Medi-Cal FAQs Quick Free Analysis Qualifying Test #1: Assets Qualifying Test #2: Income Home

Here are real-life situations

EXAMPLE #1
DATE:             2/8/06

TO:                  District Attorney, TO, ____ County for Grand Jury consideration                                             
                        State Attorney General, Bill Lockyer, State of California
                        Pat McGinnis, Director CANHR via e-mail
                        Assembly member Jones       FAX:  916 319 2109 & 916 327 3338
                        Senator Scott                       FAX:  916 324 7543 & 626 793 5803
                        Assembly Member C, ­­­___ County    
FROM:            Donna Westfall, Authorized Representative
RE:                   GC vs ____ County Adult Protective Services and the _____ County Public Guardian

What happens when laws put into place to protect seniors from financial abuse get twisted and instead of protecting the seniors, employees of agencies steamroll over the senior and wind up abusing them?

I’ve been witnessing a travesty perpetrated upon my client, 87 year old GC. She’s been living just fine in an assisted living facility and while her health is declining she will probably be around a few more years if she doesn’t first die of anxiety and aggravation caused by ___ County’s Adult Protective Services (APS) and Public Guardian.

Apparently AB1605 put into effect having banks as mandated institutions notify the Public agencies whenever they had suspicion that financial elder abuse may be taking place.  GC has been with ___ Bank for 20 years.  Her granddaughter, DL has been with them for 10 years. Instead of calling their clients, __Bank called Adult Protective Services when we starting the gifting program from Grandmother to Granddaughter in September ’05.  

__Bank also put a freeze on their accounts.  It took 2 hours for the family to meet with Branch Manager, JP.

JP and the legal department of __Bank acknowledged that GC was competent, had signed the gifting checks and that everything was on the up and up. 

Apparently no one notified Adult Protective Services to cancel the referral from the bank because on 11/2/05, MW from APS brought in a large Police Officer and scared the daylights out of my client, GC. Frightened and shaking, GC called her son-in-law, JF.  He came and was subject to abuse by MW as well.  The Police Officer left saying something like MW (From APS) was nuts and that the planning the family was doing was legitimate. He never wrote up a report.  

More importantly, when we asked for the Police Officer’s name to get his statement and verification of what took place and how MW treated my client we were told, “We don’t have his name.”

Complaints were filed with MW’s supervisor, Mr. K.  Instead of a letter of apology, our next communication came from AH, Deputy County Counsel representing MW. 

We were informed that MW intended to have GC (client) evaluated.  The family demanded to be present and that the evaluation be videotaped so nothing could be misconstrued.  This demand letter was sent to Supervisor K at Adult Protective Services in Nov. ’05.

On 2/2/06, we received a copy of a letter supposedly faxed to Granddaughter, DL by AH, Deputy County Counsel stating that the evaluation could not have family present or be videotaped.  We are stunned. Not so much by this information, but by the fact that AH  would lie about having sent the faxed response on 11/23/05 when none was received. Proof of her having sent the fax was requested.  No response has been forthcoming.

Enter AM, ____ County Public Guardian who contacted me stating she was going to be investigating this case.   Now, it seems that AM is of the opinion that GC was not able to consent (partially based on medical records from 2001 when she was “confused”) and therefore on 2/2/06 the Public Guardian has Petitioned for Conservatorship.

However, AM declines to tell us when the hearing will take place, or the case # in addition to a list of other questions asked but not answered. Although APS states they had an evaluation done, (we don’t know when) the family does not know if they have time before the Conservatorship hearing to have their own independent evaluation done.

The family has no real recourse other than to start spending money on an attorney to fight these gross abuses and misconduct by the Public agencies supposedly set-up to protect seniors.

We therefore respectfully submit that a Grand Jury investigation be made of these agencies (____ County Adult Protective Services and the Public Guardian) as they are overstepping their bounds. If the police officer witnessed elder financial abuse, he had a responsibility to write up a report for the DA’s office to consider.  Instead, no report was ever made. If GC were incompetent, or didn’t sign the checks, ___Bank Branch Manager would have never lifted the freeze. 

We respectfully submit that legislation be considered and/or amended to deal with the innocent families subjected to this type of abuse. I’m sure that the State did not anticipate having their legislation turn against innocent families instead of protecting them. Attorney General, in your mission statement it states “Justice, safety and liberty for everyone.”  There’s no “Justice” when a family has to bring civil action and spend potentially thousands of dollars against Public Agencies when Public Agencies decide to spend the money and resources to back their wrongful doing.


EXAMPLE #2

2/8/06
TO WHOM IT MAY CONCERN
    I contacted Donna Westfall after unsuccesfully attempting to get my 87 year old mother on Medi-Cal. Mom had been in a skilled nursing home for two years and had used up her life savings in a very short time. We considered selling her home but realized that mom would soon be out of money and her home would be gone too.
    With Donna Westfall's help we were able to legally get mom on Medi-Cal (without moving her into another nursing home) and save her home for her grandchildren.
    After 7 years in the nursing home mom passed away this year. Donna took care of filling out the yearly Medi-Cal qualifying forms. Her fees were reasonable, her service was outstanding (all phone calls and E-mails were promptly returned).
    Being able to do everything by phone, mail, or E-mail made the whole process easier than constantly making office appointments.
    I highly recommend Donna Westfall's skills in accomplishing complex matters.
    G.A. Rancho Cucamonga, Ca 91730


EXAMPLE #3

To make the decision to enter a loved one in a care facility is not only heart wrenching, but the financial obligations seem overwhelming. The State of California offers help, but trying to navigate the legal issues and paperwork is frightening. Medi-Cal Specialists offers an outstanding service which will take you through the maze of the Medi-Cal program and all of its financial ramifications.

Not only did Donna Westfall take care of the Medi-Cal determination process for our family, but offered a compassionate understanding of our family's heartache.

I highly recommend Medi-Cal Specialists for all your Medi-Cal concerns. Using this service will be one of the best decisions you have ever made.

Joyce Smith, Torrance, Calif

9/14/2007


EXAMPLE #4

Several years ago I used the services of Ms. Westfall for my elderly father, who was confined to a skilled nursing home.

In order to try and preserve what assets he had remaining, Ms. Westfall set up a Medi-Cal approved plan that did protect the remaining assets.

Ms. Westfall is highly regarded in the Medi-Cal field, she is also very professional and adheres to the letter of the law. She is very responsive to the needs of her clients.

Since I first used her services, I have referred a number of friends and relatives to her. They were all more than satisfied with her counsel and professional performance.

I highly recommend Ms. Westfall to anyone needing her services.

Sincerely,
Coy D. E.
Upland, Ca.
8/31/07


EXAMPLE #5 BROTHER & SISTER

To Whom It May Concern:

I would like to recommend the services of Medi-Cal Specialists and in particular Donna Westfall.

My brother and I were completely confused about the process of applying for Medi-Cal for our 79-year-old father. No one seemed to be able to answer our questions about a number of issues. It was also important that we move quickly to get him into Medi-Cal.

From the moment I signed the paperwork, Ms Westfall got the ball rolling. She was extremely professional, helpful and, best of all, knowledgeable. As it turned out, she knew more about rules and regulations than the caseworker assigned to my father's case! That was a real eye-opener.

If you are looking for help in getting a loved one onto Medi-Cal, I highly recommend Donna Westfall and Medi-Cal Specialists.

Sincerely,
Ruth P., Los Angeles, CA, December 5, 2000


EXAMPLE #6 SINGLE WOMAN, NO CHILDREN

84 year old female fell and broke her hip. We were called in while she was recuperating in a convalescent hospital in Oxnard. She had only $16,000 left to her name. If she had to pay retail, her assets would have been drained in just under 5 months.

By repositioning her last remaining assets, we got her qualified for Medi-Cal. She was allowed to keep $2000 in her checking account.

Her share of cost was her social security plus the income stream from the Medi-Cal friendly annuity we placed her monies into. Her assets then had a chance to last another 84 months. If she passed away before 84 months, then her heirs and beneficiaries received the balance. If she outlived her 84 months, then all the money was used up and her share of cost would then be reduced to just her social security. *

Had she not repositioned her money, here's the retail picture:

COST OF NURSING HOME:
$ 3,000 a month for nursing home care
$14,000 would have been used up in less than 5 months.

MEDI-CAL COSTS:
Her share of cost was her social security plus the income stream from the medi-cal friendly annuity. TOTAL: APPROX: $500 a month.

"Principled and persistent . . . We never could have done this ourselves," J. Lyle, Oxnard, California

* Note to Example: #6 This case was done in 1997. If it were to be presented before Medi-Cal today, we could lower her share of cost even more by gifting out the $14,000 to her sister in less than 1 month. All legal and found within Medi-Cal's rules and regs.


EXAMPLE #7 HUSBAND AND WIFE, NO CHILDREN

When we were called in, the 92 year old husband had been in the nursing home for 2 years. Their costs were $50,000 a year for the nursing home. On top of that, the wife who was in good health, was paying about $30,000 a year for her living expenses.

They had already sold the family home. Approximately $700,000 was in a variety of low risk investments. She did not want to place her money into any investments which may have had a higher yield, but also higher risk.

By repositioning their assets, we were able to reduce the nursing home costs initially by $47,000 a year. However, the wife wanted the husband to be in a private room and was willing to pay for it. We then re-calculated their savings to be $43,000 a year.

We transferred the money into a MEDI-Cal friendly annuity which would pay out about $12,000 a month to the wife.

However, the husband died during the 30-day free-look period. The new widow didn't need a MEDI-Cal friendly annuity any more. Instead, we took out $50,000 for her to have on hand. The rest was placed into an annuity that paid her more interest.

Let's say, though, that the first annuity was already in place for 3 months before the husband died. The wife would still have received her monthly income which she could then spend or invest any way she wanted.


EXAMPLE #8, a couple in Ventura County

Wife entered nursing home at $3,084 retail rate a month. When we got through repositioning money into a Medi-Cal friendly annuity, and took her name off of everything, her fair share of cost for the nursing home came to $3.00 a month. The size of the estate was approx. $350,000 which included the family home.

Saving the family home for the heirs and beneficiaries is a key part of what we do.


EXAMPLE #9, a couple in San Bernadino County

Husband suffered with Parkinson's and other complications. Wife didn't want to place him in a nursing home, but finally realized she could not care for him adequately at home. She visited him during breakfast, lunch and dinner. The retail cost was over $5,000 a month. Once he qualified for Medi-Cal "LTC", his fair share of cost was $35.00 a month. The size of the estate was approx. $250,000.

Please phone, fax, E-mail or snail mail us. Call us, we care!


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