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Overview
Experienced Practitioners' Advice for Fair Hearing and Appeal Best Practices
Depending on their current placement, different options are available to appeal Medicaid coverage denial and to improve the claimant's outcomes. This practical legal course will address the appeal, brief, and hearing procedures, as well as specific guidance for improving outcomes. Whether your client is facing nursing home "eviction" for COVID-era self-reported eligibility or is in early-stage dementia looking to correct mistakes in initial application, our faculty will give you valuable guidance for your next course of action. Register today!
- Explore top pre-planning issues, including improper use of trusts, mistakes in application, and intent to return home.
- Discover how to challenge "medically necessary" care assessment and increase services coverage.
- Adopt best practices for drafting Medicaid hearing briefs and get guidance on fair hearing procedures.
Abbreviated Agenda
- Pre-Planning Appeals and Hearings: Key Issues
- Post-Placement Medicaid Appeal Concerns
- Medicaid Appeals and Fair Hearing Procedure Rules and Tips (Including Briefs)
Credit Details
Credits Available
| Credit | Status | Total | Until |
|---|---|---|---|
| Alaska CLE |
|
3 Total | 03-10-2027 |
| Alabama CLE |
|
3 Total | 12-31-2025 |
| Arkansas CLE |
|
3 Total | 06-30-2026 |
| Arizona CLE |
|
3 Total | 03-10-2027 |
| California CLE |
|
3 Total | 03-10-2027 |
| Colorado CLE |
|
4 Total | 12-31-2027 |
| Connecticut CLE |
|
3 Total | 03-10-2027 |
| Delaware CLE |
|
3 Total | 03-10-2027 |
| Florida CLE |
|
3.5 Total | 09-30-2026 |
| Georgia CLE |
|
3 Total | 12-31-2025 |
| Hawaii CLE |
|
3 Total | 03-10-2027 |
| Iowa CLE |
|
3 Total | |
| Idaho CLE |
|
3 Total | 03-10-2030 |
| Illinois CLE |
|
3 Total | 03-09-2027 |
| Indiana CLE |
|
3 Total | 03-10-2026 |
| Kansas CLE |
|
3.5 Total | 03-09-2026 |
| Louisiana CLE |
|
3 Total | |
| Maine CLE |
|
3 Total | 03-09-2027 |
| Minnesota CLE |
|
3 Total | 03-10-2027 |
| Missouri CLE |
|
3.6 Total | 03-10-2027 |
| Northern Mariana Islands CLE |
|
3 Total | 03-10-2027 |
| Montana CLE |
|
3 Total | 03-10-2028 |
| North Carolina CLE |
|
3 Total | 02-28-2026 |
| North Dakota CLE |
|
3 Total | 03-10-2028 |
| Nebraska CLE |
|
3 Total | 03-10-2027 |
| New Hampshire CLE |
|
3 Total | 03-10-2028 |
| New Mexico CLE |
|
3 Total | 03-10-2027 |
| Nevada CLE |
|
3 Total | 03-10-2028 |
| New York CLE |
|
3.5 Total | 03-10-2028 |
| Ohio CLE |
|
3 Total | 12-31-2025 |
| Oklahoma CLE |
|
3.5 Total | 03-10-2027 |
| Oregon CLE |
|
3 Total | 03-10-2028 |
| Pennsylvania CLE |
|
3 Total | 03-10-2027 |
| Rhode Island CLE |
|
3.5 Total | |
| South Carolina CLE |
|
3 Total | 12-31-2025 |
| Tennessee CLE |
|
3 Total | 03-09-2027 |
| Texas CLE |
|
3 Total | 02-10-2026 |
| Utah CLE |
|
3 Total | 12-31-2025 |
| Vermont CLE |
|
3 Total | 03-10-2027 |
| Washington CLE |
|
3 Total | 03-09-2030 |
| Wisconsin CLE |
|
3.5 Total | 12-31-2026 |
| West Virginia CLE |
|
3.6 Total | 03-10-2027 |
Select Jurisdiction
CLE
Agenda
-
Pre-Planning Appeals and Hearings: Key Issues
- Common Income and Asset Limit Issues
- The Use of Trusts in Medicaid Pre-Planning
- Home Residence Questions
- Live-in Family Caregiver Compensation
- Appropriateness of Alternative Living Arrangements
-
Post-Placement Medicaid Appeal Concerns
- Penalties for Prior Nursing Home Stays Within a Specified Period
- Undue Hardship and Penalty Periods
- Reassessments of COVID-Era Placements
- Level of Care and Adequacy of Care Disputes
- Coverage for Specific Services, Getting Additional Services Deemed Medically Necessary
- Moving States
-
Medicaid Appeals and Fair Hearing Procedure Rules and Tips (Including Briefs)
Who Should Attend
This legal course is designed for attorneys. Paralegals, nursing home administrators, skilled care facility directors, and life care specialists will also benefit.
Speakers
Speaker bio
Moriah Adamo
is a partner at Abrams Fensterman, LLP, where she manages the elder law and estate planning department of the Lake Success office. She represents clients through all phases of estate planning and maximizing governmental benefits from planning through appeals. Regularly prosecuting all stages of Medicare and Medicaid appeals, including preparing and advocating for appellants at Fair Hearings and Article 78 proceedings, provides Ms. Adamo with unique experience. She applies that knowledge to assist families planning for and experiencing long term health care needs. Ms. Adamo has successfully represented clients to secure and maximize increased rehabilitation and home care hours, reverse penalty periods, and eliminate findings of excess resources. State and federal courts have certified Ms. Adamo as an expert witness in the substantive area of Medicaid in civil and criminal matters. In the guardianship proceedings, Ms. Adamo marries litigation skills with extensive knowledge of Medicaid to achieve pragmatic results for incapacitated individuals. Not only has she represented litigants in both contested and uncontested proceedings, but she regularly receives judicial appointments to serve as counsel to alleged incapacitated persons and guardians. Ms. Adamo is a frequent lecturer on the various Medicaid, guardianship and estate planning topics. She has co-authored published articles examining various issues involving maximization of Medicaid benefits. Ms. Adamo earned her undergraduate degree from Arizona State University and her J.D. degree from Touro College Jacob D. Fuchsberg Law Center. She is a member of the Nassau County Bar Association and New York State Bar Association.
Speaker bio
Julia L. Santo
is an attorney at Abrams Fensterman, LLP. She represents clients through all phases of estate planning and maximizing governmental benefits from planning through appeals. Ms. Santo earned her B.S. degree from Binghamton University and her J.D. degree from the Maurice A. Deane School of Law at Hofstra University. She is admitted to practice law in the State of New York; and a member of the New York City Bar Association and New York State Bar Association, Elder Law Section.
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