Worst Medicaid Case Ever gets Published

By Doug Chalgian on May 21, 2023

  It’s hard to imagine what the lawyer who handled this appeal was thinking. Facts are: In February, Deborah created an irrevocable trust.  The terms of the trust...

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The End of the PHE

By Doug Chalgian on May 11, 2023

  Today, May 11, 2023, marks the end of the public health emergency that began when COVID kicked in just over three years ago. While there are many...

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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...

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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.” ...

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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...

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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...

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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...

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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...

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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...

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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)...

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Doug Chalgian

About The Author: Doug Chalgian

I am an estate planning, probate litigating, elder law attorney. This is a blog for clients and professional colleagues. In it I offer my ideas about the state of the law and the practice of law. I believe we are living through a unique period during which the law (which is traditionally slow to change) and society are attempting to evolve to address the explosion of people living long lives. I find these developments fascinating and enjoy being involved in this evolution.