What Does the End of the Public Health Emergency Mean for Seniors?

By Jill Roamer, JD, CIPP/US on Mar 14, 2023 9:27:00 AM

What Does the End of the Public Health Emergency Mean for Seniors_

President Biden announced that the official Public Health Emergency (PHE) caused by COVID-19 will end on May 11, 2023.   What are the ramifications of this change for seniors?

1. Return of Medicare’s three-day rule

Medicare has a three-day rule that is the source of angst for patients and care facilities alike. The rule states that Medicare would pay for a patient’s stay in a nursing home only if the patient was admitted to the hospital for three days prior to the need for nursing home care. (Last year, the ruling in Barrows v. Becerra finally gave patients appeal rights for their observation status in the hospital.)
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New Proposed Rule Effects In-Kind Support and Maintenance Calculation

By Jill Roamer, JD, CIPP/US on Feb 23, 2023 9:21:00 AM

New Proposed Rule Effects In-Kind Support and Maintenance Calculation

If an individual receiving Supplemental Security Income (SSI) receives certain types of payments, those payments must be reported to the Social Security Administration (SSA) and their benefits may be reduced, often quite significantly. The most common distribution that would need to be reported is payment of income in the form of food or shelter, referred to as In-Kind Support and Maintenance (ISM). This type of income is any payment from a third party (including from a trust) for the necessities of life—food and shelter. ISM occurs when distributions are made not only for groceries, rent, or a mortgage payment, but also for basic utilities such as natural gas, water, electricity, sewer service, and garbage collection.

Last week, the SSA published a proposed rule that seeks to exclude food from the ISM calculation.

Topics: Elder Law
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Elder Law Versus Estate Planning: What’s the Difference?

By Jill Roamer, JD, CIPP/US on Feb 17, 2023 9:47:00 AM

Elder Law Versus Estate Planning_ What’s the Difference_

Elder law and estate planning are often confused with each other. Admittedly, they are akin to each other, but here’s the key difference: elder law is about planning for what happens when a senior is still alive, and estate planning is about planning for what happens after someone passes away.

Topics: Elder Law
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