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My mother was approved for Medicaid about six weeks ago. She is in an SNF. My dad (community spouse) is now selling a property (not the homestead), which is in his name ONLY. At Medicaid application time, it was tax-valued at an amount that kept him within the $154,000 community spouse asset limit for FL. A buyer recently offered him well above the tax value, and my dad is going through with the sale. The proceeds from this sale will cause my dad to exceed the $154,000 asset limit. An elder care attorney told me that as long as we report the sale to Medicaid and include a letter from the broker stating that it was sold for fair market value, my mom will not lose her Medicaid. The attorney said that he has never had a case where Medicaid stopped coverage due to a situation like this. It does not make sense to me because everything I've read implies that the community spouse has to stay within the limit in order for the Medicaid-covered spouse to keep coverage. The elder care attorney told me that Medicaid is stricter about the application process than they are about changes that happen afterward. Does anybody have any experience with this type of scenario?

I spoke with a third Elder Law attorney and was told we had another option I hadn't heard about yet. Some of the answers I am getting about how Medicaid handles an increase in the community spouse's assets when the institutionalized spouse already has Medicaid are surprising. It even varies from one region of the state to another!
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Reply to carolinaspring
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Well if you really want Dad to cover his butt in this, he could tell the atty that’d doing the paperwork and saying it’s all ok…. He could tell this atty that he wants to know what company hold the attorneys legal malpractice policy and if your Dad would at all benefit from getting a bond for the property sale value (if those are done in FL for stuff like this).

fwiw doing a bond whose value is the sale price of a property that is an asset of an Estate is done sometime for Executors. Like if there is anticipated carping by heirs (or better yet their spouses) that the price sold of an asset wasn’t enough type of bs, the Executor gets a probate bond done to deal with this should it become an issue.

Do you have a copy of the LTC application done for your mom? There should be within it a specific time frame that any changes have to be reported to the State. That specific paragraph is what you want clarification from the attorney on.
fwiw For TX & LA applications, you as the POa sign off on the application that you will do this according to the policy of the State and can be fined or have the NH elders eligibility suspended if not followed. And for their annual renewal, it will want the latest tax collector bill of the home and it’s used to reverify that the property is the same, ditto for a car, the funeral policy etc. POA or spouse signs off acknowledging that all is true and accurate subject to fine or other action if not.
Find the paperwork/ forms and point blank ask this atty WTF. Do a trust and verify on this is my suggestion.
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Reply to igloo572
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I did. I consulted with two elder law attorneys from different law firms in Florida. I'm getting answers that do not match what I read on the Florida Medicaid website. I want to know if anyone else has encountered this situation before and what they were advised to do. I am just comparing notes with others.
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Reply to carolinaspring
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AlvaDeer Nov 10, 2024
If you have two attorneys and one website for your state, I sure think that we wouldn't want to be any final arbiters here as we are just a bunch of caregivers giving care. Don't know of anyone qualified.

There is, I suppose, some slim chance that one of us here has had the same experience in Florida, but it's unlikely. Try now to call directly to the counselors at the Medicaid site for your state, and perhaps to see a Trust attorney rather than elder law. I think that you could see a TAX attorney or CPA as well, but I am at a loss because this home is in your name only. Much will depend upon your state's laws about how assets are held by a married couple. Also on how you did division of assets during marriage and whether you filed joint or married filing separate with your home kept separate from any of your wife's holdings--her not contributing to it financially with mortgage payments and etc. It can get so legally complicated.

How scary that you cannot get an answer from your state OR two attorneys!
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You should consult with an elder law or estate planning attorney for your Father's state who is experienced with Medicaid, or consult with a Medicaid Planner for his home state.
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Reply to Geaton777
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