Paying for Care

Medicaid asset spend-down

Medicaid is the largest payer of long-term care in the US. Qualifying requires reducing 'countable' assets to roughly $2,000–$3,000 (single) or $148,620 (community spouse, 2026). Done right, your family keeps more than you think.

Updated 2026-02-27

Countable vs exempt assets

  • Countable: bank accounts, stocks, second homes, life insurance with cash value over $1,500, retirement accounts (most states).
  • Exempt while spouse is alive: primary home (up to $730,000 equity, varies by state), one car, household furnishings, irrevocable burial trust, term life insurance, personal effects.
  • Community spouse resource allowance (CSRA): the well spouse keeps up to $148,620 in 2026. Maximum varies; minimum is $30,828.

Legal spend-down strategies

  1. Pay off debt — mortgage, credit cards, car loans.
  2. Home modifications — ramp, walk-in shower, stair lift, accessibility.
  3. Replace old vehicles (one allowed, no value cap).
  4. Pre-pay funeral costs into an irrevocable burial trust.
  5. Medicaid Compliant Annuity for the well spouse — converts countable asset to non-countable income stream.
  6. Pay caregiving family members through a properly-structured Personal Care Agreement.
  7. Spousal refusal (in some states like NY, FL) — community spouse refuses to contribute.

Document everything

  • Every check, every receipt, every asset transfer.
  • Keep records for 5+ years.
  • Medicaid applications routinely audit. Sloppy paperwork costs months of coverage.

Frequently asked questions

Can we just transfer the house?
Sometimes — to a spouse, a disabled child, or a 'caretaker child' who lived in the home for 2+ years providing care. Otherwise, a transfer within 5 years creates a penalty. Talk to an elder-law attorney.
Do we need an attorney?
For any estate over $200K — yes. Attorney fees ($3,000-$8,000) are tiny compared to the assets a single mistake can disqualify.

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