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…

The Intersection of Medicaid and Probate

This column first appeared in the San Antonio Express News on December 11, 2015.  Dear Mr. Premack: My father and my mother separated, but did not divorce, when mother moved in with my sister in San Antonio in 1999. My father remained in their house on 5 acres about 150 miles away. In 2004 my…

Ways to Avoid Losing Your Home to Medicaid

Dear Mr. Premack: My parents own a paid-for house, and I live in it. Dad moved to a nursing home on Medicaid due to his dementia. Mom made a Will leaving the house to me, and Dad does not have a Will at all. My sister is agent under his power of attorney. Mom died…

Do not Capitulate to MERP when it is Avoidable

Dear Mr. Premack: My mom is a Medicaid beneficiary at a nursing home in San Antonio. We were told by Medicaid that there would be an estate recovery claim after her death. My dad is living at home and is fully aware that the home is subject to an estate recovery claim when mom dies.…