Self-Serve tier

Compute the 5-year look-back transfer-penalty exposure for a Medicaid long-term-care application. Audits 60 months of transfers under 42 USC §1396p(c) + DRA 2005 framework, applies state penalty divisor, surfaces curing strategies, and renders a defensible penalty-period workshee

Analyze a state's Medicaid Estate Recovery Program (MER) claim against a deceased recipient's estate under 42 USC §1396p(b). Determines recoverable scope (probate-only vs expanded estate), claim priority among creditors, available exemptions (surviving spouse, minor or disabled c

Apply Gallardo v. Marstiller, 596 U.S. 420 (2022) and Wos v. E.M.A., 568 U.S. 627 (2013) to allocate a Medicaid recipient's tort settlement between past medical, future medical, and non-medical components — limiting state Medicaid lien recovery to the medical-expense portion only

Map a client onto a state's §1915(c) Home and Community-Based Services waiver — verify categorical eligibility, level-of-care (LOC) determination equivalent to nursing-facility need, target population fit, waiver slot/waitlist, and service mix (personal care, respite, adult day,

Resolve IRA / qualified-plan treatment for Medicaid LTC eligibility — state-by-state on whether the IRA is countable resource, exempt if in pay-out status (RMD), or must be annuitized via Medicaid-compliant SPIA. Computes spend-down sequence, tax cost of distribution, and structu

Draft a Medicaid Asset Protection Trust (MAPT) — irrevocable, grantor-status, income-only, retained limited power of appointment — that survives the 60-month look-back under 42 USC §1396p(d)(2)(C) and protects the homestead and other assets from estate recovery. State-aware. Incl

Establish a Qualified Income Trust (Miller Trust) under 42 USC §1396p(d)(4)(B) for an applicant in an income-cap state whose gross income exceeds the SSI/Medicaid institutional cap. Drafts the QIT, opens the funding flow, computes monthly diversion, and documents the state-by-sta

Enroll a disabled individual (any age, including 65+) in a non-profit pooled trust under 42 USC §1396p(d)(4)(C) to shelter excess resources or income while preserving Medicaid/SSI. Compares (d)(4)(C) to (d)(4)(A), evaluates state-specific (d)(4)(C) over-65 transfer rules, and pro

Run the PASRR (Pre-Admission Screening and Resident Review) workflow for a prospective nursing-facility admission under 42 CFR §483.100 et seq. Performs Level I screen for serious mental illness (SMI) and intellectual disability (ID), triggers Level II evaluation when indicated,

Draft a self-settled (first-party) Special Needs Trust under 42 USC §1396p(d)(4)(A) for a disabled individual under 65 who has received personal-injury proceeds, inheritance, or accumulated assets that would otherwise terminate Medicaid/SSI. Includes payback clause, trustee selec

Build a defensible Medicaid spend-down plan that converts countable resources into exempt assets allowed under 42 USC §1396p / §1382b and the applicable state plan — homestead, one vehicle, prepaid funeral, household goods, life insurance under face limit, property improvement, a

Compute the Community Spouse Resource Allowance (CSRA) and Minimum Monthly Maintenance Needs Allowance (MMMNA) under 42 USC §1396r-5 for an institutionalized-spouse Medicaid case. Performs the snapshot, state half-vs-cap election, MMNA shortfall analysis, and fair-hearing or cour