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

Just a month ago I wrote about new DHHS policy re the treatment of “solely for the benefit” trusts (aka, “SBO trusts") in Medicaid planning.  [See SBO Trusts...

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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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Medicaid Cases Won’t Close During Crisis

By Doug Chalgian on March 23, 2020

The Michigan Department of Health and Human Services has issued a directive that will preclude any Medicaid client from being involuntarily cut off from benefits for any reason...

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PACE Adopts Divestment Rules

By Doug Chalgian on March 17, 2020

UPDATE:  Due to COVID, implementation of divestment rules to PACE has been moved back to April 2021.   The Michigan Department of Health and Human Services has announced...

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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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New Medicaid Case Revisits Spousal Income Diversion

By Doug Chalgian on June 21, 2019

A newly released unpublished opinion of the Court of Appeals looks again at the authority of the probate court to issue a protective order in the context of...

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Cautious Optimism Greets MSC Decision on SBO Trusts

By Doug Chalgian on May 10, 2019

The SBO Trust is back – or is it? Yesterday the Michigan Supreme Court released its long awaited decision in the case of Hegadorn v The Department of...

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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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Puzzling New Medicaid Policy on Homestead Exemption to Take Effect

By Doug Chalgian on January 9, 2019

Heads Up: If Medicaid planning isn’t your bag, you may want to pass on this post. As of February 1, 2019, Bridges Eligibility Manual Item 400 (aka “BEM...

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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.