Whether you're a spouse at home, an adult child managing a parent's care, or a professional advisor — we have a path forward designed for your situation.
Federal law provides powerful spousal impoverishment protections specifically designed to keep the healthy spouse — the Community Spouse — financially secure while the nursing home spouse qualifies for Medicaid. Most couples are unaware of how much they're legally entitled to keep.
"We routinely help married couples with over a million dollars qualify a spouse for LTC Medicaid while protecting all of the couple's assets."
The primary home — in most states, the home is fully exempt from the Medicaid spenddown
A vehicle, personal property, and household furnishings
The Community Spouse Resource Allowance (CSRA) — a federally protected share of countable assets
A Minimum Monthly Maintenance Needs Allowance (MMMNA) — a protected monthly income amount
In many cases, additional assets can be converted to income streams or repositioned using compliant strategies — protecting far more than the standard allowances
Common question: "My husband is already in the nursing home. Is it too late to protect our assets?"
No — as long as assets remain, Medicaid planning is still possible. →
Medicaid planning for single nursing home patients is more challenging than for married couples — but far from hopeless. Through proven strategies like the Half-a-Loaf Plan, single patients can typically protect 50% or more of the assets that would otherwise be consumed by the Medicaid spenddown.
The key is acting before assets are fully exhausted. Even if you've already started spending down, it may not be too late.
Determine the total "loaf" — all assets exposed to the Medicaid spenddown
Gift half the loaf — creating an intentional Medicaid penalty period
Convert the remaining half into a Medicaid-compliant annuity or promissory note that generates income to cover care costs during the penalty period
Once the penalty period ends, Medicaid coverage begins — and the gifted assets are preserved for the patient's quality of life
Result: From assets that would have been fully spent down, the strategy typically protects half or more — which can be used to enhance the patient's quality of care and daily life.
Adult children — especially daughters, daughters-in-law, and siblings — often find themselves navigating nursing home admissions, Medicaid paperwork, and family financial decisions all at once. It's overwhelming, and most families don't know where to start.
We give you a clear picture of what's possible, what's protected, and what needs to happen next — so you can focus on your parent, not the bureaucracy.
"Mom was just admitted. What do we do first?
We walk you through an immediate asset assessment and identify what's protected before anything is spent unnecessarily.
"Dad has been spending down for months. Is it too late?"
As long as countable assets remain, planning is still possible. We assess what's left and what can still be protected.
"We don't know if the nursing home accepts Medicaid."
Most facilities accept Medicaid — and they're prohibited from treating Medicaid patients differently from private-pay patients.
"My siblings and I disagree about what to do."
We help align families around a clear, factual picture of options so decisions are made with confidence and clarity.
Important: Legal authority matters. Make sure someone has a valid Power of Attorney for your parent before a Medicaid application can be filed. We can guide you on what's needed.
If you're an elder law attorney, financial advisor, insurance professional, or care manager, your clients facing nursing home crises need Medicaid planning guidance — and they need it fast. Partnering with Medicaid Planning Advisory gives you a trusted, knowledgeable resource to refer them to, with confidence.
We work alongside your existing client relationship — not around it.
Elder law attorneys — complement your legal strategy with Medicaid application support through Medicaid Success Select
Financial advisors & insurance agents — access Medicaid-compliant product placement through InsurMart LLC
Medicare insurance professionals — collaborate on Medicare plan reviews ahead of long-term care transitions through Medicare Assistant LLC
Care managers & social workers — give your clients a clear next step when a nursing home stay is imminent
Tell us about your practice and how you'd like to work together.
Just tell us what's happening and we'll figure out the best path forward together. Free, no-obligation consultation.