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Medicaid Claims Against Personal Injury Suits

The Koldin Law Center, P.C. is pleased to announce that a new “Blog” section has been added to our website at www.koldin.com.

You can access our Blog from the menu screen at the top of our website.

A Blog is a short article about a topic we believe to be of interest to those who visit our website. Please periodically check our website to review our new Blogs.

A recent Blog we posted reported on a recent U.S. Supreme Court case regarding Medicaid claims against personal injury settlements:

U.S. Supreme Court Restricts Medicaid’s Right to Put a Lien Against Personal Injury Settlement

When someone receiving Medicaid settles or wins a personal injury lawsuit, a portion of the award is for medical expenses and usually there is a portion for pain and suffering along with possible punitive damages.

The U.S. Supreme Court in a case decided a few years ago held that the Medicaid Agency has the right to be reimbursed for expenses it paid on the injured person, but solely from the portion of the award allocated to medical expenses. Any funds remaining after the Medicaid reimbursement has been satisfied can be transferred to a Supplemental Needs Trust.

A Supplemental Needs Trust allows the injured person to remain covered by Medicaid and the funds in the Trust can be used to pay for any expenses not covered by Medicaid so that the quality of life of the injured person can be enhanced.

The State of North Carolina had a statute that made one-third of all personal injury awards automatically be deemed to be for medical expenses and recoverable by Medicaid for expenses it paid out. In a recent case, the U.S. Supreme Court struck down this statute and held that each case is unique and there must either be an agreement among the parties or a judicial determination of the portion of the injury award that is to be allocated for reimbursement of medical expenses.

These two Supreme Court cases show that it is critical that parties to a personal injury case where Medicaid is involved need to be mindful that the Medicaid Agency is entitled to reimbursement from the medical portion of the settlement award and therefore when negotiating a settlement, there should be discussion on how the settlement is to be allocated between medical and pain and suffering and also there should be a discussion on the advisability of establishing a Supplemental Needs Trust.

The Koldin Law Center, P.C. has been retained by many personal injury attorneys to prepare Supplemental Needs Trusts for their clients.


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We appreciate your referrals

We have been told by many clients who are in a crisis that they wish they had known about our firm much sooner. We are proud of the many families we have helped in times of crisis.

We are also proud of the many families we helped avoid financial crisis by doing estate planning in advance.

We all share the responsibility for making our family and friends aware of the planning options available to them.

Your referral to the Koldin Law Center could make a major difference in the lives of your family and friends if they are someday faced with a long term illness.

Remember that the Koldin Law Center offers many services for clients of all ages. Our services range from basic estate planning such as a simple will to complex estate planning including asset preservation planning.

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