Upload
scott-schomer
View
29
Download
6
Embed Size (px)
Citation preview
“If you are applying for Medicaid benefits, or if you expect to apply in the future, there are certain rules and regulations relating to eligibility for Medicaid benefits that you should be aware of.”
HOW TO AVOID FRAUDULENT TRANSFERS IN CALIFORNIA MEDICAID
PLANNING
Scott P. Schomer Los Angeles Estate Planning and Elder Law Attorney
How to Avoid Fraudulent Transfersin California Medicaid Planningwww.schomerlawgroup.com 2
Medicaid is a benefits program that is considered a “payer of last resort.” That
means, all other sources of payment for medical treatment are required to be
used before Medicaid benefits will begin to pay for long-term care.
In general, applicants for Medicaid must have very limited income. So, if your
assets exceed that limit, and you begin giving away your property, you must be
sure to avoid fraudulent transfers.
How to Avoid Fraudulent Transfersin California Medicaid Planningwww.schomerlawgroup.com 3
Medicaid Eligibility in California
California’s state Medicaid
program is referred to as Medi-
Cal. You must be either a U.S.
citizen, U.S. national,
permanent resident or legal
alien, and you must be a
California resident.
Applicants must have very
limited income and be either
pregnant, blind, have a
disability or a family member in
your household with a
disability, be responsible for
children under 19 years of age,
or be 65 years of age or older.
How to Avoid Fraudulent Transfersin California Medicaid Planningwww.schomerlawgroup.com 4
The Definition of a Fraudulent Transfer
Generally speaking, a “fraudulent transfer” is made when you move your assets
out of the reach of creditors, when you are aware of a creditor’s claim. The
classic example is when an individual did not have an asset protection plan in
place, but after they have a judgment against them, they attempt to transfer
their assets to someone else.
How to Avoid Fraudulent Transfersin California Medicaid Planningwww.schomerlawgroup.com 5
Fraudulent Transfers Relating to Medicaid Eligibility
A fraudulent transfer can also occur if an individual gives away assets in order to
qualify for
Medicaid. There
are specific laws
that discourage,
and even punish,
individuals for
giving away their
property in
anticipation of
applying for
Medicaid
benefits.
How to Avoid Fraudulent Transfersin California Medicaid Planningwww.schomerlawgroup.com 6
The “Five Year Look back” Period
Federal law actually requires state Medicaid agencies to investigate transfers
and gifts made by applicants during a specific period of time, know as the five
year look-back period. This means, if you give away any of your property or
assets right before applying for Medicaid, you may be considered ineligible for
long-term care benefits for certain period after your application is acceptedYour
state Medicaid agency will examine all transfers you made during the five years
before you submitted your application, no matter how innocent they may have
actually been. This potential penalty period only applies to individuals needing
long-term care in an institution, or who receive home health care. It does not
apply to individuals who need what is referred to as acute care, such as
hospitalization or physician services.
How to Avoid Fraudulent Transfersin California Medicaid Planningwww.schomerlawgroup.com 7
Factors Considered in Determining Fraudulent Transfers
You may be found guilty of a fraudulent transfer if the following occurs:
• You transferred any property to someone else
• You received less than fair market value for it
• The transfer left you unable to satisfy a creditor
The laws prohibiting
fraudulent transfers
are based on the
idea that, once you
have incurred a
legitimate debt, the
property needed to
satisfy that debt
constructively
belongs to the
creditor. If you try to
get rid of it, so the
creditor cannot be
paid, you have made
fraudulent transfer.
How to Avoid Fraudulent Transfersin California Medicaid Planningwww.schomerlawgroup.com 8
How to Transfer Your Assets the Right Way
The way to avoid fraudulent transfers is
to have an asset protection plan in
place before you need the protection.
This means, before you apply for
Medicaid benefits. When your assets
are protected correctly, creditors
(including Medicaid) will have a difficult
time establishing a fraudulent transfer
occurred.
.Avoid the Appearance of Fraud
There are certain types of property transactions that courts typically see as
fraudulent. Avoiding these kinds of transactions can go a long way toward
avoiding a finding of a fraudulent transfer:
How to Avoid Fraudulent Transfersin California Medicaid Planningwww.schomerlawgroup.com 9
• A transfer or obligation made to an insider (close relative or friend)
• Retaining possession or control of the transferred property, even after the
transfer
• A transfer of substantially all the debtor's assets
• Concealment of assets
• Being insolvent or becoming insolvent shortly after the transfer is made
• A transfer occurring shortly before or shortly after a substantial debt is
incurred
We all have a right to establish an asset protection plan, and to transfer our
assets as we see fit. Though creditors may be quick to suggest that a transfer of
assets is fraudulent, if you create a proper asset protection plan ahead of time,
you should not have anything to worry about, when it comes time to submit that
Medicaid application.
If you have questions regarding fraudulent transfers, or any other Medicaid
planning needs, please contact the Schomer Law Group either online or by
calling us at (301) 337-7696.
How to Avoid Fraudulent Transfersin California Medicaid Planningwww.schomerlawgroup.com 10
About the Author
Scott P. Schomer is a graduate of Boston University School of Law and is a
frequent lecturer on estate planning and elder law issues, having appeared
on local and national television discussing the importance of estate
planning. Scott has an extensive litigation background and has over the
years obtained in excess of twenty five million dollars in judgments and
verdicts for his clients. Scott is a member of the Probate Volunteer Panel
and has been appointed by the Los Angeles Superior Court to represent
numerous parties in contested proceedings in the probate court. Scott has
also served as Judge Pro Tempore of the Los Angeles Municipal Court and
also been appointed by the court as an expert in probate matters. Because of his extensive
experience, Scott brings a unique perspective to helping protect his clients.
SCHOMER LAW GROUP
Schomer Law Group is a professional law corporation that specializes in elder law, probate,
wills, trusts and conservatorships. We counsel clients on the unique legal issues relating to
advancing age. Whenever possible, we prefer to help clients plan for the future, avoid probate,
minimize taxes and solidify their legacy. We also help clients plan for possible incapacity and
long-term care. We help our clients deal with issues of aging with independence and dignity. In
addition to estate planning, our firm has considerable experience helping victims of elder
abuse. Our firm has aggressively pursued remedies and recovered assets belonging to our
elderly clients where unscrupulous individuals have taken advantage of the elderly because of
diminished capacity or other impairments.
8740 South Sepulveda Blvd, Ste 107
Los Angeles, CA 90045
Phone: (310) 337-7696
Website: www.schomerlawgroup.com