Special Needs Trusts: Preserving SSI and Medicaid After a PI Settlement
When a personal-injury recovery would push a claimant off SSI and Medicaid, a special needs trust holds the funds without triggering disqua…
Medical liens, Letters of Protection, ERISA/MSP reductions, and settlement-distribution mechanics.
When a personal-injury recovery would push a claimant off SSI and Medicaid, a special needs trust holds the funds without triggering disqua…
The Federal Medical Care Recovery Act and TRICARE give the government an independent right to recover from a PI settlement. It survives you…
Since Gallardo, a state Medicaid agency can recover from the future-medical portion of a settlement, not just past care. Allocation is now…
Liability Medicare set-asides sit in a regulatory vacuum. Here are the defensible options for future medicals and the reporting exposure th…
A lienholder that shares in the settlement should share in the fees and costs that produced it. How the common-fund doctrine works, where p…
A Medicare Advantage plan that goes unpaid from a settlement can sue for double what it laid out. Here is how to identify Part C liens, red…
Carriers rarely waive subrogation because you asked nicely. They waive because you gave them a reason tied to their own exposure or their o…
California's Hospital Lien Act reads like a short checklist, and hospitals miss items on it constantly. The recurring defects — thin notice…
The California Hospital Lien Act gives a hospital that provides emergency care a statutory right to recover from a tort recovery — but the…
The 50-percent statutory default is a starting point, not a settlement. Plaintiff counsel handling Medi-Cal liens after Ahlborn and Wos has…
ERISA preempts California state law on most reimbursement questions for self-funded employer health plans. That preemption is the whole gam…
Plaintiff attorneys and providers routinely conflate letters of protection with medical liens. The two have different perfection, priority,…