2-hour Wisconsin-specific Medicaid & LTC Information Training

Table of Contents

 

Wisconsin LTC Insurance Partnership Program

1

35.1 LONG TERM CARE INSURANCE PARTNERSHIP

1

35.1.1 LTCIP Introduction

1

35.1.2 LTCIP Asset Disregard

1

Maximum Disregard

1

35.1.3 Verification

1

35.1.3.1 Verification of the Qualified LTCIP Policy

1

35.1.3.2 Reciprocity Standards

2

35.1.3.3 Verification of Benefits Paid

2

35.1.4 Examples 1 & 2

2

Examples 3 – 5

3

35.1.5 Process Help

4

Part II

4

WI Medicaid Eligibility

4

QUICK QUIZ

6

The Basics

6

Key Points

7

Financial Requirements: Income Test

7

Financial Requirements: Income Test

7

Financial Requirements: Cost Share

7

Financial Requirements: Asset Test

8

  Countable Assets

8

  Countable Assets include

8

  Extended Assets include

8

Spousal Impoverishment Asset Protections

9

Spousal Impoverishment Asset Protections

9

Asset Assessment

9

CSAS

9

CSAS & Excess Assets

10

Spousal Impoverishment Asset Protections Example

10

Divestment

10

Eligibility Requirements for WI Medicaid Payment of Long-Term Care RECAP

11

QUICK QUIZ

11

How Asset Protection Works under the WI LTCIP Program

12

A WI LTCIP program participant receives the following benefits during his or her lifetime

12

After the WI LTCIP program participant is deceased

12

WI LTCIP Asset Protection for WI Medicaid Eligibility

13

Example 1 & 2

13

Example 3 & 4

14

QUICK QUIZ

15

How to Apply for WI Medicaid Programs

15

Part III - WI ESTATE RECOVERY

16

What is WI Estate Recovery?

16

What Services Does Wisconsin Recover?

17

Example 1 -3

18

QUICK QUIZ

19

When Does the State Not Recover Benefits?

19

Example 4

20

QUICK QUIZ

20

WI Mandatory Training Requirements—Long-Term Care

21

Insurer Responsibility

21

Alternatives to the Purchase of Private LTC Insurance

21

Suitability Standards & Guidelines

22

  Consumer Disclosure

22

  LTC Personal Worksheet

22

  Is the Policy Suitable for the Buyer?

22

  Consumer Publications

23

Effects of Inflation

24

Simple and Compound Protection

24

Required Rejection Forms

25

 

 

United Insurance Educators, Inc.

PO Box 1030

Eatonville, Washington 98328