SBO Trusts Are Safe Again
By Doug Chalgian on March 9, 2021
In a one sentence update, the Michigan Department of Health and Human Services announced yesterday that “solely for the benefit policy for spouses trust will not take effect...
Medicaid Spend Down on “Household Goods” to become more Difficult
By Doug Chalgian on September 5, 2020
The Michigan Department of Health and Human Services (DHHS) released new language for the Bridges Eligibility Manual yesterday, which includes a change to the definition of “Household Goods.” ...
SBO Trust Part 2: Meaning Revealed
By Doug Chalgian on July 31, 2020
UPDATE: The start date for the policy discussed in this post was moved until at least March 1, 2021. Just a month ago I wrote about new...
SBO Trusts Targeted Again
By Doug Chalgian on June 25, 2020
Yesterday, DHHS released a proposed policy which is summarized as follows: Effective October 1, 2020 all transfers by the applicant or the applicant's spouse to a trust established...
PACE Adopts Divestment Rules
By Doug Chalgian on March 17, 2020
SECOND UPDATE: In April 2021, the implementation of the divestment rules to PACE was tabled indefinitely. UPDATE: Due to COVID, implementation of divestment rules to PACE has...
April Brings BEM Change on Promissory Notes
By Doug Chalgian on March 3, 2020
A "BEM Item" is a written rule used by the Michigan Department of Health and Human Services to determine eligibility for Medicaid benefits. BEM Item 400 (aka "BEM...
Proposed Policy Promises Problems for Planners
By Doug Chalgian on April 4, 2019
This is a post about Medicaid long term care planning. The topic is a proposed policy change related to the use of promissory notes in Medicaid planning. If...
Policy Tweaks Scare Medicaid Geeks
By Doug Chalgian on October 4, 2018
When it comes to Medicaid planning, truly the devil is in the details; and the “details” are found in the Michigan Department of Health and Human Services (MDHHS)...
VA Program Adds Divestment Rules and More
By Doug Chalgian on September 18, 2018
The so-called “Aid and Attendance” pension has become an important source of income for older adults needing long term care services, and an important source of business for...
Divestment Rules for Medicaid Waiver Clarified – Maybe
By Doug Chalgian on July 28, 2018
A policy bulletin has been issued by the Michigan Department of Health and Human Services which provides additional direction on when and how a divestment penalty period runs...
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