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(740) 400-4194 719 West Market Street,
Baltimore, Ohio 43105

Medicaid Planning

Get prepared with assistance through Medicaid.

Before beginning a description of how we assist families with Medicaid planning it is important to make a few distinctions and define a few terms.

Medicare – Most people are familiar with Medicare and its associated supplemental plans. Medicare is a federal health care plan designed to provide normal health care insurance for those 65 and older (and in some instances younger than 65). There are various parts to Medicare (A, B, C, and D) that cover many medical needs such as hospital care, regular checkups, prescription needs, etc. Medicare is not designed for, nor will it provide for, long term care needs. Some people think that if they need to live in a nursing home that Medicare will provide for the cost of the nursing home. While Medicare will in some instances cover a limited stay in a skilled nursing facility, it will not pay for long term care at a skilled nursing facility.

Medicaid – Many people never consider Medicaid when planning for the future because they either confuse it with Medicare or they have been led to believe that they would not qualify for Medicaid because they have too many assets or too much income. Most of these people have been told horror stories such as you have to be bankrupt to get Medicaid or that Medicaid will take your house. None of these myths are true. With proper planning, almost anyone can receive assistance through Medicaid. The same planning that can help an individual become eligible to receive Medicaid can also provide for the individual when Medicaid fails to cover a needed supply or service. Unlike Medicare, Medicaid is designed to provide for long term skilled nursing care in a variety of settings.

At Home Care

A little known component of the Medicaid system is what is the PASSPORT Program. PASSPORT is actually an acronym for Pre-Admissions Screening System Providing Options and Resources Today. The Passport Program is designed to allow the recipient of care to stay at home and receive necessary care to a limited degree. To qualify for PASSPORT an individual must meet many of the same requirements as those for nursing home Medicaid benefits. Obviously one of the biggest benefits of this program is the ability for the recipient to remain at home surrounded by love ones and support networks.

Independent Living Facility Care

An Independent Living Facility is one that provides minimal assistance to those able bodied seniors while they reside at the facility. Unlike Assisted Living Facilities (discussed below), Independent Living Facilities do not have a specific structured system that residence must follow. Residents are free to come and go as they please and exercise independent living. Where Medicaid comes in is again through the PASSPORT Program. Just as if the resident was living at home, PASSPORT can provide a limited degree of assistance to a resident of an Independent Living Facility. This again allows the senior to maintain a high level of independence but still received much needed assistance.

Assisted Living Facility Care

An Assisted Living Facility is one that provides a structured environment for the resident. Meals, cleaning, etc., are provided on a routine basis for the senior. Unlike an Independent Living Facility (as described above), Medicaid assistance is not typically accepted at an Assisted Living Facility. There are however exceptions. One of those exceptions is the Medicaid Waiver Program. The Medicaid Waiver Program is designed to provide seniors with an alternative to a skilled nursing home when they are unable to remain in an independent living environment. However, not all Assisted Living Facilities are participants in the Medicaid Waiver Program so you must first check to see if the facility you are interested in is a participant. Second, the requirements to participate in the Medicaid Waiver Program are much the same as those of the Medicaid Program in general. So once again, proper Estate Planning is necessary to qualify for these benefits.

Skilled Nursing Facility Care

The final option is that of a Skilled Nursing Facility. Typically in a Skilled Nursing Facility a senior is no longer able to care for themselves and cannot sustain an independent living. When residing in one of these facilities the senior may be eligible to receive Medicaid assistance to pay for the cost of such care. According to the State of Ohio, the average cost of care at a Skilled Nursing Facility is $6,570 per month*. In reality the cost can range from $8,000 to $10,000 per month once everything is said and done. Under Ohio’s assumption ($6,570/month) a family can expect to spend $78,840 per year for a loved one residing in a Skilled Nursing Facility. In fact that number can be as high as $120,000 per year.

*Ohio Medicaid Eligibility Procedure Letter No. 118

Business Hours

Beginning January 1, 2020 our new office hours will be:
Monday: 9:00am - 4:00pm
Tuesday: 9:00am - 5:00pm
Wednesday: 9:00am - 4:00pm
Thursday: 9:00am - 5:00pm
Friday: 9:00am - 4:00pm


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Medicaid Planning

Contact Us

719 West Market Street, Baltimore, Ohio 43105

(740) 400-4194

Fax: 740-400-4195
Email: info@donaldlawoffice.com

Yellowone

Coronavirus Update!!

corona 

Yes we are still operating, but . . .
Our doors are locked in an effort
to protect everyone, including you, our staff,
and all of our families.
we are asking that all clients
please call or email our
office to set up an appointment.

Contact Us 

  • Phone – 740-400-4194 
  • Fax – 740-400-4195 
  • Email – info@donaldlawoffice.com 

Will Contact You 

  • Within 48 business hours 
  • We wills schedule a phone call or video conference with you. 
  • We will schedule in person appointments ONLY as necessary.

 

 

At Donald Law Office, we treat every person we meet as though they are a member of our families. Our number one priority right now is the safety and health of our families, and as a part of our extended family, this includes you and your family as well.

The only thing that is certain right now for most people is that things are changing rapidly, and change brings about the fear of the unknown. One of the ways to combat fear is to retake control. Now is the time for decisive action. First and foremost it is essential that you follow the recommendations put in place by Governor DeWine’s office and understand what actions you can take to help protect your family including those recommended by the CDC.

We understand that this virus is causing many people to ask the tough questions that they might have ignored before. Questions such as; who is going to make financial, legal and healthcare decisions for them should they become sick?

At Donald Law Office we stand ready to assist you with addressing these questions and many more. Our challenge is how do we help you achieve the peace of mind you need and deserve, but also do so in a responsible way. We recognize that as an elder law firm we have a unique responsibility to our families as many of our clients are part of the most vulnerable population when it comes to this virus.

Everyone at Donald Law Office is still working to support you. Last week we took some initial steps to ensure your safety and continuity of services to our community. Those steps included conducting all appointments possible by phone, a deep cleaning of our office, and disinfecting all surfaces after every appointment.

However, as more information becomes available we are aware that many people who are not exhibiting signs of the illness can still spread the illness. You don’t know if we have it, and we don’t know if you have it. You don’t know if the person who came into our office before you had it. What we do know is that we can help by limiting your exposure to any potential carriers. To facilitate that, we believe that the time has come to extend our preparedness and to take additional measures to ensure your safety.

Effective Monday, March 23, 2020, we will be implementing the following additional measures:

  1. We will continue to operate unless ordered to close by the government.
  2. We will continue to be able to fully support all of our clients and new clients during this period.
  3. Be aware that it is possible that during these reduced onsite staffing times, that your call will not be answered immediately, but PLEASE leave a message. We WILL call you back.
  4. Unscheduled client visits (including new walk-ins) will need to use our new protocols outlined below in #5. This is for your protection, the protection of our staff, and the protection of our other clients.
  5. As an alternative to coming into the office (i.e. walk-ins), we are asking that all of our clients and potential clients call our office (740-400-4194), or email (info@donaldlawoffice.com) our office to schedule an appointment for a phone call or video conference.
    1. We do not want to expose you to any unnecessary risks.
    2. PLEASE do not come to our office unless instructed to do so by a staff member.

Eventually, we are going to return to some semblance of normalcy.  Between now and then our office is here to support you and your families in your estate planning needs. It is more important now than ever that you have your affairs in order. As we have said all along, you need to have a plan in place to address what you are going to do if you or a loved one becomes ill or injured. The Coronavirus is just the most recent threat.

In closing, we want to reassure you that we do not foresee a situation where we will discontinue services.

We hope and pray that none of you or your families become ill from the Coronavirus.