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The Gerontologist, Vol 39, Issue 2 201-208, Copyright © 1999 by The Gerontological Society of America

ARTICLES

Medicaid eligibility workers discuss Medicaid estate planning for nursing home care

L Walker, C Gruman and J Robison
Braceland Center for Mental Health and Aging, Institute of Living, Hartford, CT 06106, USA. [email protected]

This study was part of a multiphase project examining the perceptions of elder law attorneys, certified financial planners, and Medicaid eligibility workers regarding Medicaid estate planning (MEP) for nursing home care. Focus group methodology (5 groups, N = 32 participants) was used to explore the perspectives and experiences of Medicaid eligibility workers, who are responsible for interpreting, administering, and enforcing federal and state regulations. Findings describe factors influencing MEP, enforcement of regulations, and potential policy responses to MEP. Participants identified numerous impediments to effective implementation of current regulations. Recommendations for improved policy include redefinition of spousal assessment policies, other valuable consideration determinations, and penalty period formulas.


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