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		<title><![CDATA[Medicaid Secrets Forum - All Forums]]></title>
		<link>http://medicaidsecretsforum.com/</link>
		<description><![CDATA[Medicaid Secrets Forum - http://medicaidsecretsforum.com]]></description>
		<pubDate>Wed, 19 Jun 2013 14:12:51 +0000</pubDate>
		<generator>MyBB</generator>
		<item>
			<title><![CDATA[Estate Recovery in CA: Using an irrevocable trust]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=654</link>
			<pubDate>Tue, 21 May 2013 02:29:32 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=654</guid>
			<description><![CDATA[<span style="font-family: Arial;"><span style="font-size: medium;"><br />
Hello, Mr. Heiser,<br />
<br />
First, I want to thank you so very much for your wonderful book! I ordered and received the 2013 edition a few weeks ago and have been learning so much from it!  I can't thank you enough! <br />
<br />
As a result of your information there, my 88 year-old mom (not married) is seriously considering changing the title of her home from her living trust to an irrevocable life estate in order to protect it from any possible future estate recovery by California's Medicaid program.<br />
<br />
We had always thought that her house was well protected by being in title to her Living Trust. But  now we have discovered in your outline of the California Medicaid rules (appendix pages 270-272, -- so valuable to us!) that California's estate recovery is an expanded one that does indeed include joint property, living trusts and revocable life estate interests (part 4a, page 272). But then you go on to say in part 4b that irrevocable life estate interests are exempt from estate recovery, at least at the present point in time.<br />
<br />
Now, here is our first question, please.<br />
<br />
If she were to establish an irrevocable life estate interest soon in her current home (gifting me, her only living child, with the remainder interest), would she still be able to sell the home if she ever wanted to do so? I am hoping that I will be  able at some point to buy a home suitable to having her live there with me. So we need to know if it would be a viable plan to have her set herself up now with an irrevocable life estate in her current home, then sell it later if she moves into a new home belonging to me, and subsequently reinvest in a new life estate interest in my home at that later date. But since I'm not sure if (or when) I'll be able to buy such a home for us, we want to go ahead and protect her current home as soon as possible. <br />
<br />
Second question, please:<br />
<br />
If the above is a viable plan, in which the title to her home would transfer to me at the time of her death, would it then trigger a probate somehow? (We currently have it, and other of her assets, in her living trust to avoid probate.)<br />
<br />
And third:<br />
<br />
If she does decide to establish the irrevocable life estate interest, as above, would we be able to do this on our own without the assistance of an attorney? And if so, how would we go about it?<br />
<br />
<br />
We would greatly appreciate it if you would post your response to all of this!<br />
<br />
Gratefully,<br />
<br />
Dee W.<br />
Northern California</span></span>]]></description>
			<content:encoded><![CDATA[<span style="font-family: Arial;"><span style="font-size: medium;"><br />
Hello, Mr. Heiser,<br />
<br />
First, I want to thank you so very much for your wonderful book! I ordered and received the 2013 edition a few weeks ago and have been learning so much from it!  I can't thank you enough! <br />
<br />
As a result of your information there, my 88 year-old mom (not married) is seriously considering changing the title of her home from her living trust to an irrevocable life estate in order to protect it from any possible future estate recovery by California's Medicaid program.<br />
<br />
We had always thought that her house was well protected by being in title to her Living Trust. But  now we have discovered in your outline of the California Medicaid rules (appendix pages 270-272, -- so valuable to us!) that California's estate recovery is an expanded one that does indeed include joint property, living trusts and revocable life estate interests (part 4a, page 272). But then you go on to say in part 4b that irrevocable life estate interests are exempt from estate recovery, at least at the present point in time.<br />
<br />
Now, here is our first question, please.<br />
<br />
If she were to establish an irrevocable life estate interest soon in her current home (gifting me, her only living child, with the remainder interest), would she still be able to sell the home if she ever wanted to do so? I am hoping that I will be  able at some point to buy a home suitable to having her live there with me. So we need to know if it would be a viable plan to have her set herself up now with an irrevocable life estate in her current home, then sell it later if she moves into a new home belonging to me, and subsequently reinvest in a new life estate interest in my home at that later date. But since I'm not sure if (or when) I'll be able to buy such a home for us, we want to go ahead and protect her current home as soon as possible. <br />
<br />
Second question, please:<br />
<br />
If the above is a viable plan, in which the title to her home would transfer to me at the time of her death, would it then trigger a probate somehow? (We currently have it, and other of her assets, in her living trust to avoid probate.)<br />
<br />
And third:<br />
<br />
If she does decide to establish the irrevocable life estate interest, as above, would we be able to do this on our own without the assistance of an attorney? And if so, how would we go about it?<br />
<br />
<br />
We would greatly appreciate it if you would post your response to all of this!<br />
<br />
Gratefully,<br />
<br />
Dee W.<br />
Northern California</span></span>]]></content:encoded>
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			<title><![CDATA[immediate countable assets of irrevocable trust?]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=592</link>
			<pubDate>Thu, 09 May 2013 16:41:37 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=592</guid>
			<description><![CDATA[Once an irrevocable trust (that includes a home) is in force does the beneficiary of that trust have immediate access to the contents of the trust (if for example there was a provision in the trust that the grantor had a right to stay in the house till they died)? Would these contents therefore be countable assets against them (beneficiary) in Medicaid planning? (this is in Massachusetts)]]></description>
			<content:encoded><![CDATA[Once an irrevocable trust (that includes a home) is in force does the beneficiary of that trust have immediate access to the contents of the trust (if for example there was a provision in the trust that the grantor had a right to stay in the house till they died)? Would these contents therefore be countable assets against them (beneficiary) in Medicaid planning? (this is in Massachusetts)]]></content:encoded>
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			<title><![CDATA[change beneficiary of irrevocable trust?]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=591</link>
			<pubDate>Thu, 09 May 2013 16:35:28 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=591</guid>
			<description><![CDATA[Once an irrevocable trust has been created with the trustee and beneficiary being named, is it possible to change the name of that beneficiary of that trust in the future?  (this is in Massachusetts)]]></description>
			<content:encoded><![CDATA[Once an irrevocable trust has been created with the trustee and beneficiary being named, is it possible to change the name of that beneficiary of that trust in the future?  (this is in Massachusetts)]]></content:encoded>
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			<title><![CDATA[paying caregivers with cash/lookback]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=587</link>
			<pubDate>Wed, 08 May 2013 15:11:11 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=587</guid>
			<description><![CDATA[My widowed mother lives in Mississippi (her children live in other states). She has Alzheimer's, and we have been paying a caregiver by check (made out to the caregiver) to help her during the day. We are now in need of an additional person to be there for the rest of the day. However, everyone we have talked to insists on being paid in cash, or with a check from my mother or one of us made payable to cash (over &#36;500 per week). This makes us very uncomfortable; we expect to have to apply for Medicaid sooner or later, and are concerned that Medicaid will consider these to be gifts. Is there any way to document and explain these kinds of payments so Medicaid will consider them qualified expenditures?]]></description>
			<content:encoded><![CDATA[My widowed mother lives in Mississippi (her children live in other states). She has Alzheimer's, and we have been paying a caregiver by check (made out to the caregiver) to help her during the day. We are now in need of an additional person to be there for the rest of the day. However, everyone we have talked to insists on being paid in cash, or with a check from my mother or one of us made payable to cash (over &#36;500 per week). This makes us very uncomfortable; we expect to have to apply for Medicaid sooner or later, and are concerned that Medicaid will consider these to be gifts. Is there any way to document and explain these kinds of payments so Medicaid will consider them qualified expenditures?]]></content:encoded>
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			<title><![CDATA[Appraisal Price vs Market Price of Home]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=581</link>
			<pubDate>Mon, 06 May 2013 15:58:40 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=581</guid>
			<description><![CDATA[I have recently applied for Medicaid for my mother of 89 years in Indiana. I had considered purchasing her home of 60 years and had it appraised two weeks ago. Being in now a somewhat poverished area, the result was higher than I had anticipated. It was the same price that we tried to sell it at a year before with no success. Only one person looked at the house in 6 months. It's clear that the house will not sell at the appraisal price and I'm afraid to purchase it below that value for my mother to be penalized. Is there a limit, say 75-90%, of the appraisal price that Medicaid will accept as a legitimate transaction? And I would be curious to know if Medicaid might accept estimates to repair the home (e.g., a new roof, leaking basement) as the appraiser did not totally comb the house in his 10-15 minute visit.<br />
<br />
What a great forum<br />
Thank you]]></description>
			<content:encoded><![CDATA[I have recently applied for Medicaid for my mother of 89 years in Indiana. I had considered purchasing her home of 60 years and had it appraised two weeks ago. Being in now a somewhat poverished area, the result was higher than I had anticipated. It was the same price that we tried to sell it at a year before with no success. Only one person looked at the house in 6 months. It's clear that the house will not sell at the appraisal price and I'm afraid to purchase it below that value for my mother to be penalized. Is there a limit, say 75-90%, of the appraisal price that Medicaid will accept as a legitimate transaction? And I would be curious to know if Medicaid might accept estimates to repair the home (e.g., a new roof, leaking basement) as the appraiser did not totally comb the house in his 10-15 minute visit.<br />
<br />
What a great forum<br />
Thank you]]></content:encoded>
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			<title><![CDATA[Permission to transfer home to disabled child]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=579</link>
			<pubDate>Sun, 05 May 2013 15:24:21 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=579</guid>
			<description><![CDATA[We received permission from Medicaid to transfer mother's property to her disabled son. However, according to Ohio Administrative Code 5101 :1-39-07  F (1) , in order for a transfer to be considered for the sole benefit, the entity that receives or holds the transferred resource must, by explicit terms of a contract, trust or other instrument, be required to expend all of the transferred resources for the benefit of the individual during that individual's life expectancy.<br />
A quit claim deed is being prepared to transfer the property to her disabled son. <br />
<br />
OAC also states, that when the contract, trust or other binding instrument does not contain such a requirement, the provisions governing the sole benefits do not apply. A transfer for the sole benefit in which there is a provision in the trust, contract or other binding instrument to expend all of the transferred resources may provide for other beneficiaries.<br />
<br />
What is the proper way to address the these provisions? Do we need to prepare an contract to address the provisions along with the quit claim deed?<br />
<br />
Thank you.]]></description>
			<content:encoded><![CDATA[We received permission from Medicaid to transfer mother's property to her disabled son. However, according to Ohio Administrative Code 5101 :1-39-07  F (1) , in order for a transfer to be considered for the sole benefit, the entity that receives or holds the transferred resource must, by explicit terms of a contract, trust or other instrument, be required to expend all of the transferred resources for the benefit of the individual during that individual's life expectancy.<br />
A quit claim deed is being prepared to transfer the property to her disabled son. <br />
<br />
OAC also states, that when the contract, trust or other binding instrument does not contain such a requirement, the provisions governing the sole benefits do not apply. A transfer for the sole benefit in which there is a provision in the trust, contract or other binding instrument to expend all of the transferred resources may provide for other beneficiaries.<br />
<br />
What is the proper way to address the these provisions? Do we need to prepare an contract to address the provisions along with the quit claim deed?<br />
<br />
Thank you.]]></content:encoded>
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			<title><![CDATA[SSDI and owning property]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=571</link>
			<pubDate>Tue, 30 Apr 2013 22:00:45 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=571</guid>
			<description><![CDATA[Does anyone know if someone on SSDI (Social Security Disability Income) not SSI (Supplemental Security Income) can own property, and if so could that home be placed in an irrevocable trust with the grantor holding a life estate? This is in Massachusetts.<br />
<br />
Thank You]]></description>
			<content:encoded><![CDATA[Does anyone know if someone on SSDI (Social Security Disability Income) not SSI (Supplemental Security Income) can own property, and if so could that home be placed in an irrevocable trust with the grantor holding a life estate? This is in Massachusetts.<br />
<br />
Thank You]]></content:encoded>
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			<title><![CDATA[When to apply]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=542</link>
			<pubDate>Tue, 16 Apr 2013 19:01:33 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=542</guid>
			<description><![CDATA[My mother is currently in a rehab facility as she fell and broke her hip. Her recovery is not going well, and she is scheduled to be discharged at the beginning of May. The care she will need I can do somewhat, but even though I work from home will not be the best thing for her long term.<br />
<br />
The issue is that prior to this, she lived with me and my husband, and while we didn't formally set anything in place she wanted to contribute to the household. So most months she would give us a couple of hundred dollars to help pay bills (lights, water etc.). <br />
She is a retired teacher and nets around &#36;1,650+ a month. She has a checking and savings account, but all funds there come from her monthly pension.<br />
<br />
My questions are:<br />
1. Is the money she gives for household bills considered gifts?<br />
2. If they are, how can I report them?<br />
3. As her pension comes in at the beginning of the month, would applying toward the end of the month be better as that is when she has the lowest amount in her checking account?<br />
4. Her savings are minimal, but based on what I've read so far would possibly make her ineligible.  What options do you suggest?<br />
<br />
Thanks for a great resource on this much needed subject.]]></description>
			<content:encoded><![CDATA[My mother is currently in a rehab facility as she fell and broke her hip. Her recovery is not going well, and she is scheduled to be discharged at the beginning of May. The care she will need I can do somewhat, but even though I work from home will not be the best thing for her long term.<br />
<br />
The issue is that prior to this, she lived with me and my husband, and while we didn't formally set anything in place she wanted to contribute to the household. So most months she would give us a couple of hundred dollars to help pay bills (lights, water etc.). <br />
She is a retired teacher and nets around &#36;1,650+ a month. She has a checking and savings account, but all funds there come from her monthly pension.<br />
<br />
My questions are:<br />
1. Is the money she gives for household bills considered gifts?<br />
2. If they are, how can I report them?<br />
3. As her pension comes in at the beginning of the month, would applying toward the end of the month be better as that is when she has the lowest amount in her checking account?<br />
4. Her savings are minimal, but based on what I've read so far would possibly make her ineligible.  What options do you suggest?<br />
<br />
Thanks for a great resource on this much needed subject.]]></content:encoded>
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			<title><![CDATA[IRA distributions]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=541</link>
			<pubDate>Sat, 13 Apr 2013 12:56:35 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=541</guid>
			<description><![CDATA[If my single mother took out money from her IRA and elected 100% to go to federal tax withholding, when she gets that money back when her income taxes are filed, does that count for income with Medicaid?  If not, is there a limit that can be done without raising any red flags?]]></description>
			<content:encoded><![CDATA[If my single mother took out money from her IRA and elected 100% to go to federal tax withholding, when she gets that money back when her income taxes are filed, does that count for income with Medicaid?  If not, is there a limit that can be done without raising any red flags?]]></content:encoded>
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			<title><![CDATA[Selling home in Revocable Trusts]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=530</link>
			<pubDate>Mon, 08 Apr 2013 13:13:09 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=530</guid>
			<description><![CDATA[My father is single and in a nursing home in Ohio. Most of his assets including his home are in his Revocable Trust. When he could no longer handle his affairs I became the Successor Trustee. At that time a new deed for his home was issued naming me the owner as Trustee. <br />
<br />
Can Medicaid consider this a gift even though the home is still in his Trust?<br />
<br />
I intend to sell the home soon and will eventually use the money to pay for the nursing home. Does the fact that the home is in a Revocable Trust disqualify it from the capital gains exclusion? I have a Durable General POA and could transfer the property out of the Trust, back into my father's name and then sell it if necessary.<br />
Right now I am not as concerned about protecting assets as I am making sure that I don't do something to make him ineligible for Medicaid in the future.]]></description>
			<content:encoded><![CDATA[My father is single and in a nursing home in Ohio. Most of his assets including his home are in his Revocable Trust. When he could no longer handle his affairs I became the Successor Trustee. At that time a new deed for his home was issued naming me the owner as Trustee. <br />
<br />
Can Medicaid consider this a gift even though the home is still in his Trust?<br />
<br />
I intend to sell the home soon and will eventually use the money to pay for the nursing home. Does the fact that the home is in a Revocable Trust disqualify it from the capital gains exclusion? I have a Durable General POA and could transfer the property out of the Trust, back into my father's name and then sell it if necessary.<br />
Right now I am not as concerned about protecting assets as I am making sure that I don't do something to make him ineligible for Medicaid in the future.]]></content:encoded>
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			<title><![CDATA[QIT for Colorado]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=521</link>
			<pubDate>Mon, 01 Apr 2013 07:41:19 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=521</guid>
			<description><![CDATA[I read the chapter on QIT (Qualified Income Trusts) in your 2013 Medicaid Secrets book and found it to offer a better explanation of the QIT than the rules/regs provided by the State or on the Declaration of Income Trust itself.  Thank you!<br />
<br />
I have a husband and a wife who have both just entered a LTC (long-term care) facility pending Medicaid approval.  Both share one primary checking account where all gross income sources are deposited monthly.  The husband is currently over income eligibility for LTC Medicaid by &#36;100.  The family has now set up a second account where they plan to redeposit their father’s gross income into and pay his nursing home expenses from each month, minus the &#36;50 personal needs allowance and &#36;20 maintenance fee.  <br />
<br />
Since the primary account will receive the gross income of both the husband and wife, will that transaction and the transferring of his gross income into a second account each month present any problems for the wife in qualifying for Medicaid?  <br />
<br />
Also, they have a mobile home property and vehicle the family would like to sell.  Where can I find out more about the irrevocable insurance policy you mentioned in one of the chapters as a vehicle for reducing “countable resources”?<br />
<br />
Lastly, how important is it to express in writing to the County that both the husband and wife have an intent to return home IF they are able to? <br />
<br />
Thank you.  <br />
Teri, Gerontologist]]></description>
			<content:encoded><![CDATA[I read the chapter on QIT (Qualified Income Trusts) in your 2013 Medicaid Secrets book and found it to offer a better explanation of the QIT than the rules/regs provided by the State or on the Declaration of Income Trust itself.  Thank you!<br />
<br />
I have a husband and a wife who have both just entered a LTC (long-term care) facility pending Medicaid approval.  Both share one primary checking account where all gross income sources are deposited monthly.  The husband is currently over income eligibility for LTC Medicaid by &#36;100.  The family has now set up a second account where they plan to redeposit their father’s gross income into and pay his nursing home expenses from each month, minus the &#36;50 personal needs allowance and &#36;20 maintenance fee.  <br />
<br />
Since the primary account will receive the gross income of both the husband and wife, will that transaction and the transferring of his gross income into a second account each month present any problems for the wife in qualifying for Medicaid?  <br />
<br />
Also, they have a mobile home property and vehicle the family would like to sell.  Where can I find out more about the irrevocable insurance policy you mentioned in one of the chapters as a vehicle for reducing “countable resources”?<br />
<br />
Lastly, how important is it to express in writing to the County that both the husband and wife have an intent to return home IF they are able to? <br />
<br />
Thank you.  <br />
Teri, Gerontologist]]></content:encoded>
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			<title><![CDATA[Study #1, A-Z]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=520</link>
			<pubDate>Wed, 27 Mar 2013 11:58:01 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=520</guid>
			<description><![CDATA[I would love, if you have time, for you to work out the scenario in Study #1, p. 226 if we assume that George will enter a nursing home in 36 months.<br />
<br />
So assume his expenses while not in nursing home are &#36;3,000 per month instead of the &#36;5,800 if private paying in the NH. So he needs to retain 36 months of &#36;3,000, but he has &#36;2,090 in income per month. So he needs to retain &#36;910 per month x 36 months = &#36;32,760. But then the penalty does not trigger until 3 years from now when he applies and otherwise qualifies. So at that point he only has &#36;182,240 left. So he gifts &#36;103,467 and retains &#36;76,773 in the form of an annuity and triggers a 20.69 month penalty. His income of &#36;2,090 per month and the annuity covers his private pay.<br />
<br />
So if he is not in 'crisis' mode, he actually gifts less? Seems he should be able to gift more............ What am I missing? I was hoping to gift more than the &#36;122,500 crisis mode 'half loaf' plan.<br />
<br />
Thanks!]]></description>
			<content:encoded><![CDATA[I would love, if you have time, for you to work out the scenario in Study #1, p. 226 if we assume that George will enter a nursing home in 36 months.<br />
<br />
So assume his expenses while not in nursing home are &#36;3,000 per month instead of the &#36;5,800 if private paying in the NH. So he needs to retain 36 months of &#36;3,000, but he has &#36;2,090 in income per month. So he needs to retain &#36;910 per month x 36 months = &#36;32,760. But then the penalty does not trigger until 3 years from now when he applies and otherwise qualifies. So at that point he only has &#36;182,240 left. So he gifts &#36;103,467 and retains &#36;76,773 in the form of an annuity and triggers a 20.69 month penalty. His income of &#36;2,090 per month and the annuity covers his private pay.<br />
<br />
So if he is not in 'crisis' mode, he actually gifts less? Seems he should be able to gift more............ What am I missing? I was hoping to gift more than the &#36;122,500 crisis mode 'half loaf' plan.<br />
<br />
Thanks!]]></content:encoded>
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			<title><![CDATA[Fund a trust, then borrow from it.]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=519</link>
			<pubDate>Mon, 25 Mar 2013 15:01:15 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=519</guid>
			<description><![CDATA[I settled my client’s PI case for &#36;150K after attorney’s fees. She is single and 67 and somewhat healthy. Her only child is very irresponsible but a nice enough fellow. He has creditor issues.  She is going to buy a &#36;110K condo and I thought about a life estate with remainder to child- this will trigger a gift and ensuing penalty according to the life estate tables for 5 year lookback period. However, KY seeks estate recovery against life estates. This is worse than a larger penalty period for an outright gift I think since we are not in crisis mode. Plus, there would be no money to upkeep the house while she was institutionalized and child does not have the wherewithal to accomplish its upkeep. She does not want to give up control.<br />
<br />
So what if she formed an IRREVOCABLE TRUST and funded it with &#36;110K cash and then the trust loaned her the money to buy the house taking back a mortgage. The note secured by the mortgage could be set up for no payments but interest accrues at the Fed. Mid Term rate, with a balloon payment of all principal and interest due on demand after 20 years. IRC section 121 exclusion and section 1014 step-up would be preserved- she continues to hold title.<br />
<br />
If she is institutionalized for more than 6 months, Medicaid will make her sell the home if she does not intend to return within the next 6 months. This is great, however, because all proceeds would go to the trust since no principal is being paid down on the loan which actually accumulates interest. Also, Medicaid might decide not to push the issue of selling the home since it has no equity. <br />
<br />
If the trust actually held title, she would need an occupancy agreement and to pay FMV rent. Therefore, she does not want to make an outright transfer to the trust if this solution works better.<br />
<br />
Does this method hold water?]]></description>
			<content:encoded><![CDATA[I settled my client’s PI case for &#36;150K after attorney’s fees. She is single and 67 and somewhat healthy. Her only child is very irresponsible but a nice enough fellow. He has creditor issues.  She is going to buy a &#36;110K condo and I thought about a life estate with remainder to child- this will trigger a gift and ensuing penalty according to the life estate tables for 5 year lookback period. However, KY seeks estate recovery against life estates. This is worse than a larger penalty period for an outright gift I think since we are not in crisis mode. Plus, there would be no money to upkeep the house while she was institutionalized and child does not have the wherewithal to accomplish its upkeep. She does not want to give up control.<br />
<br />
So what if she formed an IRREVOCABLE TRUST and funded it with &#36;110K cash and then the trust loaned her the money to buy the house taking back a mortgage. The note secured by the mortgage could be set up for no payments but interest accrues at the Fed. Mid Term rate, with a balloon payment of all principal and interest due on demand after 20 years. IRC section 121 exclusion and section 1014 step-up would be preserved- she continues to hold title.<br />
<br />
If she is institutionalized for more than 6 months, Medicaid will make her sell the home if she does not intend to return within the next 6 months. This is great, however, because all proceeds would go to the trust since no principal is being paid down on the loan which actually accumulates interest. Also, Medicaid might decide not to push the issue of selling the home since it has no equity. <br />
<br />
If the trust actually held title, she would need an occupancy agreement and to pay FMV rent. Therefore, she does not want to make an outright transfer to the trust if this solution works better.<br />
<br />
Does this method hold water?]]></content:encoded>
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		<item>
			<title><![CDATA[IRA/Irrevocable Trust]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=516</link>
			<pubDate>Mon, 18 Mar 2013 12:27:37 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=516</guid>
			<description><![CDATA[I live in Michigan and have a traditional IRA.  I am told by my attorney that I cannot move the IRA to an irrevocable trust without paying income taxes on the IRA.<br />
<br />
Can I transfer the IRA to an annuity and then move the annuity to the irrevocable trust without paying income taxes and have the new annuity become a protected asset after five years?<br />
<br />
I am 64 and do not plan on taking income from the IRA/Annuity until age 70.<br />
<br />
Any other suggestions on how to protect the IRA?]]></description>
			<content:encoded><![CDATA[I live in Michigan and have a traditional IRA.  I am told by my attorney that I cannot move the IRA to an irrevocable trust without paying income taxes on the IRA.<br />
<br />
Can I transfer the IRA to an annuity and then move the annuity to the irrevocable trust without paying income taxes and have the new annuity become a protected asset after five years?<br />
<br />
I am 64 and do not plan on taking income from the IRA/Annuity until age 70.<br />
<br />
Any other suggestions on how to protect the IRA?]]></content:encoded>
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		<item>
			<title><![CDATA[89-yr-old with $1 million in assets]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=515</link>
			<pubDate>Sun, 17 Mar 2013 10:17:42 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=515</guid>
			<description><![CDATA[Widowed man age 89 in failing health with over &#36;1 million in assets. His assets are in a revocable living trust. He gets a large annuity payment each year that funds a life insurance policy. He was denied long-term care insurance several years ago. Since there is a five-year look back for Medicaid eligibility, is there any strategy available to protect assets if he goes to a nursing home?]]></description>
			<content:encoded><![CDATA[Widowed man age 89 in failing health with over &#36;1 million in assets. His assets are in a revocable living trust. He gets a large annuity payment each year that funds a life insurance policy. He was denied long-term care insurance several years ago. Since there is a five-year look back for Medicaid eligibility, is there any strategy available to protect assets if he goes to a nursing home?]]></content:encoded>
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		<item>
			<title><![CDATA[life insurance]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=511</link>
			<pubDate>Mon, 11 Mar 2013 15:05:48 -0500</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=511</guid>
			<description><![CDATA[I have been searching the web to find answers re Medicaid.  My interest heightened after I received this month's AARP Bulletin. There was a very small article in "Ask the Experts" about Medicaid.  I had no idea that all Medicaid payments from the state had to be paid back to a nursing home after a person dies. <br />
<br />
They also listed some of the things that were exempt in order to qualify for Medicaid. One of the things was that if you had a life insurance policy it could not have more than a &#36;1,500 face value.  What if a person has a policy that is over that?  Mine is and I am concerned that my daughter, who is the beneficiary, won't get that money if I should have to be put into a nursing home.]]></description>
			<content:encoded><![CDATA[I have been searching the web to find answers re Medicaid.  My interest heightened after I received this month's AARP Bulletin. There was a very small article in "Ask the Experts" about Medicaid.  I had no idea that all Medicaid payments from the state had to be paid back to a nursing home after a person dies. <br />
<br />
They also listed some of the things that were exempt in order to qualify for Medicaid. One of the things was that if you had a life insurance policy it could not have more than a &#36;1,500 face value.  What if a person has a policy that is over that?  Mine is and I am concerned that my daughter, who is the beneficiary, won't get that money if I should have to be put into a nursing home.]]></content:encoded>
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		<item>
			<title><![CDATA[Questions on cash value life and an annuity]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=510</link>
			<pubDate>Thu, 07 Mar 2013 12:35:32 -0600</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=510</guid>
			<description><![CDATA[I have been on Medicaid in Texas in a long-term skilled nursing facility. They are telling me  I need to reapply for Medicaid since it expired at the end of January. They want copies of any of my insurance policies. I have two with about &#36;10,000 in cash value PLUS I have an annuity my mom left for medical expenses if she or her husband (my stepdad) needed it.<br />
<br />
I have one policy and his daughter has one policy. I am the sole owner annuitant; Mom has passed away last year. My question is what happens to my assets??<br />
<br />
Thanks...I m so confused!]]></description>
			<content:encoded><![CDATA[I have been on Medicaid in Texas in a long-term skilled nursing facility. They are telling me  I need to reapply for Medicaid since it expired at the end of January. They want copies of any of my insurance policies. I have two with about &#36;10,000 in cash value PLUS I have an annuity my mom left for medical expenses if she or her husband (my stepdad) needed it.<br />
<br />
I have one policy and his daughter has one policy. I am the sole owner annuitant; Mom has passed away last year. My question is what happens to my assets??<br />
<br />
Thanks...I m so confused!]]></content:encoded>
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		<item>
			<title><![CDATA[DPOA and Guardianship?]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=503</link>
			<pubDate>Mon, 11 Feb 2013 11:35:44 -0600</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=503</guid>
			<description><![CDATA[Hi all,<br />
<br />
Question(s) <br />
<br />
1. Is a Durable power of Attorney considered a Guardianship?<br />
<br />
2. If no money has been transferred to the direct control of the Agent on behalf of the senior...does a guardianship exist?<br />
<br />
3. IF the senior in question....is capable of handling their own affairs...and still has full mental faculties... and any savings, bank accounts are still in their name...isn't it best to leave it that way?<br />
<br />
4. When does a guardianship exist?<br />
<br />
thanks for your input...]]></description>
			<content:encoded><![CDATA[Hi all,<br />
<br />
Question(s) <br />
<br />
1. Is a Durable power of Attorney considered a Guardianship?<br />
<br />
2. If no money has been transferred to the direct control of the Agent on behalf of the senior...does a guardianship exist?<br />
<br />
3. IF the senior in question....is capable of handling their own affairs...and still has full mental faculties... and any savings, bank accounts are still in their name...isn't it best to leave it that way?<br />
<br />
4. When does a guardianship exist?<br />
<br />
thanks for your input...]]></content:encoded>
		</item>
		<item>
			<title><![CDATA[DPOA and Signing ?]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=502</link>
			<pubDate>Fri, 08 Feb 2013 08:26:03 -0600</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=502</guid>
			<description><![CDATA[Sorry...i apologize but maybe this should have all been under one thread.<br />
<br />
<span style="font-weight: bold;">QUESTION</span>: Can the DPOA be signed while a patient is in a Nursing home or ALF?<br />
<br />
Its probably best if my mother gets it before....but her health has deteriorated...and she probably needs full time or part time attention (help with shopping, drs visits,etc).<br />
<br />
In what instance would a DPOA not be recognized or counted as not valid?<br />
<br />
thanks very much!]]></description>
			<content:encoded><![CDATA[Sorry...i apologize but maybe this should have all been under one thread.<br />
<br />
<span style="font-weight: bold;">QUESTION</span>: Can the DPOA be signed while a patient is in a Nursing home or ALF?<br />
<br />
Its probably best if my mother gets it before....but her health has deteriorated...and she probably needs full time or part time attention (help with shopping, drs visits,etc).<br />
<br />
In what instance would a DPOA not be recognized or counted as not valid?<br />
<br />
thanks very much!]]></content:encoded>
		</item>
		<item>
			<title><![CDATA[Promissory Note(s)....left to Whom?]]></title>
			<link>http://medicaidsecretsforum.com/showthread.php?tid=501</link>
			<pubDate>Mon, 04 Feb 2013 10:36:37 -0600</pubDate>
			<guid isPermaLink="false">http://medicaidsecretsforum.com/showthread.php?tid=501</guid>
			<description><![CDATA[Hello,<br />
<br />
I purchased Mr.Heiser's book....and it is very informative. <br />
<br />
I am the sole beneficiary of her estate...as her other children have basically abandoned her and in her will she leaves all financial interest to me (all bank accounts are left "in trust to me") and only personal property to other siblings.<br />
<br />
<span style="font-weight: bold;">QUESTION:</span> If my mother lends me money...and i give her a promissory note for equal payments under her expected remaining life term...BUT she passes before the entire amount is repaid....WHO gets the balance of the LOAN? <br />
<br />
<span style="font-weight: bold;">PART 2:</span> if the loan is made to a LLC controlled by me....can i be the beneficiary of the loan if she passes before loan is repaid?<br />
<br />
My main concern is the state or Medicaid coming after me for the balance of any loan that was owed to her...since that money would be owed to her estate. I thought your book mentioned that the Medicaid recovery can come after the beneficiaries of any loans that are owed to her?<br />
<br />
Forgive me..but its been very stressful time.<br />
<br />
Thanks very much....]]></description>
			<content:encoded><![CDATA[Hello,<br />
<br />
I purchased Mr.Heiser's book....and it is very informative. <br />
<br />
I am the sole beneficiary of her estate...as her other children have basically abandoned her and in her will she leaves all financial interest to me (all bank accounts are left "in trust to me") and only personal property to other siblings.<br />
<br />
<span style="font-weight: bold;">QUESTION:</span> If my mother lends me money...and i give her a promissory note for equal payments under her expected remaining life term...BUT she passes before the entire amount is repaid....WHO gets the balance of the LOAN? <br />
<br />
<span style="font-weight: bold;">PART 2:</span> if the loan is made to a LLC controlled by me....can i be the beneficiary of the loan if she passes before loan is repaid?<br />
<br />
My main concern is the state or Medicaid coming after me for the balance of any loan that was owed to her...since that money would be owed to her estate. I thought your book mentioned that the Medicaid recovery can come after the beneficiaries of any loans that are owed to her?<br />
<br />
Forgive me..but its been very stressful time.<br />
<br />
Thanks very much....]]></content:encoded>
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