Carol and Wilbur Post are typical Elder Law clients. Carol married Wilbur more than forty years ago. Recently, Wilburโs health declined. Wilbur has dementia and is living on Planet Alzheimerโs. Wilbur hears voices, especially when he wanders near the Postโs barn. Wilbur needs assistance with activities of daily living. Carol recently admitted Wilbur to Valley […]
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Both O.C.G.A. ยง 49-4-153(b)(1) and 42 C.F.R. ยง 431.244(g) require that all Medicaid agency decisions be accessible to the public, except that 42 CFR ยง 431.305(b) requires that the following information must be safeguarded: (1) Names and addresses; (2) Medical services provided; (3) Social and economic conditions or circumstances; (4) Agency evaluation of personal information; […]
Right to Hearing, Generally Medicaid applicants and beneficiaries are entitled to adequate notice of state agency actions and a meaningful opportunity for a hearing to review those decisions whenever their claim for benefits is denied or not acted upon with reasonable promptness. Federal law, at 42 U.S.C. ยง 1396a(3); 42 C.F.R. Part 431, Subpart E, […]
A single state agency must be designated to administer or supervise the administration of the State Plan. 42 U.S.C. ยง 1396a(a)(5); 42 C.F.R. ยง 431.10(b)(1). Specifically, 42 U.S.C. ยง 1396a(a)(5) provides: A State plan for medical assistance mustโ either provide for the establishment or designation of a single State agency to administer or to supervise […]
Medicaid is a cooperative venture of the state and federal governments. If a state chooses to participate in the Medicaid program, it submits a state plan for the funding of medical services for the needy. The State plan must be approved by the Centers for Medicare and Medicaid Services (CMS). The federal government then subsidizes […]
Retirement accounts that qualify under the Employee Retirement Income Security Act (ERISA) are generally protected from creditors, bankruptcy proceedings and civil lawsuits. Ordinarily, the Bankruptcy Abuse Prevention and Consumer Protection Act (BAPCPA) of 2005 extends similar federal protection to IRAs up to $1 million (though money rolled over from an ERISA-qualified plan into an individual […]
There are times when formal “legal” communication is necessary. This post addresses several instances regarding how that can be done. It is not meant to be all inclusive and, in many cases, specific communication rules apply. Beginning a lawsuit: When you begin a lawsuit, a summons must be served on the Defendant(s). Generally, Rule 4 […]