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An effective and experienced estate planning attorney can prove invaluable in protecting your dependents.

I wrote a couple weeks ago on how even without a federal estate tax a current estate plan is a necessity (click here). Additionally, I’m a strong advocate of involving an attorney, in some capacity, in all legal matters. The recent Missouri court of appeals case In the Estate of Shirley Marie Smith illustrates both of these points.

Pursuant to Section 473.398 RSMo, upon the death of a person, who has been a participant of aid, assistance, care, services, or who has had moneys expended on his behalf by a governmental agency, the total amount paid to the decedent or expended upon his behalf shall be a debt due the government from the estate of the decedent. The government may not recover, however, if it is shown, that that the cost of collection will exceed the amount of the claim or that  the collection will adversely affect the need of the surviving spouse or dependents of the decedent to reasonable care and support from the estate. Once the government shows that the decedent received benefits, the burden of proof shifts to the person opposing collection.

In In the Estate of Shirley Marie Smith, the decedent had received Medicaid benefits through MO HealthNet for the five months preceding her death. Upon her death, the MO HealthNet Division filed a claim to recover these benefits, $10,003.66. The decedent’s son, who was also the personal representative of the decedent’s estate, responded with a petition asking for a denial of the division’s claim on the basis that the son was unemployed, lacked the skills and capacity to obtain employment and was living in the decedent’s home. The petition stated that if the son had to sell the house to make the reimbursement, he would become homeless. The son did not testify, file a brief, or offer any other evidence in support of this petition. [continue reading]

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2010 MO HealthNet Figures

The 2010 MO HealthNet (formerly Medicaid) figures show no increase from the previous year. The following summarizes these figures.

Minimum Community Spouse Resource Allowance (CSRA): $21,912

Maximum Community Spouse Resource Allowance: $109,560

Maximum Monthly Maintenance Needs Allowance: $2,739

Minimum Monthly Maintenance Needs Allowance: $1,821

Community Spouse Excess Shelter Standard: $547.38 (unitl July 2010)

Annual Gift Tax Exclusion: $13,000

Supplemental Security Income (SSI): $674

Medicare Premiums, Deductibles and Copayments:

Inpatient Hospital for first stay during a year: $1,112 deductible
Day 1 through Day 60: $0
Day 61 through Day 90: $278 per day
60 Day Lifetime Reserve: $556 per day
Skilled Nursing Day 1-20: $0
Skilled Nursing Day 21-100: $139 per day

Long-Term Care Premium Deductibility Limits:

Attained age before the close of the year    
Maximum Deduction:    
  40 or less $330
  More than 40 but not more than 50 $620
  More than 50 but not more than 60 $1,230
  More than 60 but not more than 70 $3,290
  More than 70 $4,110

– The State Line Lawyer

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