Thoughtful Estate Planning
Makes Life More Meaningful

Medicaid Planning: Leveraging Your Options

For those nearing their later years, Medicaid is often a critical component of long-term care planning. It provides comprehensive coverage for medical care, prescription drugs and skilled nursing care. Given the astronomical costs of nursing home care, Medicaid is a cornerstone of long-term care planning.

The Michigan Medicaid Health Care Program has complex eligibility requirements. There are many nuances to qualifying for Medicaid. Accordingly, it’s wise to speak with a knowledgeable attorney about your options.

At the Kalamazoo law firm of DeMent & Marquardt, PLC, our lawyers can help. They understand the complicated process of Medicaid planning. One of our attorneys, who is well known for his knowledge in this area, has authored numerous articles on the subject. Our lawyers can guide you through the process and help you leverage all your options to maximize your benefits without draining your savings and assets. They focus a major part of their practice on this and other aspects of elder law.

Dispelling Myths About Medicaid

Medicaid has income and asset limits that are frequently misunderstood. Many people believe that they will have to spend down all their assets in order to qualify. Fortunately, that isn’t always the case.

There is also much confusion about the Medicaid look-back periods. When applying for Medicaid, any gifts or asset transfers below fair market value that happened in the last 60 months may be treated as part of the applicant’s estate, which will impact their eligibility.

The important thing is that you have options, and it’s well worth exploring them. Our lawyers can help you sort through the intricacies of the look-back period and other eligibility issues.

Michigan Medicaid FAQs

At our Kalamazoo law firm, we have more than three decades of experience guiding clients through the intricacies of Medicaid planning. Some of the questions we hear most often include the following:

What is Medicaid and how do I know if I’m eligible for it?

Medicaid is a state and federally funded program providing medical coverage to eligible seniors who need long-term care. The program is strictly “need-based,” so seniors must submit to a review of their income and assets to learn if they qualify. Because the rules regarding financial eligibility are complicated, it is important not to assume that you do not meet or cannot meet the eligibility requirements.

When should I begin Medicaid planning?

You should begin Medicaid planning at least five years before you anticipate needing long-term care. This is because Michigan, like many states, has a “5-year look-back” policy. This means that when you apply for Medicaid, the state will review your financial transactions from the past five years. Any significant transfers or gifts made during this period may result in a penalty period, delaying your eligibility for benefits.

What decisions do I have to make regarding Medicaid?

Decisions regarding Medicaid often include understanding coverage options, choosing health care providers that accept Medicaid, managing income and assets to meet eligibility requirements and possibly considering long-term care options and insurance.

How do I apply for Medicaid?

In Michigan, you can apply for Medicaid through the Michigan Department of Health and Human Services (MDHHS) online via the MI Bridges portal, by phone, by mail or in person at your local MDHHS office. Our DeMent & Marquardt, PLC, attorneys can provide personalized guidance through the Medicaid application process and help you understand the specific requirements.

What kinds of mistakes do people make regarding Medicaid?

Common mistakes that people make include underestimating and overestimating income limits, failing to plan for long-term care needs, not understanding eligibility rules specific to Michigan and not seeking professional guidance early in the planning process. These oversights can result in delayed benefits, eligibility issues or missed opportunities to protect assets.

Early Preparation Is Crucial

Medicaid planning involves numerous considerations. You may need to leverage estate planning tools, like trusts and strategic titling of real estate, to qualify for Medicaid without losing everything you have worked so hard to build. It is never too soon to start planning. Contact us for strategic guidance. You can also reach us by phone at 269-343-2106.