News
Medicaid Coverage for Assisted Living: PA Legislation Proposal
In December 2022, Pennsylvania state Senators Michelle Brooks and Judy Ward proposed legislation that would expand Medicaid coverage for assisted living facilities. The proposal is designed to provide support for older adults who require assistance with daily living but do not require the high level of care provided by nursing homes. Under the proposed legislation, eligible seniors would be able to access Medicaid coverage for assisted living services, including room and board, personal care, and medication management. This would be a game-changer for many seniors who are currently struggling to pay for these services out-of-pocket or relying on family members [...]
How to Set Up a Trust
A trust is a legal agreement between two or more parties that grants one party, or trustee, specified assets while the beneficiary, or the person for whom the trust is established, retains ownership of said assets. If you’ve ever wondered how to set up a trust or how they work, we explain below in detail how to set up a trust, from creation to distribution. The five-step process: Creation Tax Recognition Funding Administration Distributions 1. Creation The steps in creating a trust are: Identifying the person who establishes the trust, usually called the “Grantor.” Identifying an appropriate trustee. A Trustee [...]
The Importance of Healthcare Planning Documents
Healthcare is an essential part of our lives, and sometimes our loved ones may require medical treatment or healthcare at a time when they are unable to communicate their wishes. Whether because of cognitive impairment, unconsciousness, or mental healthcare needs, proper legal planning and healthcare planning documents are helpful. With regard to medical decision-making, various documents exist to allow individuals to appoint another to make healthcare decisions in advance and to ensure their wishes are known (and followed) when they are unable to communicate those wishes. Healthcare planning documents, such as Healthcare Powers of Attorney and Advance Healthcare Directives, are [...]
Frequently Asked Questions about Powers of Attorney
In this comprehensive overview, we answer the questions you may be asking about powers of attorney, living wills, and attorneys-in-fact to give you a well-rounded understanding of the roles, responsibilities, and processes that follow. How to Use This Information This article is organized into seven parts: (1) About the Power of Attorney; (2) Powers and Duties of an Attorney-in-Fact; (3) Using the Power of Attorney; (4) Financial Management and Liability of an Attorney-in-Fact; (5) Relationship of the Power of Attorney to Other Legal Devices; (6) Health Care and the Power of Attorney; and (7) Guardians and Powers of Attorney. 1. [...]
Do You Believe These 5 Elder Care Law Myths?
Elder care law is a complex area of law that deals with legal issues affecting seniors. Unfortunately, there are a lot of misconceptions that can lead to confusion and misunderstanding. Here are five common elder care law myths debunked. Elder care law only covers issues related to retirement: Rothkoff Law Group provides counsel for a range of legal issues: care coordination, healthcare advocacy, wills and trusts, Medicaid and asset protection planning, family counseling, long-term care, and the list goes on. Our team of care advocates and elder law attorneys also help with end-of-life planning, estate planning, and other legal matters [...]
New Bill Addresses Financial Exploitation in Long-Term Care for NJ Residents
Last week, a new bill was introduced in the New Jersey legislature to address continued problems in certain New Jersey nursing homes. The bill, co-sponsored by Senator Joseph F. Vitale (D—Middlesex) and Sen. Robert W. Singer (R—Ocean), will attempt to address issues related to financial exploitation in long-term care. The bill prohibits the personnel of nursing homes and other long-term care facilities—owners, operators, managers, employees—“or other person who benefits financially from a long-term care facility” from managing “the affairs of a [nursing home resident] except pursuant to an order of the Superior Court appointing that person guardian of the principal.” [...]
The Power of Dogs
Recently, my wife, son, and I traveled to lower Manhattan for a birthday party for a seven-year-old that was to be held outside of a bar/restaurant in the Chelsea neighborhood. This was not an ordinary seven-year-old birthday party. It was a birthday party for our daughters’ seven-year-old female bulldog named Ellie, who they adopted one year ago from a local rescue. My initial thought was, “why would I want to spend two hours outside in early February in New York City for a seven-year-old bulldog’s party?” The birthday party was part of a larger Sunday weekly meet-up group for New [...]
The Value of Planning Before a Senior Healthcare Crisis
Recently, Tina Kane, one of our elder care coordinators, and I were invited to speak on the Givnish Spotlight hour on WWDB 860 AM. The show is led by representatives of the Life Celebrations family of funeral homes, a group that advocates for preneed burial and funeral planning. The reason for our invitation to join a few weeks ago was to discuss the value of planning as we age. Simple in concept, complex in execution. If there's a list of things we dislike or avoid talking about, I imagine death and dying would be near the top. Not far [...]
Millions at Risk to Lose Medicaid Coverage as of April 1, 2023
Analysts estimate that up to 18 million people (or one in five enrollees) will lose Medicaid coverage between this year and next, and among those, 3.8 million will remain without health insurance. Here is what you need to know. Medicaid enrollment ballooned by 20 million people during the Covid-19 pandemic to nearly 84 million people. That was no fluke: with a declaration of a Public Health Emergency (PHE), states were barred from removing people from the program. This is all about to change. The $1.7 trillion government spending bill passed in December reinstated states’ ability to kick people off Medicaid, [...]
State of the Firm
Dear Friend of the Firm: As we end a meaningful and productive year, we want to thank you for your continued trust in our elder care law firm. We value our relationship with each of you and look forward to an even better 2023. I would like to take a few moments to reflect on the past year and update you on Rothkoff Law Group. Over the past year, we have engaged in the following activities and firm engagement: In October, we rolled out a new resource for our clients and families of aging loved ones: our new book, A [...]
Recognizing Changes in Loved Ones Over the Holiday Season
‘Tis the season for families to come together to celebrate the holidays, including with our elderly loved ones. In many instances, this time of year is the first time you may see an aging parent, grandparent, or other relatives after months apart, or even perhaps from the last holiday season. Below are some common age-related changes in loved ones to be mindful of when visiting. Significant weight gain or loss Changes in mobility or balance Fluctuations in mood or behaviors Poor memory or increased confusion It is important to address changes in loved ones such as those listed above early [...]
A Discussion on Aging with a Nine-Year-Old
Sometimes it’s just easier for others to explain. On a recent Sunday, instead of dropping my 9-year-old daughter, Addison, at the Synagogue for her Sunday School class, I dropped her at the Horsham Center for Jewish Life for a field trip. Walking in, Addison asked if I had ever been to the building—I explained that I have many clients who live or have lived in this building. As a follow-up, Addison asked why I have so many clients that live there. In the two minutes before her field trip began, I did my best to summarize what elder care is, [...]
Aging Parents with Special Needs Adults
Planning to Replace the Irreplaceable Parent For aging parents with children who are special needs adults, planning ahead is an important step in seamlessly transitioning care. We spend a good part of our day helping families navigate the long-term care system to secure care for a senior. Many families do not realize that we also assist in planning for the families of seniors. Most parents of children with disabilities are aware of the necessity to plan financially for their child. However, they may not have considered living and care arrangements for their child, regardless of the child’s age. Some families [...]
Solo Agers: Identifying Support Care, Asset, and Legal Support
A recent New York Times article detailed an increasing cohort of solo agers—those over 50 aging alone—and the physical, financial, and psychological effects of doing so. In 1960, less than 15% of households had a single occupant; that figure is nearly 30% today. Almost twice as many Americans over the age of 50 live alone today than in the year 2000. The research on this is clear: Seniors living alone have poorer physical and mental health and shorter life spans. In fact, research shows that loneliness is as damaging to physical health as smoking 15 cigarettes daily. Because solo agers [...]
Can Nursing Home Residents Leave for the Holidays?
As we are now in the holiday season, one question many families are asking is, "can nursing home residents leave for the holidays?" If a resident decides to leave the nursing home for the holidays, CMS recommends certain actions when the resident returns. Consider the following scenario. A client was in a local nursing home for a rehabilitation stay following a fall resulting in hospitalization. His spouse communicated that her husband wanted to come home for the day to spend Thanksgiving with his family and would be devastated if he was unable to do so for health reasons. The nursing [...]