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You need to find out what the income limits are for the Medicaid program for your state. Like when I applied for my mom for LTC in a NH on TX medicaid, the monthly income ceiling was $ 2,064. So at $ 2,700, there would be $ 636.00 too high of income to qualify for Medicaid. Could not meet whatever impoverishment "at need" financial requirements TX set.

For those situations - which can be pretty common for a somewhat younger senior needing a NH - if the income is from a qualified, guaranteed source (like SS, federal retirement, most civil service), then they can do a Miller Trust to deal with the excess income. Yeah it another layer of paperwork and documentation......but that's the system. The Miller trust becomes the payee and then it pays the elder the amount allowed ($2,064) with the excess ($636.00) either going in total to the facility (simple & straightforward) or to a big umbrella trust held by the state. Which methods pretty dependent on your state laws. Miller is not a DIY project imho. Really needs to be done by an experienced elder law attorney as it needs to be done to be flexible and within state laws.

Good luck in all this and if you get a Miller done, could you post an update on what it costs to set up and how the excess was to be done? Thanks! We all learn from each other.
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Yes, I think so. She just turns that $2700 over to Medicaid.
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If she goes into a Nursing Home, YES. She would pay $2700 a month and Medicaid would pick up the other $8000 or so, as long as she has not given assets away within 5 years, including her car and house.
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