and Medicaid Services (CMS) will introduce a new financial incentive program effective October 1, 2018 for skilled nursing facilities. CMS will withhold 2% of a facility’s Medicare reimbursement until they have shown that they can keep down the number of […]

Medicare Advantage Plans Expanded Coverage of Health Related Benefits – Does it Create Further Health Care Disparities? Last month, the Centers for Medicare & Medicaid Services (CMS) expanded how it defines the term “primarily health related” benefits that insurers are permitted to include in their private Medicare Advantage plans.  Insurers would include these extra health […]

By Jane M. Fearn-Zimmer, Esquire Clients frequently want to know whether they may make gifts to their children and grandchildren for birthdays, holidays or to assist the child financially.  It is not uncommon to encounter confusion between the federal gift tax regulations with the Medicaid regulations, which are two entirely distinct sets of rules. Many […]

I am not I favor of the proposed Senate healthcare bill in its current form.  However, I believe there is some good news that has come out of the debate on the healthcare bill.  The current debate has brought out the importance of Medicaid to many lower and middle class families.  It is my hope that those […]

Effective April 1, 2017, the State of New Jersey has increased the Medicaid penalty divisor to $423.95 per day.  This means that for every about $13,000.00 that is gifted within the Medicaid five year look back, New Jersey will impose a one month period of Medicaid ineligibility. The Medicaid divisor increased from $332.50 per day to $423.95 […]

If a Medicaid applicant gives away assets without receiving fair market value in return during the five year Medicaid look back period, a Medicaid penalty period for the uncompensated transfer of assets will generally result.  The Medicaid penalty period runs prospectively from the date the applicant is determined otherwise eligible for Medicaid. As a practical […]

Last week, the Center for Medicare Advocacy, Justice in Aging, the Medicare Rights Center, and 97 other national organizations sent a letter to Congressional leadership expressing grave concerns with proposals that would radically change Medicaid—a vital safety net that provides quality health care and services for millions of Americans, including 10 million older adults and people […]

The Christie Administration today released for comment the state’s draft renewal application for the Comprehensive Medicaid Waiver. The document represents the state’s next-steps and vision for the health care system that serves low-income residents eligible for Medicaid services. Over the course of the next few weeks, the Department of Human Services (DHS) will engage with stakeholders, […]

Pennsylvania’s Aging Waiver Program is a Medicaid eligible program that covers home and community care and related services.  Effective April 1, 2016, Maximus is the Enrollment Broker for all of the Waiver Programs.  The below article written by elder law attorney, Dana Breslin, with contribution form elder law attorney, Leslie Wizelman, sets for the new procedure for enrolling in the PA […]