Medicaid FAQs

What is a Certified Medicaid Planner™ (CMP™)?

A Certified Medicaid Planner (CMP) is a professional who specializes in helping individuals and families navigate the complex rules and application process for Medicaid, particularly for long-term care services. CMPs are trained in Medicaid eligibility rules, asset protection strategies, and legal and financial planning to help clients qualify for benefits while preserving their financial security.

Why Should a Client Use a Certified Medicaid Planner?

1. Expert Guidance on Medicaid Rules – Medicaid eligibility rules vary by state and involve strict income and asset limits, a five-year look-back period, and complex spousal protection rules. A CMP ensures that clients comply with these rules while maximizing their benefits.
2. Avoiding Costly Mistakes – Simple mistakes, such as improper asset transfers, excess gifting, or misreporting financial details, can lead to application denials or Medicaid penalty periods. A CMP helps clients avoid errors that could delay or disqualify their benefits.
3. Asset Protection Strategies – CMPs can assist with financial planning to preserve assets while remaining Medicaid-eligible. This may include:
   • Spending down assets in Medicaid-approved ways (e.g., home modifications, prepaid funeral plans)
4. Guidance on the Medicaid Application Process – The Medicaid application requires extensive documentation of income, assets, medical need, and past financial transactions. A CMP helps clients gather and submit the necessary paperwork accurately and efficiently.
5. Appealing Medicaid Denials – If a Medicaid application is denied, a CMP can review the case, correct issues, and guide clients through the appeals process to secure approval.

Coordinating with Attorneys and Financial Planners – While CMPs are not always attorneys, they often work alongside elder law attorneys, estate planners, and financial advisors to provide a comprehensive Medicaid planning strategy.

Do I have to sell my home to qualify?

Not necessarily. If you intend to return home or have a spouse or dependent living in the home, it is often exempt from Medicaid’s asset limits. However, after the recipient’s passing, Medicaid may attempt estate recovery to recoup costs.

Can I qualify for Medicaid if my income is too high?

For individuals whose income exceeds Medicaid limits, some states offer a Medically Needy Pathway as an alternative qualification method. This option allows applicants to spend down their excess income on medical expenses until they reach the state’s Medicaid eligibility threshold.

How can I protect my spouse financially?

Medicaid’s spousal impoverishment protections allow the non-applicant spouse to keep a portion of the couple’s income and assets through:

• Community Spouse Resource Allowance (CSRA) – Protects the spouse’s assets.
• Minimum Monthly Maintenance Needs Allowance (MMMNA) – Ensures the spouse has enough income to live on.

What can I do to protect my assets while qualifying for Medicaid?

Medicaid planning strategies include:

• Spending down assets on exempt items (e.g., home modifications, prepaid funeral plans).
• Utilizing annuities and legal transfers to protect a spouse’s financial future.

Is it too late to protect my assets if I already need long-term care?

No! Even if you or a loved one is already in a facility, Medicaid planning can still help preserve remaining assets through strategies and exemptions.

How long does the Medicaid application process take?

Processing times vary by state, but it generally takes 30 to 90 days. Delays may occur if documentation is missing or financial reviews require additional clarification.

Do I need a professional to help with my Medicaid application?

Medicaid rules are complex, and even small errors can cause delays or denials. A Certified Medicaid Planner™ (CMP™) or elder law attorney can ensure your application is handled correctly and maximize your benefits while preserving assets.

Take Control of Your Medicaid Planning Today

Medicaid rules are strict, but with the right strategy, you don’t have to lose everything. Whether you’re applying now or planning for the future, a Certified Medicaid Planner™ ensures that you:

✔ Qualify for Medicaid benefits without unnecessary delays

✔ Protect your savings and assets while securing care

✔ Ensure financial stability for your spouse and family