10110116Healthcare, Public Benefits, and the Administrative Law Process
Course Information
Description
Gain familiarity in this growing area of elder law! This course will provide an overview of healthcare and public benefits available to older adults. Students will examine Medicare, Medicaid, and Social Security policies regarding eligibility for benefits, denials, overpayments, and appeals. Administrative code provisions, benefit manuals, and federal and state statutes will be analyzed as students prepare an argument and exhibits for an administrative law hearing.
Total Credits
1

Course Competencies
  1. Differentiate between benefits available to older adults
    Assessment Strategies
    Quiz
    Scenario
    Criteria
    Define Medicare and Medicaid
    Identify social security benefit programs
    Identify local, state, and federal sources of law relevant to Medicare, Medicaid, and Social Security

  2. Navigate Medicaid Eligibility Handbook
    Assessment Strategies
    Scenario
    Completing Online EBD Medicaid Handbook
    Criteria
    Correctly locate information in the handbook
    Determine eligibility for Medicaid benefits based on rules in the handbook
    Correctly calculate divestment penalty
    Determine if penalty was correctly assessed

  3. Conduct cost share analysis
    Assessment Strategies
    Quiz
    Scenario
    Criteria
    Navigate the Medicaid Eligibility Handbook
    Analysis correctly identifies Medicaid contribution (income)
    Analysis correctly identifies client contribution (expense)

  4. Examine Medicare, Medicaid, and Social Security policies
    Assessment Strategies
    Quiz
    Case study
    Written document
    Criteria
    Conduct research to determine eligibility of benefits
    Apply a rule to client scenario
    Evaluate merits of case
    Draft an appeal
    Appeal is a persuasive document (brief)
    Appeal cites law, exhibits, and argument for eligibility determination
    Analyze factors in considering an appeal