8:30 – 8:55 a.m.
CHECK-IN & CONTINENTAL BREAKFAST
8:55 – 9:00 a.m.
WELCOME & INTRODUCTION
9:00 – 9:45 a.m.
Current Asset Transfer Policies
The calculation of asset transfer
penalties, and the ability to shorten those penalty periods remained
unchanged from October 1, 1993, until December 1, 2011. On November
4, 2011, DHS issued Bulletin #11-21-10, which modified penalty
return policies to no longer allow credit for partial return of
assets after a penalty period is imposed. The new Bulletin was
immediately challenged in federal court. This presentation will
discuss the current status of penalty return policies and the
lawsuit or lawsuits that have challenged this policy.
– David A. Rephan & Julian J. Zweber
9:45 – 10:15 a.m.
Hardship Waivers in Light of Zero
Tolerance for Asset Transfers
As the state tries to apply more
restrictive asset transfer penalty policies, the need for hardship
waivers will increase. This presentation will discuss the procedure
and the criteria for obtaining hardship waivers to eliminate penalty
periods for uncompensated transfers.
– Laurie A. Hanson & Cathryn D. Reher
10:15 – 10:30 a.m.
BREAK
10:30 – 11:30 a.m.
Exceptions to Transfer Penalties
A panel of experienced practitioners
will discuss the asset transfers that are exceptions to imposition
of a penalty period, including transfers for fair value, transfers
to a spouse, to a disabled child or a trust for a disabled child,
the two-years-of-needed-care transfer of homestead exception, and
transfers made exclusively for a purpose other than becoming
eligible for MA. The panel will also discuss the presumption of
improper purpose, the burden of proof to establish an exception, and
the test to be met to prove a transfer was not made for an improper
purpose.
– Allison J. Frasier & Jeffrey W.
Schmidt
11:30 a.m. – 12:15 p.m.
Waiver Requests and the Potential Impact
on MA Programs
The 2011 Special Session passed
legislation to require DHS to seek waivers from federal MA
requirements to allow a number of substantial changes in state
medical assistance programs. David Godfrey, State Medicaid Director,
will summarize the changes proposed by the pending waiver requests
and explain how and when DHS hopes to implement these changes.
– David Godfrey
12:15 – 1:00 p.m.
LUNCH (on your own)
1:00 – 2:00 p.m.
Long Range Planning to Pay for Long Term
Care
A panel of experienced Elder Law
attorneys will discuss long range planning to prepare for the
possibility of long-term care needs. Topics will include the role of
long-term care insurance, succession planning for family cabins,
farms and businesses, the avoidance of uncompensated transfer
penalties, financing long-term care, dissolution of marriage, and MA
planning.
– Mark L. Anderson, Robert H. Chesley & Stuart E. Schmitz
2:00 – 2:30 p.m.
MA and Life Estates
Life estates remain popular with
clients. New policies implemented by DHS in 2010 complicate the use
of life estates to avoid probate and to avoid complications when a
life estate owner applies for medical assistance benefits. This
segment will discuss current MA policies regarding treatment of life
estates during determinations of eligibility and in subsequent
efforts to recover MA benefits.
– Randy F. Boggio
2:30 – 2:45 p.m.
BREAK
2:45 – 3:15 p.m.
The New Community Spouse Support
Obligation
A 2011 state statute becomes effective
July 1, 2011, to require a community spouse with income over 250% of
federal poverty guidelines for a household of two ($3,065 between
July 1, 2010 and June 30, 2011) to contribute a portion of the
community spouse’s income on a sliding scale towards the support of
the medical assistance spouse. The Commissioner of Human Services
has been directed to develop the sliding scale increments. This
presentation will discuss this new obligation and how it will be
collected.
– Mark L. Anderson
3:15 – 3:45 p.m.
Obtaining an Increased Community Spouse
Support Order
The option of having a community spouse
petition, a state court under federal law to increase their spousal
income share. (Blumberg v. Tennessee Department of Human Services,
No.M2000-00237-COA-R3-CV
(Tenn. App. October 25, 2000)).
– Mary Frances Price
3:45 – 4:15 p.m.
Public Assistance Issues in Senior
Housing
Housing with Services Establishments and
Medical Assistance: This presentation will address the impact of
recent law changes for clients desiring to move into or to continue
residing in senior housing of all types.
– Barbara J. Blumer
4:15 – 4:30 p.m.
QUESTIONS & ANSWERS