Medicaid is a benefits program which is primarily funded by the federal government and administered by the state of New Jersey. Sometimes the rules can vary from state to state. One primary benefit of Medicaid is that, unlike Medicare (which only pays for skilled nursing), the Medicaid program will pay for long term care in a nursing home only once you’ve qualified.
Medicaid in New Jersey will pay for assisted living and home-based care under Medicaid waiver programs and other New Jersey state programs. Qualification and eligibility is based on strict criteria for approval.
Costs for assisted living long term care runs $4,000-$7,500 per month.
For approval of long term care at an assisted living residence, you need to demonstrate the need for a nursing home level of care (not being able to manage in a home environment, requiring assistance with activity of daily living skills for more than 2.5 hours per day) and you need to meet the strict financial requirements established by the state of New Jersey.
For a low cost consultation on eligibility, contact Fredrick P. Niemann toll-free at (855) 376-5291 or fniemann@hnlawfirm.com.
Why Seek Advice for Medicaid in New Jersey?
As life expectancies and long term care costs continue to rise, the challenge quickly becomes how to pay for these services. Many people cannot afford to pay $7,500 to $11,000 per month or more for the cost of a nursing home, assisted living or home based care, and those who can pay for a while may find their life savings wiped out in a matter of months, rather than years.
Fortunately, the NJ Medicaid Program is there to help. In fact, in our lifetime, Medicaid has become the long term care insurance of the middle class. But the eligibility to receive Medicaid benefits requires that you pass certain tests on the amount of income and assets that you have.
The reason for Medicaid planning is that without the proper planning and advice, many people spend more than should or are required to, or they transfer finances inappropriately and are faced with months of ineligibility, jeopardizing their family’s financial security. In many cases homes and resources may be maintained if done properly and within the appropriate timeframes and guidelines.
HOW TO BECOME ELIGIBLE FOR NJ MEDICAID
To be eligible for New Jersey Medicaid, a person must meet these general requirements:
* Resident of New Jersey
* U.S. Citizen or qualified alien
* Meet specific standards for financial income and resources
Within New Jersey Medicaid are also a number of special programs designed to meet the specific medical needs of certain groups of people who would not otherwise qualify for the program.
These include:
 Medically Needy programs for the aged, blind or permanently disabled. These programs provide for a nursing home level of care at home or in assisted living.
Persons qualified for home based care programs under New Jersey global options or other NJ Medicaid waiver programs.
Since 1996, the NJ Department of Health and Senior Services have administered all services and programs for senior beneficiaries. The Division of Disability Services has administered the Home and Community-Based Services Waiver programs since July 1, 2001.
TESTIMONIAL
Mr. Niemann and his office successfully handled the filing of a Medicaid application for my Mom. They coordinated all the paperwork and detailed financial requirements requested by the County Board of Social Services. His office was courteous and professional to me and my family throughout the process. They answered our questions and responded back to us in a timely manner. The guidance and advice of Mr. Niemann and his staff is sincerely appreciated.
-Christopher Collins, New York City
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ASSET TRANSFERS TO ACHIEVE
MEDICAID IN NEW JERSEY
Federal law applies when assets are transferred by individuals in long-term care facilities or receiving home and community-based waiver services, or by their spouses, or someone else acting on their behalf. In New Jersey, these provisions can also apply to various other eligibility groups.
States such as New Jersey can "look back" to find transfers of assets for 5 years prior to the date the individual is institutionalized or, if later, the date he or she applies for Medicaid.
For certain trusts, this look-back period extends to 60 months.
If a Medicaid triggered transfer of assets for less than fair market value is found, New Jersey must withhold payment for nursing facility care (and certain other long-term care services) for a period of time referred to as the penalty period.
The length of the penalty period is determined by dividing the value of the transferred asset by the average monthly private-pay rate for nursing facility care in the State. The calculation of penalty periods is complicated and requires professional advice. Contact Fredrick P. Niemann toll-free at (855) 376-5291 or fniemann@hnlawfirm.com for answers, including eligibility for Medicaid for long term care at home or at a licensed NJ nursing home or assisted living residence.
TESTIMONIALS
I knew I needed an attorney, but could I afford one? Would he or she be experienced and someone I could trust and talk to openly and in confidence?
I was referred to Fredrick P. Niemann. I was warmly greeted and my appointment promptly kept. I was given all the time I needed to ask questions and talk about my needs and concerns. I was quoted a fee that was appropriate and reasonable for my matter. My attorney gave me answers and advice. He was a counselor at law and in life. Calling Hanlon Niemann was the right decision.
—Nick Alfano, Morganville, NJ
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Example: A transferred asset worth $90,000, divided by a $7,282 average monthly divisor rate, results in an approximate 30-month penalty period. There is no limit to the length of the penalty period. Call our office today. Ask for Mr. Niemann to personally discuss your New Jersey Medicaid matter toll-free at (855) 376-5291 or e-mail him at fniemann@hnlawfirm.com.
For certain types of transfers, these penalties are not applied. The principal exceptions are:
Transfers to a spouse, or to a third party for the sole benefit of the spouse;
Transfers by a spouse to a third party for the sole benefit of the spouse;
Transfers to certain disabled individuals, or to trusts established for those individuals;
Transfers for a purpose other than to qualify for Medicaid; and "Transfers where imposing a penalty would cause undue hardship.
Consultation with the right elder care law professional may save you a significant amount of financial resources and time when applying for Medicaid or when faced with the costs of long term care either now or in the near future.
TESTIMONIAL
Fred is an amazing and dynamic person. I have attended a few of his work shops and CEU events over the years and his interactive discussions have been both educational and entertaining. He is one of the few lawyers out there that I do trust and does whatever he says he is going to (Accountability) who ever I have referred his way has always thanked me for connecting them and this is why I continue to work w/ Fred. Great person, excellent ethics, and very knowledgeable. I highly recommend him.
—Steve Weiss, Regional Director of Professional Relations, Senior Bridge
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To speak to a caring, sensitive attorney, ask for our managing partner, Fredrick P. Niemann toll-free at (855) 376-5291 or e-mail him at fniemann@hnlawfirm.com to set up an office consultation at your convenience.
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Fredrick P. Niemann, Esq.
NJ Medicaid Attorney
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Medicaid Attorneys serving these New Jersey Counties:
Monmouth County, Ocean County, Essex County, Cape May County, Mercer
County, Middlesex County, Bergen County, Morris County, Burlington County,
Union County, Somerset County, Hudson County, Passaic County
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