Medicaid Planning for Long-Term Care - Part 1

February 26, 2016

Should You Plan?

When most people think of “Medicaid planning” they immediately think of asset protection. When most people think of “asset protection” they then think of giving away money to qualify for Medicaid. At one end of the spectrum is the family member who feels that their parents’ money is for their parents’ benefit and not for making gifts to family members. At the other end of the spectrum is the family member who is all for protecting every last penny. Most people fall in the middle of this continuum. Before determining whether Medicaid planning is okay, it is important to know what exactly we mean by “Medicaid planning.”

It’s Not Just About Gifts

While gifting can certainly be part of Medicaid planning, it is more than that. In order to qualify for Medicaid for long-term care, assets must be below a certain amount. Some assets count towards this asset total while others do not. Any planning process begins by looking at “countable assets.” Even if family members have no interest in gifting assets, they may still need assistance in identifying and then liquidating countable assets. The planning may end once excess assets are identified and liquidated.

The next step in the planning process would be to make sure that whoever is in a long-term care facility has what he or she needs to live comfortably. Upgrading to a better wheelchair or purchasing a larger television would be examples of items that could help an individual to be more comfortable and content.

Couple Issues

In a situation where one spouse needs long-term care while the other can still live at home, planning becomes more critical. Even while on Medicaid, the spouse in long-term care must contribute nearly all of his or her income towards the nursing home costs, and Medicaid then makes up the difference. This means that the spouse who still lives at home will lose that source of income. This can be a scary thought. People have come into our office thinking they would need to return to work or sell their house because their spouse needed long-term care. Fortunately, there are ways to make sure that the spouse living at home can continue to live in the same home without having to return to work.

There are Rules

The Medicaid statutes and regulations allow opportunities for planning. This includes making gifts. That’s the good news. The bad news: there are statutes and regulations. The statutes and regulations tend to be complicated and they need to be followed to the letter or the Medicaid application will be denied. Whether you simply need to know how to spend down the rest of a parent’s assets or you want to maximize the income for a parent living at home, we can help you navigate the murky waters of the Medicaid rules.

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