Iowa Medicaid and Medicare Planning Update
Agenda
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8:00 – 8:30 am CST
Morning Session
8:30 – 11:25 am CST
Break
11:25 – 11:55 am CST
Afternoon Session
11:55 am – 3:30 pm CST
Medicare Update
Medicare basics
Long-term care problem
Part B enrollment
Medicare Advantage
Recent Developments in Health Care, Long Term Care, C. Letsch and Payment Schemes
Private pay sources for long term care
• LTC insurance (How it works and how much you need)
• Understanding qualification and benefits under the partnership program
• LTC annuity (deferred and hybrid)
The government alternative to private paying – Medicaid
• The application process
• Attribution process for married applicants
• Supporting documentation
• Communication with DHS
Unintentional Gifting:
Avoiding Probate May Disqualify You From Medicaid
Adding children to your bank account
Deeding real estate to children
Life estate vs. right to occupy
Medicaid:
Long-Term Care Planning, Estate Planning and Asset Transfers
History of the Iowa Medicaid program
Eligibility criteria
Covered services
Spousal impoverishment rules
Transfer of asset rules
Penalties and disqualification periods, transferee liability, exceptions
Financial Planning for the Elderly and Disabled
Asset protection: estate planning considerations
Exempt or excluded assets
Using trusts and advanced planning techniques
New legislative changes and potential problems
New and Expanded Restrictions on Medicaid Planning
Viability of asset transfers
Use of trusts
Use of annuities
Viability of Medicaid planning
Webinar Instructions
All attendees must log-on through their own email – attendees may not watch together if they wish to earn continuing education credit. HalfMoon Education Inc. must be able to prove attendance if either the attendee or HalfMoon Education Inc. is audited.
Certificates of completion can be downloaded in PDF form upon passing a short quiz. A link to the quiz will be sent to each qualifying attendee immediately after the webinar. The certificate can be downloaded from the Results page of the quiz upon scoring 80% or higher.
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Credits
Iowa Attorneys
6.0 CLE Hours
Iowa Accountants
7.0 CPE Hours
Continuing Education Credit Information
This webinar is open to the public. The Iowa Supreme Court Commission on Continuing Legal Education has approved it for 6.0 CLE hours for attorneys.
This course offers 7.0 intermediate level CPE hours (50 minute hours) in the field of Specialized Knowledge to accountants. A background knowledge in health insurance and payment schemes are recommended, and no advance preparation is required.
HalfMoon Education Inc. is registered with the National Association of State Boards of Accountancy (NASBA) as a sponsor of continuing professional education on the National Registry of CPE Sponsors. State boards of accountancy have final authority on the acceptance of individual courses for CPE credit. Complaints regarding registered sponsors may be submitted to the National Registry of CPE Sponsors through its website: www.NASBARegistry.org. Sponsor No. 103015
Participation will be monitored with prompts and knowledge retention will be measured by a quiz that follows the presentation. Completion will be reported, as required. Completion certificates will be available after the webinar for those who earn a score of 80% on a quiz that follows the presentation (multiple attempts allowed).
Speakers
Abigail Hillers
Bradshaw Fowler Proctor & FairgraveAbigail Hillers Attorney at Bradshaw Fowler Proctor & Fairgrave
Ms. Hillers is an associate attorney working in Bradshaw Law Firm’s wills, trusts, estate planning and probate law practice area. She practiced law in Indiana before moving to Iowa in 2010. Prior to joining the Bradshaw Law Firm, Ms. Hillers worked as a wealth management and trust officer and general counsel for a local bank. She is a graduate of Valparaiso University Law School and is a member of the Iowa State Bar Association Elder Law Section Council.
Greg Kenyon
Bradshaw Fowler Proctor & FairgraveGreg Kenyon Attorney and Shareholder at Bradshaw Fowler Proctor & Fairgrave
Mr. Kenyon is an attorney and shareholder at Bradshaw Law Firm specializing in elder law and wills, trusts, estate planning and probate law. A graduate of Drake University Law School, Mr. Kenyon has been a frequent speaker for multiple decades in the areas of estates, trusts, elder law, Medicaid and long term care planning. He is a member of Buena Vista University’s President’s Advisory Council and has held leadership/member roles at many other organizations in Iowa. Mr. Kenyon is a member of the American Bar Association, Iowa State Bar Association, Lincoln Inne of Court, National Academy of Elder Law Attorneys, Polk County Bar Association, and The American College of Trust and Estate Council
Cynthia Letsch, Founder and Managing Attorney
Letsch Law FirmCynthia Letsch Founder and Managing Attorney at Letsch Law Firm
Ms. Letsch is an Iowa native who obtained her undergraduate degree at Southern Methodist University in Dallas, Texas and her J.D. degree from Drake University Law School in 1995, graduating from both universities with honors. She holds a certificate in Corporate Governance from Tulane University Law School. Her legal career includes private practice, teaching and course design at the university level, and serving as corporate counsel. Ms. Letsch’s current office opened in 2013, and the practice is limited to elder law, estate planning, and probate/trust administration. She is a frequent speaker on topics of Medicaid for the Elderly; Medicaid Financial Risk Management for Care Facilities, and fiduciary responsibilities of agents under powers of attorney, guardians, conservators, and trustees. Admitted to practice in Iowa, Nebraska, Missouri, and the Federal Southern District of Iowa, she is a member of the Iowa Bar Association Probate and Trust Section and Elder Law Section; the Dallas County Bar Association; Elder Counsel; NAELA; and the Missouri Bar Association.