How do I protect my assets from Medicaid?

Asked by: Heloise Howell  |  Last update: June 29, 2025
Score: 4.4/5 (67 votes)

A Medicaid Asset Protection Trust is exactly as it sounds—a trust designed to protect assets from being counted for Medicaid eligibility. An MAPT allows a person to qualify for long term care benefits from Medicaid, while protecting assets from being depleted if long-term care is needed.

Does Medicaid monitor your bank account?

Medicaid agencies can check your account balances at any financial institutions you use during the month you apply or during a 60-month look-back period.

What assets are exempt from Medicaid recovery?

Medicaid Estate Recovery Exemptions

Life insurance proceeds paid directly to a designated named beneficiary. Assets placed in a trust prior to the death of the decedent. Irrevocable funeral reserves used for the funeral costs. Certain trusts for disabled individuals.

How much does a Medicaid asset protection trust cost?

How Much Does it Cost to Create a Medicaid Asset Protection Trust? The cost of creating a Medicaid Asset Protection Trust varies significantly from a low of $2,000 to a high of $12,000. While the price might seem high, in reality, a MAPT ends up saving persons money in the long run.

What are the disadvantages of a Medicaid asset protection trust?

Disadvantages of a Medicaid trust

Establishing a trust can be expensive, and some clients will not be in a financial position to do so. Additionally, there is a five year look-back period in which assets in a Medicaid trust would still count toward coverage eligibility.

How to Protect Against Medicaid Look Back Period & Preserve Assets

25 related questions found

How do I legally protect my assets from Medicaid?

A Medicaid Asset Protection Trust is exactly as it sounds—a trust designed to protect assets from being counted for Medicaid eligibility. An MAPT allows a person to qualify for long term care benefits from Medicaid, while protecting assets from being depleted if long-term care is needed.

What is the 5 year rule on trusts?

Once assets are placed in an irrevocable trust, you no longer have control over them, and they won't be included in your Medicaid eligibility determination after five years. It's important to plan well in advance, as the 5-year look-back rule still applies.

Can a nursing home take your house if it is in a trust?

Once your home is in the trust, it's no longer considered part of your personal assets, thereby protecting it from being used to pay for nursing home care. However, this must be done in compliance with Medicaid's look-back period, typically 5 years before applying for Medicaid benefits.

Can medical go after a trust?

The Department will not recover the value of a deceased Medi-Cal member's property if it transfers to a different owner by survivorship, by trust, or by payment or transfer on death of the deceased Medi-Cal member.

Are asset protection trusts a good idea?

Trusts also can be very useful for asset protection purposes if the creditors of the beneficiary are prevented from reaching the trust's assets. A trust can be an effective way to place assets outside the reach of creditors.

How often does Medicaid check your assets?

Yes, income and assets have to be verified again for Medicaid Redetermination. After initial acceptance into the Medicaid program, redetermination is generally every 12 months. The redetermination process is meant to ensure the senior Medicaid beneficiary still meets the eligibility criteria, such as income and assets.

What happens to assets if you go into a nursing home?

No one “takes” assets from the patient; the nursing home simply requires payment for its services if the patient intends to reside in the nursing home. The notion of assets being seized by the government or a nursing home is only one of several misconceptions about paying for long term care.

Do you have to pay back Medicaid if you inherit money?

If the inheritance is modest, or it has been spent down within the month, Medicaid may only deem you ineligible for a certain period of time. It is important to note that depending on when you report the inheritance you may have to pay back the cost of any Medicaid benefits you received during that time.

How much money can you have in your bank account?

Generally, there's no checking account maximum amount you can have. There is, however, a limit on how much of your checking account balance is covered by the FDIC (typically $250,000 per depositor, per account ownership type, per financial institution), though some banks have programs with higher limits.

How does Medicaid investigate?

The MFCU may obtain records by subpoena or search warrant, but most often such collection of evidence is accomplished by a written request in the form of a letter. If you receive a record request, it may be that you are a target of an investigation, or your records are needed for other evidentiary reasons.

Can Medicaid come after your house?

In order to recover money from your estate, Medicaid has to go through the probate process, similar to other creditors. Medicaid may also place a lien on your real property (real estate), so that if the property is sold before or after your death, the state will get paid back from those funds.

Can you protect your assets from Medicaid?

Irrevocable trusts are a commonly used tool for asset protection when planning for Medicaid. By transferring your assets into an irrevocable trust, you effectively remove them from your ownership, thereby protecting them from Medicaid's asset requirements.

Do you pay Medi-Cal bills after someone dies?

In some states, you are always responsible for your spouse's debt after death, but only if the debt was accumulated while you were married. These are called “community property states”; they include Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington, and Wisconsin (as of 2022).

How to protect parents' assets from nursing homes?

5 ways to protect assets from nursing home costs
  1. Apply for long-term care insurance.
  2. Turn assets into income with a Medicaid-compliant annuity.
  3. Transfer assets to an irrevocable Trust.
  4. Create a life estate to transfer property to someone else.
  5. Give financial gifts.

Can someone take my house if its in a trust?

A living trust does not protect your assets from a lawsuit. Living trusts are revocable, meaning you remain in control of the assets and you are the legal owner until your death. Because you legally still own these assets, someone who wins a verdict against you can likely gain access to these assets.

What is the best trust to avoid nursing home costs?

To shield your assets from the spend-down before you qualify for Medicaid, you will need to create an irrevocable trust.

Can Medicaid go after an irrevocable trust?

A transfer into an irrevocable trust can be considered a gift for Medicaid eligibility purposes. This gift status/condition works as a significant negative for people applying for Medicaid assistance. In particular, both “penalty period” and 60 months “look-back period” rules apply.

What assets should not be in a revocable trust?

A: Property that cannot be held in a trust includes Social Security benefits, health savings and medical savings accounts, and cash. Other types of property that should not go into a trust are individual retirement accounts or 401(k)s, life insurance policies, certain types of bank accounts, and motor vehicles.

What is the 5-year rule for Medicaid?

During the 5-year lookback period, Medicaid examines any assets that were transferred for less than fair market value. This includes gifts, property transfers, or any other actions that reduce the individual's countable assets.