Solve Eligibility Problems Using the Personal Care Contract





For an asset to be considered transferred for fair market value, the transferor must receive something in return. A transfer for love and consideration, for example, is not considered a transfer for fair market value.

One way to provide compensation for a transfer of an asset is to enter into a written contract for compensation. A personal service contract is an agreement between an elder and one or more people who promise to provide personal care services to the elder. In consideration, the elder either transfers a lump sum payment to the caregiver in advance of the services or agrees to pay the caregiver on a monthly or yearly basis. You should review a personal care contract with an accountant due to the income tax ramifications, and also potential social security and other tax issues.

The caregivers can be professional care providers, friends or family members. When an elder transfers assets under the contract, he or she is receiving fair market value in return for the promise of care. As such, there is no uncompensated transfer and no period medicaid ineligibility.

When creating a personal service contract, the rate paid to the caregiver should be commensurate with the services provided. Those services should be outlined in the contract and may include: geriatric care manager, personal care aide or home health aide, bookkeeper, driver, cook, housekeeper, etc. To determine the rate paid, it is recommended the hourly wage represent the dollar amount which is reasonable in the community for payment of similar care providers. The wage should also account for how much care the elder desires and requires, how much the care provider works or is capable of working and how much money the elder can and wants to spend.

Like most planning options, the personal service contract is not without risk. Many case workers do not recognize a personal service contract as a transfer for fair consideration and could initially deny benefits. You may be required to request a fair hearing.

A personal care contract should be executed in advance of any services being provided. If a lump sum is to be paid, then the yearly rate should not exceed the applicant's life expectancy.




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Elder Law Offices of Shields and Boris
109 VIP Drive
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Wexford, PA 15090
Phone: (724) 934-5044
Toll Free: (800) 879-0984

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Elder Law Offices of Shields and Boris
109 VIP Drive
Suite 102
Wexford, PA 15090
Phone: (724) 934-5044
Toll Free: (800) 879-0984
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