Yes! Many believe you can’t have Medicare A&B and Long-term Care Medicaid and this is not true.

You can have all three and supplemental health insurance although most times supplemental health insurance is not needed with Medicaid and Medicare in place.

It's crucial for the Medicaid recipient to contact Beneficent immediately upon obtaining a sales contract for the house.

Beneficent specializes in providing tailored strategies to handle the proceeds from the house sale, ensuring that Medicaid eligibility is preserved and financial interests are protected.

If the Medicaid recipient's name is the sole one listed on the deed, this action becomes especially important to address potential impacts on Medicaid benefits and to explore optimal solutions for managing the sale's proceeds.

The fate of the property after the death of a Medicaid recipient hinges on how the property title is held. If you are concerned about your or a loved one’s estate, please call us to explore all available options.

Medicaid Estate Recovery is a program that allows state governments to recoup costs they have incurred from providing Medicaid benefits. When a Medicaid recipient passes away, the state may attempt to recover from the Medicaid Recipient’s estate to pay back some of these expenses.

Not everyone is at risk of Estate Recovery with proper planning.

Every Medicaid Recipient receives a letter stating there is a risk for Medicaid Estate Recovery. The form simply informs the Medicaid Recipient Medicaid Estate Recovery is legal. The form must be signed and returned even when there is no risk of Estate Recovery.

For a comprehensive understanding, refer to the official Colorado document on the Medicaid Estate Recovery Program here.

Absolutely, the car is eligible for sale.

The transaction can be completed at a rate of at least 70% of its current Kelley Blue Book value, ensuring a fair and market-appropriate price.

It's important to create a Bill of Sale for the transaction, which should clearly list the buyer's details and the sale amount. After the sale is finalized, deposit the proceeds directly into the Medicaid Recipient's bank account. This is a necessary step to maintain transparency and compliance; the sale must be reported to Medicaid during the next Redetermination process.

Remember, following these steps is not just about legal compliance, but also securing the financial interests of the Medicaid recipient.

The process of selecting a home care agency for someone who is a Medicaid Recipient is participant-driven, ensuring that the recipient has control and choice over their care services.

Initially, the Single-Entry Point (SEP) agency provides a crucial service by supplying a list of all Medicaid Certified home care providers available within the recipient's local area. However, this agency's role is not to choose the care provider.

Rather, it is the Medicaid Recipient—or their designated representative—who takes the lead from there. They are responsible for reaching out to these agencies to discuss service availability, conduct interviews to gauge compatibility, and evaluate if the agency can meet their specific care needs. This empowers recipients by allowing them to actively participate in the decision-making process, which is important for their comfort and well-being.

Once a home care vendor is selected based on these assessments, the recipient or their representative then collaborates with the chosen agency to establish care services. At this point, the SEP steps back in to facilitate the completion of necessary paperwork, ensuring seamless coordination for the commencement of services and proper handling of payment procedures.

If a Medicaid recipient needs to increase their home care hours, the first step is to get in touch with your county's Single-Entry Point (SEP) agency. The SEP manages access to Medicaid-funded long-term care services and can help assess the recipient's updated needs.

If the Medicaid recipient is in the same county and has previously worked with a specific SEP case manager, it's best to reach out to them directly. They will already be familiar with the case, which can expedite the request for additional care hours.

For those who do not have direct contact information or are initiating this process for the first time, you can find your local SEP agency's contact details by visiting your county's government or health department website.

When a person reaches a point where home care is not enough to address their health and daily living needs, exploring long-term care facilities becomes imperative.

Among these options are Assisted Living and Skilled Nursing Care Communities.

It's crucial to ensure that the Living Community you select is Medicaid Certified, PACE or Innovage, as this allows for a smoother transition in terms of financial arrangements and continuity of care.

PACE (Program of All-Inclusive Care for the Elderly) and InnovAge are specialized programs that operate under the umbrella of Long-Term Care Medicaid. These programs are designed to offer a comprehensive range of services tailored to meet the healthcare and supportive needs of seniors and adults with disabilities.

To become a member of a PACE or InnovAge living community, individuals must first qualify for Long-Term Care Medicaid. This qualification process involves meeting certain financial and medical criteria that demonstrate the need for long-term care. Once eligible for Medicaid, these individuals can then opt to join the PACE or InnovAge program.

When selecting a living facility for a loved one, families often base their decisions on a variety of factors such as immediate availability, the facility's proximity to family members, or transitioning needs from rehabilitation to skilled nursing.

At Beneficent, we understand the importance of finding the right fit for your family's needs and circumstances. We partner with Medicaid Certified facilities throughout the state but remain neutral by not recommending one over another, ensuring families have the freedom to choose the best option for their loved one.

If after moving in, you find that the facility is not living up to your expectations or needs, you are NOT locked into your initial choice. There is always an option to move to another facility that may be a better fit. To facilitate a smooth transition, we recommend that you first engage with the prospective new facility to confirm their availability and willingness to accommodate your family member.

Upon securing a spot at the new facility, their staff will typically manage the necessary administrative aspects, including the coordination of Medicaid billing paperwork. Once your loved one has been admitted, Medicaid coverage will then transition seamlessly to the new facility.

We encourage open communication with care facilities, and it is important to express any concerns you may have early on. The well-being of your loved one is our priority, and we are here to support you in navigating these transitions to ensure they receive the quality care they deserve.

The practice of requesting annual income verification is a standard procedure mandated by Medicaid regulations. To ensure that resident contributions, often referred to as patient payments, are accurately calculated based on gross income, the Medicaid office needs up-to-date financial information.

Such verification is crucial because it accounts for any changes in income that could occur throughout the year. This might include adjustments to Social Security benefits, private pensions, and Veteran’s payments, which are common income sources that can experience annual increases.

Living communities typically ask for updated income documents around December. This timing allows them to process the information and provide it to the Medicaid office promptly. By doing so, they can generate a new billing form for the upcoming year that accurately reflects any changes in the patient payment amount.

It's beneficial for residents or their representatives to proactively supply the requested documentation to avoid any delays or discrepancies in the billing process. Complying with this request promptly helps maintain compliance with Medicaid policies and ensures the financial aspects of care continue seamlessly throughout the new year.

The State of Colorado has engaged several companies to help with the coordination of these services. The company services as a Customer Service Center. This link will help to identify the company according to where the Medicaid Recipient lives.

If you're a Medicaid recipient and wish to determine whether your primary doctor accepts Medicaid, or if you need to find a new doctor who does, you have several options.

If you want to continue visiting your preferred doctor and they do not accept Medicaid, you can pay out-of-pocket and still receive Medicaid.

Other options:

1. Visit the provided resource: To streamline your search, you can use the following link to locate medical professionals in your area that accept Medicaid: Health First Colorado Doctor Search. This link leads to Colorado's official Medicaid program—Health First Colorado—and provides an easy-to-navigate directory.

2. Contact your doctor's office: The most direct approach is to ask your primary doctor or their office directly if they accept Medicaid. Office staff can confirm their participation in the Medicaid program.

If you are a Medicaid recipient looking for dental services in Colorado, a comprehensive list of approved dental offices in your area can be found through DentaQuest.

DentaQuest partners with Health First Colorado to ensure Medicaid members have access to quality dental care. To explore available dental providers who accept Medicaid and to schedule necessary dental appointments, please utilize the following resource provided by DentaQuest:

Health First Colorado Dental Provider Search

Medicaid is a federal program operated on a state level, and in Colorado, it's handled locally. If you're in need of contacting your Medicaid Office, it's important to reach out to the appropriate County Department of Human (or Social) Services where you reside. Here's how you can find the information:

1. Online Search: Use the internet to look for your County’s Department of Human Services contact details. A simple search with "Medicaid office" followed by the name of your county should provide you with the necessary information.

2. Call Wait Times: Be aware that Medicaid offices are often busy. There may be lengthy hold times when calling.

3. Direct Division Transfer: For specific inquiries regarding Long Term Care or other specialized services, ask the representative to transfer you directly to the Long Term Care Division for more specialized assistance.

1. Upon the Medicaid Recipient’s Passing:

An Income Trust can be terminated no sooner than six months after the Medicaid recipient's death. This waiting period allows for final affairs and any required transactions to be completed.

Any remaining funds within the trust account must be remitted to the State of Colorado, alongside the completed form, as they hold the remainder interest in the trust.

2. Changes in Income Circumstances:

If the Medicaid recipient experiences a cessation of income (perhaps due to an annuity ending or discontinuation of the Veteran’s Aid & Attendance benefits), the necessity of the Income Trust may lapse.

In such events, we advise reaching out to Beneficent promptly. This allows us to evaluate the change's impact and advise whether the Income Trust meets the criteria for closure.

For further queries or to initiate the closure process, please don't hesitate to contact Beneficent.

Redetermination = The annual process to ensure the Medicaid Recipient still qualifies for Medicaid.

Medicaid Recipients receive their Redetermination packets 45 days before their due date to ensure enough time is allotted for completion. It is crucial to submit this form by the specified due date because failing to do so might lead to a discontinuation of benefits.

However, recipients are afforded a slight grace period; if your Redetermination is submitted any time within the month it is due, it will still be accepted, but labeled as "late." Keep in mind this can extend the processing time, potentially causing an interruption or a temporary gap in your Medicaid coverage.

Alongside the Redetermination packet, you will receive a Request for More Information. This additional document serves as a checklist of necessary items for review, such as bank account statements, proof of income, vehicle registration, and insurance policies' value. It's important to note this is based on the information provided at the initial application and might not reflect any changes in your circumstances.

If there have been changes like closed bank accounts or sold vehicles, you must report these with the supporting documents (like a Bill of Sale or account closure confirmation) alongside your Redetermination packet. Active communication and prompt submission of the correct paperwork help avoid any disruptions in benefit provision.

If you want Beneficent to file your Redetermination Paperwork for you, call our office.

Here is what the first page of the Redermination Packet looks like.