Navigating Medicare and Medicaid 2025

Section 111

Heather Sanderson

• Overview of Section 111
• Understand the purpose of reporting to ensure compliance with the Medicare Secondary Payer (MSP) statute
• Learn who must report, as this applies to GHPs and NGHPs, including liability, no-fault, and workers' compensation insurers
• Understand the penalties for non-compliance
• Evaluate recent enforcement trends including how penalties will be imposed

Medicare in Practice

Moderator: Benjamin Wright Panelists: John Cattie, Avery Mayne

• Learn how Medicare impacts the practice areas of estate planning, elder law, personal injury, and worker’s compensation
• Answer the most common Medicare-related questions and issues in estate planning & elder law, such as the “100 days” of nursing home coverage and eligibility before age 65 due to disability
• Answer the most common Medicare-related questions and issues in personal injury and worker’s compensation, such as Medicare Set-Asides and Medicare Secondary Payer liens

Break

Special Needs and Medicaid

Amy Devine

• Understanding the differences between Medicare and Medicaid in the context of having a disability and income or asset limits
• Review of Medicaid programs in Wisconsin and potential changes to those programs with recent federal legislation
• How to protect public benefits with a special needs trust or ABLE account
• Using a special needs trust and/or ABLE accounts to protect public benefits as part of estate planning

The Ethics of Client Representation in Medicare/Medicaid Representation

Dean R. Dietrich

• The frequency of communicating with your client about the status of a claim for benefits
• The nature and scope of information to be provided to your client
• Communicating with the client with limited cognitive capabilities

Program Concludes