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View Diary: Estate Recovery - It's Worse Than You Thought. (46 comments)

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  •  I have now read the linked articles, and so far (4+ / 0-)

    aside from one  speculating that the ACA Medicaid Expansion will be the same as the established program (Duffy's OP-Ed piece, from Iowa which, IRRC,  did not do an Expansion, so no one is at risk there) all of them refer to long-term care Medicaid benefits.

    So the jury is still out on this, for me..

    I'm not trying to be argumentative to the diarist. It's an imprtant concern and I, too,  am worried that it isn't clearly spelled out.

    But before we go into full freak-out mode, more information needs to be gathered directly from government sources.

    The key difference between the two Medicaid programs is one (the traditional benefit) has always been an asset-based program.  And in that context it makes some sense to scrutinize an applicant's assets.

    But the Expanded Medicaid that comes with the ACA is an income-based program.  And having people with higher incomes face np asset recovery efforts while attempting to recover the assets from even poorer people makes no sense at all.  

    In fact it is so startlingly illogical, I had a difficult time making myself clear when explaining if to my Senator's staffer and asking for clarification.

    One of the most effective things that can be done at this stage, I think, is contacting one's Congresscritters (if you happen to have a Democratic one who will listen and not just rant on).  The more people asking, the more attention and quicker clarification can be had.


    •  I have written my Congressperson (3+ / 0-)

      and the White House. I will certainly let you all know what responses I receive.

      If you act out of anger, the best part of your brain fails to function. - the Dalai Lama

      by beverlywoods on Mon Oct 21, 2013 at 07:33:20 PM PDT

      [ Parent ]

    •  it's not just long term care (1+ / 0-)
      Recommended by:

      In fact according to Dr. Orient, you can get no care and still owe money:

      In Arizona, where all Medicaid beneficiaries are enrolled in a managed-care plan, their estates could be repaying “benefits” even if the enrollee never actually received any goods or services. Information provided by the Arizona Health Care Cost Containment System (Arizona’s Medicaid program) explains that the program makes a monthly capitation payment of around $3,340 to “program contractors,” who arrange for services, if any. It warns, in bold print: “It is important to be aware that capitation payments can exceed the actual costs of services provided during the month.”

      If you act out of anger, the best part of your brain fails to function. - the Dalai Lama

      by beverlywoods on Mon Oct 21, 2013 at 07:35:56 PM PDT

      [ Parent ]

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