Wisconsin Medicaid Spousal Refusal

Wisconsin has adjusted Medicaid reclamation policy to strengthen their collection process.  When a person who is married becomes severely ill requiring long term medical care the search for a way to pay becomes important.  Together the couple may be over assets to qualify for Medicaid as a valid pay source for the needed care.   The healthy spouse may refuse to pay out of pocket for their partners care " spousal refusal"  which allows the Medicaid certified long term care provider to bill Medicaid for the ill spouses progressive needs.

The healthy spouse with excessive resources at the time the Medicaid benefits were issued can be seen as having an "implied contract"  with the State of Wisconsin to pay back the money Medicaid reimbursed the certified Medicaid provider.  There is an inherent value in this simple strategy. 

The healthy spouse through Wisconsin reclamation is required to pay the State back.  The healthy spouse has purchased skilled medical care, personal- supportive care, professional case management, and transportation at a rate significantly lower than the private pay investment.  The providers partnered to deliver the Medicaid benefit manage the medical process assuring care quality while keeping cost down. 

So as the bill comes in for the ill spouses care at a much lower rate than private payment plus minimal time and labor invested by the family reclamation is viewed more as an option.  This is just a snap shot of the perceptions related to Wisconsin elder care law in 2014.  Readers are encouraged to consult with legal firms specializing in elder law prior to making any decisions. 

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 Home Care Path  www.homecarepath.com and the Wisconsin PATH ALONG model deliver an advanced supportive care service.  Helping seniors in the home, with clinic visits, at the hospital, nursing home and assisted living facility.  Helping seniors downsize with a move in to an adult child's home. 2014 rates are 20.00 per hour.  Simply call 608-432-4286 to schedule an interview.  We can be there when you are working.  We accept long term care insurance.  Services can be tax deductible.  Help with resources and the transition from private payment to public funded programming.  Valuing home and human life