estate recovery: how to protect your assets from a reimbursement claim of the state

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ESTATE RECOVERY: HOW TO PROTECT YOURSELF FROM A REIMBURSEMENT CLAIM OF THE STATE OF MICHIGAN P. Haans Mulder, JD, MST, CFP ® Cunningham Dalman, P.C. 321 Settlers Road Holland, MI 49423 (616) 392-1821 [email protected]

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Page 1: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

ESTATE RECOVERY: HOW TO PROTECT YOURSELF FROM A REIMBURSEMENT CLAIM OF THE STATE OF MICHIGAN

P. Haans Mulder, JD, MST, CFP®

Cunningham Dalman, P.C.321 Settlers RoadHolland, MI 49423(616) [email protected]

Page 2: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

Background• Attorney and Partner at Cunningham

Dalman, P.C.• Have a Masters in Tax (MST), CFP®

and specialize in estates/elder law and business planning

Serving the Holland area since 1900

Page 3: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

Background• Cunningham Dalman, P.C. has been serving

the lakeshore since 1900• We have 15 attorneys specializing in all

areas of the law

Serving the Holland area since 1900

Page 4: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

Overview• What is estate recovery and why is it

important• What types of assets does estate

recovery apply to• When does it apply and what does the

process look like

Serving the Holland area since 1900

Page 5: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

Overview• How do you protect your assets against it• What options do you have if it does

impact you• Some other things to be concerned about

Serving the Holland area since 1900

Page 6: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

What is estate recovery?• It is a process that the State of

Michigan gets reimbursed for the Medicaid services it has paid for

• It does not put a lien (i.e. a Medicaid lien) on your exempt assets during your life or force a sale 

Serving the Holland area since 1900

Page 7: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

What is estate recovery?• It applies to people age 55 years or

older who have received Medicaid (i.e. long term care) services

• Covers Medicaid services back to September 30, 2007

Serving the Holland area since 1900

Page 8: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

What assets does estate recover apply to?

• It only applies to assets that have to be probated

• That has the potential to include all assets (house, bank accounts, investments, vehicle, personal property, etc.)

Serving the Holland area since 1900

Page 9: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

What assets does estate recover apply to?

• But…the only assets that are typically left are: bank account, personal property (including vehicle), and your house

• The house will be the most significant asset, but do not loose sight of the others

Serving the Holland area since 1900

Page 10: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

What does the estate recovery process look like?

• A family member will receive an estate recovery questionnaire when the Medicaid recipient passes

• The form indicates that it needs to be completed in two weeks 

Serving the Holland area since 1900

Page 11: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

What does the estate recovery process look like?

• It is not clear what happens next…• If you have a basis to claim a

“hardship waiver,” you need to request that form

Serving the Holland area since 1900

Page 12: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

How do you protect against estate recovery?

• The most effective way to protect your house is with a “ladybird deed” because it avoids probate

• There is an attempt to change this so you should consider doing it now if it is “grandfathered”

Serving the Holland area since 1900

Page 13: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

How do you protect against estate recovery?

• This deed has other benefits• The house remains an exempt asset

during the Medicaid recipient’s life• By having the house avoid probate,

those costs and that hassle are also avoided

Serving the Holland area since 1900

Page 14: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

How do you protect against estate recovery?

• What about other assets besides the house

• You should make sure they avoid probate (i.e. having your trust named as owner, naming a beneficiary, etc.)

Serving the Holland area since 1900

Page 15: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

What options do you have if estate recovery impacts you?

• There might be an exemption• There is an exemption for a Medicaid

recipient’s spouse• An exemption applies if there is a child

who is under 21 years old and is living in the house

Serving the Holland area since 1900

Page 16: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

What options do you have if estate recovery impacts you?

• An exemption applies if there is a child who is blind or permanently disabled and is living in the house

• Another exemption covers someone who cared for the Medicaid recipient for two years and this delayed Medicaid

Serving the Holland area since 1900

Page 17: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

What options do you have if estate recovery impacts you?

• An exemption applies to a Medicaid recipient’s sibling who has an ownership interest in the house and lived there at least one year before the person was admitted to the nursing home

Serving the Holland area since 1900

Page 18: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

What options do you have if estate recovery impacts you?

• You might be able to obtain a “hardship waiver”

• This applies to farm or business property

• It also covers a house of “modest value”

Serving the Holland area since 1900

Page 19: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

What options do you have if estate recovery impacts you?

• This is defined as a house that is less than 50% of the average value of homes in the county the person lived in

• It is not clear how this will be applied

Serving the Holland area since 1900

Page 20: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

Some other things to be concerned about

• When a single person is on Medicaid, he or she can keep the house

• However, he or she will not be able to use Social Security and other income to pay the house expenses

Serving the Holland area since 1900

Page 21: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

Some other things to be concerned about

• This typically means that a child or beneficiary must pay these expenses

• You should protect your right to be reimbursed by executing and recording a mortgage against the house

Serving the Holland area since 1900

Page 22: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

Some other things to be concerned about

• This gives your reimbursement claim higher priority than the State of Michigan’s estate recovery right

• You will get paid when the house sells

Serving the Holland area since 1900

Page 23: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

Some other things to be concerned about

• You should make sure the Medicaid recipient has signed a financial (also known as a general durable) power of attorney

• That way, the agent can execute the mortgage

Serving the Holland area since 1900

Page 24: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

This is subject to change so you have to stay informed…

Serving the Holland area since 1900

Page 25: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

Stay informed by receiving our monthly newsletter (register by emailing [email protected])

Serving the Holland area since 1900

Page 26: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

Questions……

Serving the Holland area since 1900

Page 27: Estate Recovery: How to Protect Your Assets from a Reimbursement Claim of the State

Thank YouP. Haans Mulder, JD, MST, CFP®Cunningham Dalman, P.C.321 Settlers RoadHolland, MI 49423(616) [email protected]@holland-law.comwww.holland-law.com

Serving the Holland area since 1900