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Home- and Community-Based Services Waivers Within Medicaid

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Home- and Community-Based Services Waivers Within Medicaid

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An accomplished executive, Florida, Anthony “Tony” Turbeville provides results-driven Medicaid services that help ensure that clients are eligible to access care in settings such as nursing homes or their own residence. As the president and CEO of Platinum Benefit Services, Inc., Antony “Tony” Turbeville has in-depth knowledge of Medicaid’s long-term care provisions. Defined by state eligibility rules, Medicaid ensures that individuals with disabilities and seniors receive the long-term care they need.

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An accomplished executive, Florida, Anthony "Tony" Turbeville provides results-driven Medicaid services that help ensure that clients are eligible to access care in settings such as nursing homes or their own residence. As the president and CEO of Platinum Benefit Services, Inc., Antony "Tony" Turbeville has in-depth knowledge of Medicaid's long-term care provisions. Defined by state eligibility rules, Medicaid ensures that individuals with disabilities and seniors receive the long-term care they need.

Traditionally, this form of coverage was limited to institutional care at nursing home facilities that were Medicaid-certified. In recent years, long-term care coverage has expanded to encompass long-term services and supports (LTSS), which are provided through 1915(c) Home and Community Based Services (HCBS) Medicaid Waivers. Available LTSS services vary from state to state, but commonly include homemaker services, in-home personal care assistance, home health care, and respite care that relieves unpaid primary caregivers.

One key distinction between LTSS and nursing home Medicaid is that Medicaid waiver programs are not considered an entitlement. What this means is that a cap is placed on the number of program participants. Once the allotted slots are filled, a wait-list is created. In practical terms, this results in eligible people often waiting until a participant slot opens before receiving LTSS services through HCBS waivers.

Tags Posted on Home- and Community-Based Services

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Home- and Community-Based Services Waivers Within Medicaid

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An accomplished executive, Florida, Anthony "Tony" Turbeville provides results-driven Medicaid services that help ensure that clients are eligible to access care in settings such as nursing homes or their own residence. As the president and CEO of Platinum Benefit Services, Inc., Antony "Tony" Turbeville has in-depth knowledge of Medicaid's long-term care provisions.

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Transferring Assets and Medicaid Eligibility

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Transferring Assets and Medicaid Eligibility

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Anthony "Tony" Turbeville is a Florida advisor and educator who works with clients of diverse asset and income levels in strategies for qualifying for Medicaid. Antony "Tony" Turbeville has extensive knowledge of asset transfer strategies when it comes to obtaining long-term care Medicaid.

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Anthony "Tony" Turbeville is a Florida advisor and educator who works with clients of diverse asset and income levels in strategies for qualifying for Medicaid. Antony "Tony" Turbeville has extensive knowledge of asset transfer strategies when it comes to obtaining long-term care Medicaid.

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Transferring Assets and Medicaid Eligibility

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Anthony "Tony" Turbeville is a Florida advisor and educator who works with clients of diverse asset and income levels in strategies for qualifying for Medicaid. Antony "Tony" Turbeville has extensive knowledge of asset transfer strategies when it comes to obtaining long-term care Medicaid.

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Using Medical Bills for Medicaid Spend Down

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Using Medical Bills for Medicaid Spend Down

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Based in Lakeland, Florida, Anthony “Tony” Turbeville serves as the president and chief executive officer of Platinum Benefit Services. Antony “Tony” Turbeville and his team have successfully processed more than 10,000 Medicaid applications.

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Based in Lakeland, Florida, Anthony "Tony" Turbeville serves as the president and chief executive officer of Platinum Benefit Services. Antony "Tony" Turbeville and his team have successfully processed more than 10,000 Medicaid applications.

To be approved for long-term Medicaid care benefits, applicants must hold assets that fall under a state-specified limit. Advisors with Platinum Benefit Services can help clients comply with financial limits by "spending down" their income and assets. For example, medical bills can help spend down excess income. If a 65-year-old individual earns a monthly income that is $50 above the Medicaid eligibility limit, any medical bill over $50 will be covered by Medicaid. The $50 is the spend-down amount.

When accumulated medical bills are greater than a person's excess income, the person will receive Medicaid for any bills over the excess amount. Any medical bills from the individual or their spouse may count toward a Medicaid spend down, as can transportation expenses, therapist visits, home health aides, and prescription drugs.

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Using Medical Bills for Medicaid Spend Down

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Based in Lakeland, Florida, Anthony "Tony" Turbeville serves as the president and chief executive officer of Platinum Benefit Services. Antony "Tony" Turbeville and his team have successfully processed more than 10,000 Medicaid applications. To be approved for long-term Medicaid care benefits, applicants must hold assets that fall under a state-specified limit.

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Focused on assisting clients with the Medicaid application process, Anthony “Tony” Turbeville leads Platinum Benefit Services. Based in Florida, Antony “Tony” Turbeville implements asset protection plans created by his clients’ attorneys.

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Focused on assisting clients with the Medicaid application process, Anthony "Tony" Turbeville leads Platinum Benefit Services. Based in Florida, Antony "Tony" Turbeville implements asset protection plans created by his clients' attorneys.

Medicaid pre-planning is an essential aspect of protecting one's assets from high nursing home care costs. With average nursing home expenses exceeding $10,000 per month, depending on one's geographic location, Medicaid is a lifeline for many people. It covers the costs of care in full, spanning room and board and medical administration.

At the same time, Medicaid is focused on those with means, and the assets of an eligible person cannot exceed a strictly defined amount. For this reason, the Medicaid planning process tends to focus on determining just which portion of assets is included, exempt, or spendable.

One major consideration is that one cannot "self-impoverish" oneself, through transferring funds to family members in preparation for entering a nursing home. The U.S. government can look back five years and evaluate asset transfers that have occurred before a Medicaid application. With this in mind, professional assistance can help to ensure Medicaid approval that maximizes financial options and ensures that one's spouse and children will be well provided for in the event that they should require nursing home care.

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Focused on assisting clients with the Medicaid application process, Anthony "Tony" Turbeville leads Platinum Benefit Services. Based in Florida, Antony "Tony" Turbeville implements asset protection plans created by his clients' attorneys. Medicaid pre-planning is an essential aspect of protecting one's assets from high nursing home care costs.

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Over the Decades, Medicaid Has Expanded Its Social Safety Net

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Over the Decades, Medicaid Has Expanded Its Social Safety Net

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Anthony “Tony” Turbeville, president and CEO of Florida-based consulting firm Platinum Benefit Services, Inc., offers assistance to attorneys who provide Medicaid planning to clients entering nursing homes or assisted living care. Antony “Tony” Turbeville and his firm, working with proprietary Status Tracker software, have eased the frustrations and streamlined the complexities of the Medicaid application process for some 10,000 clients.

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Anthony "Tony" Turbeville, president and CEO of Florida-based consulting firm Platinum Benefit Services, Inc., offers assistance to attorneys who provide Medicaid planning to clients entering nursing homes or assisted living care. Antony "Tony" Turbeville and his firm, working with proprietary Status Tracker software, have eased the frustrations and streamlined the complexities of the Medicaid application process for some 10,000 clients.

For well over half a century,
Medicaid has helped Americans in need of quality medical care. President Lyndon B. Johnson signed the Social Security Act Amendments that resulted in the formation of Medicare and Medicaid in 1965. Both programs have expanded over the years not only to cover greater numbers of people but to broaden the set of benefits they offer.

Medicaid was originally established to provide medical insurance to lower-income individuals. Today, groups covered under the program include pregnant women, low-income families, and people with disabilities or who require long-term care, regardless of age.

Because Medicaid is a federal-state partnership program, each state can adjust its Medicaid services to the needs of its population, which means that the types of programs available and the eligibility criteria vary from state to state.

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Over the Decades, Medicaid Has Expanded Its Social Safety Net

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Anthony "Tony" Turbeville, president and CEO of Florida-based consulting firm Platinum Benefit Services, Inc., offers assistance to attorneys who provide Medicaid planning to clients entering nursing homes or assisted living care. Antony "Tony" Turbeville and his firm, working with proprietary Status Tracker software, have eased the frustrations and streamlined the complexities of the Medicaid application process for some 10,000 clients.

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Medicare Limits in Paying for Long-Term Nursing Care

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Medicare Limits in Paying for Long-Term Nursing Care

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Possessing extensive experience in Medicaid application processing, Anthony “Tony” Turbeville leads Platinum Benefit Services, Inc., as the president and chief executive officer. In this role, Antony “Tony” Turbeville helps attorneys, families, and nursing home professionals in processing Medicaid applications.

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Possessing extensive experience in Medicaid application processing, Anthony "Tony" Turbeville leads Platinum Benefit Services, Inc., as the president and chief executive officer. In this role, Antony "Tony" Turbeville helps attorneys, families, and nursing home professionals in processing Medicaid applications.

Many consumers mistakenly believe that, should they require long-term nursing care, Medicare will cover the bulk of their costs. However, Medicare only covers the first 20 days of residence in a nursing home, and only if the stay was preceded by a minimum of three nights in the hospital and if the stay in the nursing home is directly related to the reason for hospitalization. If a patient shows potential for improvement, Medicare will then pay a per-day deductible for an additional 80 days.

Once a patient shows no sign of improvement, or after 100 days (whichever comes first), all Medicare payments cease. Further nursing home costs, which typically exceed $100,000 per year, fall entirely to the patient or their family. Platinum Benefits Services can help clients obtain Medicaid long-term care benefits, regardless of their income or assets.

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Medicare Limits in Paying for Long-Term Nursing Care

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Possessing extensive experience in Medicaid application processing, Anthony "Tony" Turbeville leads Platinum Benefit Services, Inc., as the president and chief executive officer. In this role, Antony "Tony" Turbeville helps attorneys, families, and nursing home professionals in processing Medicaid applications. Many consumers mistakenly believe that, should they require long-term nursing care, Medicare will cover the bulk of their costs.

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Medicaid Payments to Family Members for Home Care

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Medicaid Payments to Family Members for Home Care

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Anthony “Tony” Turbeville is a Medicaid approval advisor and educator who has served as president and CEO of Platinum Benefit Services in Lakeland, Florida, since 2000. In this role, Antony “Tony” Turbeville processes Medicaid applications for attorneys and nursing homes who do not have the capacity or desire to handle the complex application process in-house.

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Anthony "Tony" Turbeville is a Medicaid approval advisor and educator who has served as president and CEO of Platinum Benefit Services in Lakeland, Florida, since 2000. In this role, Antony "Tony" Turbeville processes Medicaid applications for attorneys and nursing homes who do not have the capacity or desire to handle the complex application process in-house.

Medicaid is a federal program that offers healthcare coverage to low-income individuals and families. Often, family members who provide personal care for their loved ones can be paid by Medicaid for their service. To pursue this option, an individual must first apply for Medicaid. After the person is approved, they must enroll in a specific Medicaid program that funds home care and allows "consumer direction." Also called self-directed care, consumer direction indicates that the Medicaid member can choose their own care provider rather than being assigned one by Medicaid.

The Medicaid beneficiary must then officially hire the family member as a personal caregiver, as well as submit timesheets to Medicaid for services rendered. Upon approval, payment is made by Medicaid or through a third-party service.

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Medicaid Payments to Family Members for Home Care

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Anthony "Tony" Turbeville is a Medicaid approval advisor and educator who has served as president and CEO of Platinum Benefit Services in Lakeland, Florida, since 2000. In this role, Antony "Tony" Turbeville processes Medicaid applications for attorneys and nursing homes who do not have the capacity or desire to handle the complex application process in-house.