My brother and I are joint owners with my father on his two story building, combined residential and business. My father is currently in a nursing facility and will need some type of long term care the rest of his life. He is 89 years old. twently years ago, he put his building and all his bank accounts in joint ownership so that we would have access to his affairs. I also have POA over his medical and financial affairs. My father's reasons for making us joint owners was so that we would have easy access his savings & building when he dies and that it would not be used up for long term care and have nothing left to benefit his children and grandchildren. Is his estate, our parts of it, in fact, protected, by us being joint owners?
That my dear is a huge spread of time…….
Really the state's have the ability to do a very good vetting on the Medicaid applicants assets & income. The info is there and just a few keystrokes away from their real property assets being known. Raymond's dad is likely right now under Medicare but those Medicare paid days are about to expire and they are going to face a total panic on how to pay for dad's care. They need good legal to work with them in figuring out the whole clusterF of dad's assets & income.
Based on what Raymond has written, there is no way - with his dad's owning a commercial property, still having a biz, getting rental income - that dad is going to be eligible for Medicaid. Dad is not impoverished & he has non-exempt assets. I wouldn't be surprised if when Raymond starts ferreting out stuff that they find a whole life insurance policy or other things that have a cash value; and they find that dad has not kept up with his debts too. Imho they need a good legal to get all this evaluated and cleaned up not so much to get things done for asset-avoidance but to figure out what needs to be done to sell the assets to pay for dad's care. At this point, asset planning for Medicaid ain't an option.
But I bet that Raymond & his brother just don't have the $ to private pay for dad from now till forever. It will take time to sell property, to do a P & L on the business and figure out what dad's real income actually is. I wouldn't be surprised (based on what I've seen with others who have strong personality dad's who are elderly) that actually dad's biz has been on fumes for quite a while and there really isn't $ but just convoluted debt. A hot mess. What the attorney may possibly do is form a trust for dad - so that all of dad's assets & income is owned by the trust and when things sell (like the sale of property or from cashing in an insurance policy) the $ goes into the trust. Now the beneficiary of the trust will be the State. Neither Raymond or his brother will get any of the assets in the trust ever, but now perhaps dad will qualify for Medicaid. It would sort of like what a Miller Trust does for those who have just too much income to get Medicaid but not enough to private pay for Medicaid. But Miller requires the income to be guaranteed qualified income & I bet Ray's dad doesn't have this. The rental from the insurance company isn't that (qualified income would be like SS or other fixed guaranteed retirement like a federal annuity). They will need legal to do whatever is needed is done correctly.
The problem is that they(dad & his kids) did estate planning based on 10 - 20 years ago. I bet when all this was done dad was in his 60's (and dad was a big healthy personality) and everybody just assumed that even if dad needed care that it would easily be affordable. But the reality is that if one lives long enough that you will eventually run out of $$ as the cost of LTC is just staggering. Only if you are generationally wealthy can you afford wonderful private pay care and people like that aren't on this site! (LOL)
I do need to point out one thing. Medicaid is for poor people without means, society (we the taxpayers) share the bill for people who cannot do for themselves. I have no issue with helping those in need. I do have an issue with a person of means, divesting their assets so they can get in the poor line and have society pick up the bill, whilst their loved ones count their cash. That is precisely the reason Medicaid started the look back period. Yes, there are some loopholes, but these are not legal "rights". Many people ask similar questions, and frankly I cringe when I see advice that seems to favor gaming the process.
Protecting the assets basically means the taxpayer is subsidizing your inheritance. Abuses like that make people think necessary entitlements such a Medicaid should be cut.....and that would only further hurt the truly needy,
I do sincerely wish you and your family the very best in health and health care, but I sincerely hope you are denied for Medicaid, as it should be available for the truly needy.
Nothing personal, but I needed to say this.
BUT until you can work out the whole dad's convoluted asset situation, someone is going to have to private pay for dad @ the NH. He is just not going to pass the vetting for the Medicaid application with having an operating business and asset producing property ownership. Even if it as best only 1/3 of the profits, it still will be an asset that needs to be spent down, or sold at fair market value to you & your brother & then those funds spent-down.
Personally my suggestion is that you face 2 options: you & bro come up with roughly 20K each to private pay for dad @ the NH for a 3 or 4 months & pay for the legal & CPA stuff needed; and within this period of time get legal to sort out his assets and get it all cleaned up so that a Medicaid application can be filed with everything all done, sold, whatever & before the application. If you apply now, you will be in transfer penalty paperwork hell and someone on the hook to the NH to private pay for his stay anyways. Also I would suggest that someone be the main point person on all things dad - if you & your brother are at odds on approach, then perhaps someone else within the family, maybe a younger cousin can co-oordinate all this and then have a family meeting regularly for updates & decisions.
None of this is easy or simple and it can be overwhelming. Take care!
Hopefully he has a pension and SS and maybe long term care insurance or life insurance with cash value that can cover it all.
There are some things you can do now like start looking for & getting all the financial documentation for dad on a personal level and then everything on the business for the past 6 years. I'd go 1 year more than the 5 year look back. You know timing is good (Febuary) as the attorney may want to have you all do a major tax filing on dad and his biz for 2013 taxes so that dad can show impoverishment and do major loss for 2013 P & L on the biz. No time to waste as IRS biz filing are due mid March, 2014.
Just out of curiosity, is the biz successful and making a profit or is it the more the type of biz where it was successful decades ago but dad kept on with it and its profitability declined as he aged….but dad was stubborn and wanted to keep things going type of situation?
As for the real estate, different rules apply. Generally, your father's percent ownership will be an equal share of the value of the property, i.e., if he is one of three owners, he will be deemed to own one-third, etc.
In all states, the Medicaid applicant's ownership interest in his or her personal residence will be exempt for purposes of qualifying for Medicaid. But in most states the business interest will NOT be exempt; some states, however, will exempt income-producing property. So it starts to get complicated!