MassHealth (Medicaid) Planning, Applications, & Appeals

Vickstrom Law: Estate Planning/Wills & Trusts, Health Care Proxy, Durable Power of Attorney, Guardianships and Conservatorships, Medicaid/MassHealth Planning, Applications & Appeals, Probate and Estate AdministrationThe practice of Elder Law is not limited to one specific area of law. Elder law instead focuses on a specific type of client – senior citizens – and their specialized legal needs.

• Is your spouse or parent recovering from a stroke?
• Has your parent just been diagnosed with Alzheimer’s or another debilitating disease?
• Is nursing home care imminent for your loved one?

Facing long-term care in a nursing home is one of most stressful experiences a family can go through, often creating anxiety about the high cost of care and the quality. The annual cost of nursing home care in Massachusetts can top $90,000 per year.

Insurance plans, including Medicare, may cover most of the medical expenses of a hospitalization or illness, but will provide little or no coverage for nursing home care. Medicaid, known as MassHealth in Massachusetts, is a joint federal-state public benefits program that may pay for the high costs of long-term care. However MassHealth/Medicaid has a complex set of eligibility rules. It has become increasingly difficult to plan for Medicaid coverage of long term nursing/rehabilitation stays due to the Deficit Reduction Act of 2005. Medicaid liens are more common because of this legislation and many people are afraid of losing their homes. Often times people’s perception of the new rules are incorrect. We will clarify the new, often confusing, Medicaid eligibility rules, evaluate your personal situation, and develop a plan that is within your means.

To qualify for MassHealth coverage of nursing home care a couple cannot own more than $107,560 in countable assets and an individual cannot own more than $2,000 in countable assets. However, you may be able to retain many assets and still qualify for MassHealth. For example, it is a common misconception that your home must be sold in order to qualify. Your home is actually treated as a non-countable asset. There are also strict income eligibility rules that must be met in order to qualify for MassHealth/Medicaid coverage of your nursing home stay.

Let Kristina Vickstrom, an attorney experienced in elder law, assess your potential eligibility for MassHealth and navigate you through the application process. Received a denial notice from MassHealth? If you didn’t get an attorney involved from the beginning, there is still hope after receiving the denial. Kristina Vickstrom can represent you at your appeal.

Contact us today for a with any questions or to schedule a consultation. We can visit you or your loved one at home, in the hospital, or nursing home/rehab if it’s needed.