About the Author ............................................................................…………………...........v
Acknowledgments ........................................................................………….………….......vii
Foreword by Theresa M. Varnet, L.C.S.W.,J.D……………………………………….......xv
Introduction ..........................................................................……………….………….....xvii
PART I: Supplemental Security Income
Introduction to SSI Section .............................................................………………….......3
Chapter 1: Overview of Supplemental Security Income………………………..............7
What is SSI?
Benefit Amounts
Automatic Medicaid Entitlement
Chapter 2: Qualifying for SSI .....................................................…………….........…11
Who is Eligible?
Qualifying as Blind
Qualifying as Disabled
Resource Limits
UTMA Accounts
Income Limits
Child Support
Children under Age 18
Children in Residential Schools
Chapter 3: Reducing Assets to Qualify ....................................………………............23
The Waiting Period
Strategies to Reduce Assets
Chapter 4: Applying for SSI ......................................................……………….........29
When to Apply
The Application Process
Chapter 5: Representative Payment .........................................………………........…33
Should You Become the Representative Payee?
How to Get Appointed
Bank Accounts
Responsibilities
Where to Learn More
Chapter 6: SSI Appeals ..............................................................………………........37
Why Appeal?
Getting Legal Help
Reconsideration
Administrative Review
Appeals Council
Federal Court
Re-applying for Benefits
Chapter 7: Managing the SSI Benefit .......................................…………………...…45
Avoid Repaying SSI
Appeals of Overpayments
Repaying SSI
Useful Strategies
What Can SSI Be Used to Pay For?
Chapter 8: Supplementing SSI .................................................………………...........53
SSI and Independent Living
Sending an Allowance is not the Answer
Three Useful Strategies
Supplementing SSI
Chapter 9: Work and SSI .........................................................……………….....…61
Excluded Student Earnings
Earned Income Exclusion
Impairment Related Work Expense
Plan to Achieve Self-Support (PASS)
Chapter 10: SSDI, Medicaid, and Related Programs .............………….……….......…67
Social Security Disability Income (SSDI)
Medicare
Medicaid (MassHealth)
Adult Family Care Program
Personal Care Attendant Program
PART II: Guardianship
Introduction to Guardianship Section ...........................................………….......………85
Chapter 11: Guardianship Basics ........................................…………………........…..87
What is Guardianship
Deciding Whether Guardianship is Necessary
Chapter 12: Alternatives to Guardianship……………………………….........………..91
Release and Authorization for Medical Information
Health Care Proxy
Durable Power of Attorney
Chapter 13: Legal Requirements to Obtain Guardianship .................………..........……97
Legal Standards
Limited and General Guardianship
Will Both Parents be the Guardians?
The Public Benefits Dilemma
Chapter 14: The Court Process ................................................…………………......103
Getting Legal Help
Court Forms
Filing the Paperwork
Legal Notice
The Hearing
The Decree
Chapter 15: Special Situations…………………………………………….....………111
Antipsychotic Medications
The Rogers process
Extraordinary Medical Procedures
Emergency Guardianship
Chapter 16: The Guardian’s Responsibilities .........................……………….......……117
Reporting to the Court
Protection
Giving Informed Consent
Record Keeping
Guardianship Fees
Protecting Yourself
Chapter 17: Financial Management…………………………………......……………125
Single Transactions Authorized by the Probate Court
Representative Payment for Government Benefits
Joint Bank Account
Durable Power of Attorney
Special Needs Trust
Chapter 18: Conservatorship…………………………………….......………………129
Conservatorship Basics
Reporting to the Court
Responsibilities to the Person under Conservatorship
Chapter 19: Frequently Asked Questions about Guardianship…………............……...133
PART III: Estate Planning
Introduction to Estate Planning Section ......................................…........……………..139
Chapter 20: Why Plan? ............................................................……….........……….141
What Could Happen if You Do Not Plan?
Plans That Don’t Work
Chapter 21: Estate Planning Basics for Special Families ..……….............……………147
Don’t Leave Any Property Directly to Your Minor
Children or Your Child with a Disability
Who Will Receive Your Property
Depends on How You Own It
Estate Planning with Assets that Have Beneficiaries
A Coordinated Plan Works Best
Ten Steps to Sound Planning
Chapter 22: Using a Will to Plan Your Estate .......................…………..........………159
The Contents of a Will
What Information Does Not Belong in a Will?
Limitations of a Will
Chapter 23: Using a Special Needs Trust to Plan Your Estate…….………….........…165
How Does a Special Needs Trust Operate?
Personalizing Your Special Needs Trust
Pooled Trusts: An Alternative to Special Needs Trusts
Chapter 24: Communicating Your Personal Instructions for Your Son’s
or Daughter’s Care ..........................................……………….....…….175
Directions Book
Side letter to the Special Needs Trust
Letter of Intent
Chapter 25: Planning For Your Own Incapacity ..................…………….........……..181
Avoiding Guardianship and Conservatorship
Incapacity Documents
How Will You Get By Financially?
Special Needs Trusts and Nursing Home Expenses
Chapter 26: Beyond the Basics ................................................…………….......……191
An Unfunded Revocable Trust Can
Protect Minor Children
A Living Trust Can Reduce Probate Costs
A Bypass Trust Can Reduce Estate Taxes
An Irrevocable Life Insurance Trust
Can Reduce Estate Taxes
A Family Limited Partnership
Can Reduce Estate Taxes
Chapter 27: Life Insurance ......................................................…………........………201
How Much Life Insurance Do You Need?
What are the Different Kinds of Life Insurance?
Life Insurance and the Child with Special Needs
Life Insurance Trusts
Chapter 28: Money Matters .....................................................………….......……...209
Working With a Financial Planner
Protecting Your Home
Money and the Child with a Disability
A State-Sponsored Savings Plan May
Be Coming to Massachusetts
PART IV: Loose Ends
Chapter 29: Registering for the Selective Service ..................……………...........……223
Chapter 30: Massachusetts Identification Cards ...................…………….........……..225
Chapter 29: Chapter 688 Transition Planning for Adult
Services………………………………………………………....……227
APPENDICES
Appendix A: Massachusetts Legal Services Offices and
Advocacy Organizations that Assist People with
Disabilities ………………………………………………….......……..231
Appendix B: Aging Service Access Points (ASAP) Participating
Agencies………………………………………………………......…..241
Appendix C: Antipsychotic and Other Medications used to
Treat People with Mental Illness ...................................................…….253
Appendix D: Medical Release and Authorization .............………………...........…….257
Appendix E: Authorization for Guardian to Delegate to
Caretaker………………………………………………......………….261
Appendix F: Pooled Trusts in Massachusetts……………………………...........……..265
Resources…………….......................................................................................…………269
Glossary…………….................................................................................…........………275
Index .................................................................................………….......……........…….281 |