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Vegas - aren't guidelines for Medicaid for LTC/NH/skilled nursing care different than that for those on general Medicaid like on CHIP? If that is the case, then what Medicaid program Lwatts Dad is on will make a difference as to whether or not the tax refund is income. I was assuming - perhaps wrongly - that Dad was in a NH or an AL diversion program & on Medicaid……
For example, MERP - the Medicaid Estate Recovery Program in which Medicaid can by claim or lien attached the Medicaid recipient's home after their death - is only for those on NH Medicaid or on a elderly diversion program from your state's NH Medicaid funding. So young family getting Medicaid or Medicaid related benefits like through WIC or SNAP or TANF will never have any MERP placed on their home or on them. Only the elderly Medicaid have a MERP action.
The Earned Income Tax Credit is if you worked in the tax year, and didn't make much money. It's based on the money you get (income) and the # of children in your home. Most elderly aren't going to qualify for this type of tax credit. Really Lwatts should speak with their parent's caseworker so that there is no suspension from Medicaid later on that could be a problem.
I'm pretty sure about this, but I think the tax refund is exempt income as far as the Medicaid is concerned. It's just a refund of some money that was already accounted for in the income eligibility calculations. I think that it is probably going to be exempt as an asset for up to a year under the law. It wouldn't hurt to keep track of how you spend it over the next year. Many families on Food Stamps and Medicaid get thousands of dollars back in tax refunds (primarily due to the refundable Earned Income Tax Credit). It's exempt as income and as an asset for a year. Many families count on this to get them by through the year until the next refund.
It will depend on the amount of the refund from IRS.
Under Medicaid they are allowed to have a small amount of assets plus their monthly income (under whatever your state has set for the income ceiling). Like right now income limit for NH Medicaid in TX is $ 2,163.00 per month and asset maximum is $ 2,000.00. (My mom is in a NH in TX and on Medicaid.)
So find out what the asset maximum is and how much your Dad will be over the limit. Then before you contact the Medicaid office, I would look to see if there is anything that Dad needs that would be a good spend-down of the refund. Like using the refund to do a prepaid No Cash Value burial policy OR buying a new hearing aid or speciality walker. All this so you can figure out a way to use the money to get something for Dad rather than have to have him removed from Medicaid and then he has to reapply; or just private pay to the NH (if he is in a NH). If you go this route, you kinda have to have whatever paid for and moved out of Dad's bank account within the month, so that he is again impoverished by Medicaid for the next month, otherwise he's going to be ruled ineligible for Medicaid for another month.
You do have to report it to Dad's Medicaid caseworker as anything IRS is tied to Dad's SS # and will show up…..eventually. But imho you want to present a sound plan to the caseworker for spending the $$ that will work for Medicaid. Good luck
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
For example, MERP - the Medicaid Estate Recovery Program in which Medicaid can by claim or lien attached the Medicaid recipient's home after their death - is only for those on NH Medicaid or on a elderly diversion program from your state's NH Medicaid funding. So young family getting Medicaid or Medicaid related benefits like through WIC or SNAP or TANF will never have any MERP placed on their home or on them. Only the elderly Medicaid have a MERP action.
The Earned Income Tax Credit is if you worked in the tax year, and didn't make much money. It's based on the money you get (income) and the # of children in your home. Most elderly aren't going to qualify for this type of tax credit. Really Lwatts should speak with their parent's caseworker so that there is no suspension from Medicaid later on that could be a problem.
Under Medicaid they are allowed to have a small amount of assets plus their monthly income (under whatever your state has set for the income ceiling). Like right now income limit for NH Medicaid in TX is $ 2,163.00 per month and asset maximum is $ 2,000.00. (My mom is in a NH in TX and on Medicaid.)
So find out what the asset maximum is and how much your Dad will be over the limit. Then before you contact the Medicaid office, I would look to see if there is anything that Dad needs that would be a good spend-down of the refund. Like using the refund to do a prepaid No Cash Value burial policy OR buying a new hearing aid or speciality walker. All this so you can figure out a way to use the money to get something for Dad rather than have to have him removed from Medicaid and then he has to reapply; or just private pay to the NH (if he is in a NH). If you go this route, you kinda have to have whatever paid for and moved out of Dad's bank account within the month, so that he is again impoverished by Medicaid for the next month, otherwise he's going to be ruled ineligible for Medicaid for another month.
You do have to report it to Dad's Medicaid caseworker as anything IRS is tied to Dad's SS # and will show up…..eventually. But imho you want to present a sound plan to the caseworker for spending the $$ that will work for Medicaid. Good luck