Wisconsin Long-Term Care Insurance Partnership Program WI Medicaid Training .


48 views
Uploaded on:
Category: Food / Beverages
Description
The data contained in this preparation material is present as of June 2, 2008.. . WI Estate Recovery . For current data with respect to the Wisconsin Estate Recovery, get to the web at: http://dhfs.wisconsin.gov/medicaid1/recpubs/erp/phc13032.htm . 06/02/2008. DHFS/DHCAA/BEM Training - Part III.
Transcripts
Slide 1

´╗┐Wisconsin Long-Term Care Insurance Partnership Program WI Medicaid Training PART III WI Estate Recovery

Slide 2

The data contained in this preparation material is present as of June 2, 2008 .

Slide 3

WI Estate Recovery For current data with respect to the Wisconsin Estate Recovery, get to the web at: http://dhfs.wisconsin.gov/medicaid1/recpubs/erp/phc13032.htm

Slide 4

What is WI Estate Recovery? What Services Does Wisconsin Recover? At the point when Does The State Not Recover Medicaid Benefits? Substance DHFS/DHCAA/BEM Training - Part III

Slide 5

What is WI Estate Recovery? Wisconsin Medicaid Estate Recovery looks for reimbursement for the cost of certain long haul tend to by Medicaid in the interest of beneficiaries. Recuperation is produced using the home of beneficiaries and from liens set on their homes. The cash recuperated is come back to the WI Medicaid Program and used to pay for look after other WI Medicaid beneficiaries. DHFS/DHCAA/BEM Training - Part III

Slide 6

What is WI Estate Recovery? Take note of that Wisconsin, not at all like some different states, does not recuperate for ALL administrations that are paid by WI Medicaid. The sum Wisconsin can recuperate is restricted to the sum paid by WI Medicaid for certain long haul mind administrations . DHFS/DHCAA/BEM Training - Part III

Slide 7

What is WI Estate Recovery? The measure of advantages slighted for WI Medicaid qualification purposes because of checked payouts under a qualified WI LTCIP arrangement are shielded from domain recuperation with the exception of the fundamental $2,000 resource stipend/constrain that all people get while they are alive. This $2,000 resource dismissal might be liable to recuperation when the individual is no longer alive. DHFS/DHCAA/BEM Training - Part III

Slide 8

What is WI Estate Recovery? The long haul administer to which the program looks for reimbursement predominantly incorporate nursing home administrations, group based waiver administrations and certain other long haul mind administrations got in the group by a man at any rate age 55 or more seasoned. DHFS/DHCAA/BEM Training - Part III

Slide 9

What is WI Estate Recovery? With the new WI LTCIP qualifying strategies, the measure of benefits that are secured because of confirmed payouts are not subject to bequest recuperation. DHFS/DHCAA/BEM Training - Part III

Slide 10

What is WI Estate Recovery? RECAP

Slide 11

What is WI Estate Recovery? RECAP The Wisconsin Medicaid Estate Recovery Program looks for reimbursement for the cost of certain long haul tend to by Medicaid in the interest of beneficiaries. Recuperation is produced using the homes of beneficiaries and from liens set on their homes. The cash recouped is come back to the WI Medicaid Program and used to pay for tend to other WI Medicaid beneficiaries. DHFS/DHCAA/BEM Training - Part III

Slide 12

What is WI Estate Recovery? RECAP The measure of advantages that are shielded because of confirmed payouts from a qualified WI LTCIP strategy are likewise shielded from home recuperation. DHFS/DHCAA/BEM Training - Part III

Slide 13

What Services Does Wisconsin Recover? As noted already, Wisconsin does not recuperate for all administrations gave to a WI Medicaid beneficiary. DHFS/DHCAA/BEM Training - Part III

Slide 14

What Services Does Wisconsin Recover? Wisconsin recoups every one of the expenses for a beneficiary (of all ages) for the timeframe in a nursing home or inpatient (over 30 days) in a clinic, the length of the beneficiary was considered for all time standardized. Wisconsin likewise recoups all expenses from any nursing home for a beneficiary beyond 55 a years old regardless of the possibility that it was a transient remain in a nursing home. DHFS/DHCAA/BEM Training - Part III

Slide 15

What Services Does Wisconsin Recover? Wisconsin looks to recoup administrations that are by and large considered as "long haul mind administrations" for anybody age 55 and more seasoned, living in the group . DHFS/DHCAA/BEM Training - Part III

Slide 16

What Services Does Wisconsin Recover? Administrations that a beneficiary age 55 and more seasoned may get in the group, subject to recuperation, incorporate the accompanying: Skilled nursing administrations Home wellbeing helper administrations Home wellbeing treatment and discourse pathology administrations Private obligation nursing administrations Personal care administrations DHFS/DHCAA/BEM Training - Part III

Slide 17

What Services Does Wisconsin Recover? Wisconsin likewise looks to recuperate benefits paid for any beneficiary age 55 and more established in a WI Medicaid Waiver program, including however not constrained to WI Family Care, WI Family Care Partnership, Community Options Waiver, Community Integration Programs IA, IB, and II, Brain Injury Waiver and Community Supported Living Arrangements. DHFS/DHCAA/BEM Training - Part III

Slide 18

What Services Does Wisconsin Recover? The advantages recouped for a Medicaid Waiver beneficiary age 55 and more established are: All administrations got through the home and group based Waiver program (i.e., WI Family Care and WI Family Care Partnership). All inpatient healing center administrations and every physician endorsed tranquilize got while the beneficiary was qualified for a Waiver program. DHFS/DHCAA/BEM Training - Part III

Slide 19

What Services Does Wisconsin Recover? A person who gets all or a mix of the administrations recorded beforehand may have the sum paid by WI Medicaid for those administrations recouped from his or her bequest, or through a lien while the beneficiary is alive - with the exception of a sum equivalent to the confirmed payouts under a qualified WI LTCIP strategy. DHFS/DHCAA/BEM Training - Part III

Slide 20

What Services Does Wisconsin Recover? Case 1: Ruth was in the WI Family Care Program. She got benefits through Family Care that were not qualified for installment by her qualified WI LTCIP approach (worth $100,000). She passed away and WI Family Care had paid out $50,000 in administrations through the span of three years. WI Estate recuperation would record a claim against her domain which incorporates her home esteemed at over $100,000. DHFS/DHCAA/BEM Training - Part III

Slide 21

What Services Does Wisconsin Recover? Case 1: When the home in her bequest offers, the state would gather on its $50,000 assert, expecting adequate assets were accessible to first pay other need claims. She was not ready to ensure any advantages as the qualified WI LTCIP arrangement did not pay out any advantages to secure her benefits. DHFS/DHCAA/BEM Training - Part III

Slide 22

What Services Does Wisconsin Recover? Illustration 2: Millie was additionally in the WI Family Care Program. At the time she connected for WI Family Care, $25,000 had been paid out in advantages by her qualifying WI LTCIP program strategy; subsequently $25,000 of her countable resources were dismissed. She claimed her own particular home worth $150,000. Since she lived in her home, the home remained an absolved resource for reasons for qualification . DHFS/DHCAA/BEM Training - Part III

Slide 23

What Services Does Wisconsin Recover? Illustration 2: At the season of Millie\'s demise, $60,000 had been paid out by the WI LTCIP program approach, be that as it may, WI Family Care had paid out $90,000 in WI Medicaid benefits. WI Estate recuperation would document a claim in her bequest for $90,000, notwithstanding, $60,000 would be shielded from recuperation. Annie had a qualified WI LTCIP arrangement worth $200,000. DHFS/DHCAA/BEM Training - Part III

Slide 24

What Services Does Wisconsin Recover? Illustration 3: Annie had a qualified WI LTCIP strategy worth $200,000. She had money resources of $50,000 and a home esteemed at $150,000 that she lived in. She got $50,000 in advantages from her qualified WI LTCIP arrangement and afterward connected for WI Medicaid in a Home-and-Community Based Waiver program. Her qualified WI LTCIP arrangement had checked pay-outs of $50,000 at the season of her underlying qualification assurance for the Waiver program. DHFS/DHCAA/BEM Training - Part III

Slide 25

What Services Does Wisconsin Recover? Case 3: The arrangement kept on paying advantages while she lived in the group and after that she moved into the nursing home. While she was in the nursing home, the qualified approach had confirmed pay-outs to the greatest formal - $200,000; henceforth the checked $200,000 would be exempted at the season of recuperation from her bequest. DHFS/DHCAA/BEM Training - Part III

Slide 26

What Services Does Wisconsin Recover? RECAP

Slide 27

What Services Does Wisconsin Recover? RECAP WI Medicaid beneficiaries who are any of the next might be liable to WI home recuperation arrangements: nursing home inhabitants standardized people who got inpatient healing facility benefits people age 55 and more seasoned who dwell in the group DHFS/DHCAA/BEM Training - Part III

Slide 28

QUICK QUIZ True or False 1. Recovery is produced using the homes of beneficiaries and from liens set on their homes. The cash recovered is come back to the WI Medicaid Program and used to pay for nurture other WI Medicaid beneficiaries. Genuine or False 2. The sum recouped may not surpass the sum paid in WI Medicaid benefits. Genuine or False 3. WI Estate recuperation does not have any significant bearing to people under age 55 who live in the group (i.e., who don\'t reside in a restorative office). Genuine or False DHFS/DHCAA/BEM Training - Part III

Slide 29

QUICK QUIZ True or False 1. Recovery is produced using the domains of beneficiaries and from liens put on their homes. The cash recovered is come back to the WI Medicaid Program and used to pay for nurture other WI Medicaid beneficiaries. Genuine 2. The sum recouped may not surpass the sum paid in WI Medicaid benefits. Genuine 3. WI Estate recuperation does not have any significant bearing to people under age 55 who live in the group (i.e., who don\'t reside in a restorative office). Genuine DHFS/DHCAA/BEM Training - Part III

Slide 30

When Does the State Not Recover Benefits? The state may not look for recuperation of any WI Medicaid profits by a beneficiary\'s fluid home resources while the beneficiary\'s life partner o

Recommended
View more...