Medicaid block grants could hurt seniors

This column first appeared in the San Antonio Express News on February 14, 2017. Dear Mr. Premack: I have been following various proposals from the Trump Administration, and am very concerned about the possibility that they will convert Medicaid to a Block Grant program as you mentioned in your January 16 column. Can you provide…

Is a Living Trust useful in Medicaid Planning?

This column first appeared in the San Antoni0 Express News on January 16, 2017. Dear Mr. Premack: My parents are in their 80’s and have set up a Living Trust to help them qualify for nursing home Medicaid should they need financial assistance when the time comes. I had read that trusts could be used…

Homestead Limits for Texas Medicaid

Dear Mr. Premack: With regards to Medicaid, how many acres are allowed in a Homestead? Can there be a country road that runs through the property for the Homestead claim? KF Texas Medicaid regulations do not restrict the number of acres that can be counted as homestead. If there is a country road that runs…

Are Miller Trusts ethical?

This column first appeared in the San Antonio Express News on November 28, 2016. Dear Mr. Premack: My friend is 69 and has a condition that is life ending but could last for some time. He is not married nor does he have any children. He owns a house that the Bexar County appraisal district says…

Several Readers’ Long Term Care Answers

Dear Mr. Premack: My mother-in-law is 88. Has been in nursing home in TX for several years. Husband is deceased. She owns home value 60k, no liens. Two sons own 1/4 each. She has willed her 50% to my wife to take care of a third son who is in same nursing home. Granddaughter lives in home…