Vetting Residents on Admission to Long-Term Care Facilities: An Ounce of Prevention

Harris Beach PLLC

To continue our series on strategies for maximizing collections on long-term care accounts, we're focusing on the first steps: vetting the applicant by gathering the information that you'll want to have upon application for admission.

We recommend that nursing homes and long-term care facilities request the following information from prospective residents and their families:

  • List of assets (bank accounts, real property)
  • List of liabilities (mortgage loan balance, credit cards)
  • Income (Social Security, pension, rental income)
  • Personal information (date of birth, Social Security number)
  • Transfers of money, property or other assets during the past five years
  • Power of attorney or health care proxy

Requiring a detailed list of transfers will allow you to flag prior "uncompensated transfers" that might cause Medicaid to impose a penalty, if the transfer falls within its "lookback period" of 60 months.

When signing the application or Financial Worksheet, the prospective resident and/or the financial representative should acknowledge the information provided is accurate and that the nursing home is authorized to base decisions upon it.

Our rule of thumb is: the more information, the better.

Stay tuned for further posts on maximizing collections on long-term care accounts.

DISCLAIMER: Because of the generality of this update, the information provided herein may not be applicable in all situations and should not be acted upon without specific legal advice based on particular situations.

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