Elder Law Attorney
Nursing Home Planning

Top 10 Medicaid Mistakes 

People always ask what the biggest mistakes people make when trying to qualify for Medicaid. Here are ten that are pretty common.

  1. Incomplete Financial Planning: Failing to consider all aspects of financial planning, including income, assets, and allowable exemptions, can lead to mistakes in Medicaid eligibility.
  2. Transferring Assets Improperly: Inappropriate asset transfers or gifts prior to applying for Medicaid can result in penalties and eligibility issues.
  3. Failure to Utilize Exemptions: Not taking advantage of exemptions and disregarding certain assets can affect Medicaid qualification. Understanding which assets are exempt is crucial.
  4. Inadequate Documentation: Proper documentation of income, expenses, and medical necessity is vital. Incomplete or inaccurate records can lead to delays or denials in the Medicaid application process.
  5. Ignoring Look-Back Periods: Medicaid has “look-back” periods during which asset transfers are scrutinized. Failing to account for this timeframe can result in penalties and delayed eligibility.
  6. Lack of Professional Guidance: Not seeking advice from professionals, such as elder law attorneys specializing in Medicaid planning, can lead to oversights.
  7. Disregarding State-Specific Rules: Medicaid rules can vary by state. Failing to understand and comply with state-specific regulations may lead to mistakes in the application process.
  8. Misunderstanding Income Limits: Ignoring or miscalculating income limits can affect eligibility. It’s crucial to understand how Medicaid calculates income and what is considered countable.
  9. Ignoring Spousal Impoverishment Rules: Medicaid has rules to protect the spouse of a Medicaid applicant. Failure to consider these rules can result in financial hardship for the non-applicant spouse.
  10. Delaying Planning: Procrastination can be a significant mistake. Planning for Medicaid well in advance allows for better decision-making and potential preservation of assets within legal bounds.

Every case is unique, so it is best to discuss your individual concerns with a Medicaid attorney to help guide you through the process.

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Moshe Toron

Moshe Toron focuses his practice in the areas of Elder Law, Medicaid Planning, Nursing Home Planning, and Estate Planning. He works with families to help them address their long term care needs, such as applying for Medicaid Nursing Home benefits.

This post is for informational purposes only and should not be used as legal advice. Please consult an attorney for individual guidance.