Strategies to Protect Your Home While Qualifying for Medicaid Nursing Home Coverage

By Baker & Baker
Stethoscope, glasses and computer keyboard with red key written with Medicaid

Watching a loved one age or facing the reality of your own declining health brings a unique kind of heavy-heartedness. It's a time filled with nostalgia for the past and a quiet anxiety about what lies ahead. You want nothing more than to provide the best possible care, but the rising costs of long-term facilities can be frightening. 

At Baker & Baker, we believe that high-quality care shouldn't have to cost you your home. It’s hard to watch families struggle with these choices, but we’re here to show you that there are legal ways to protect what you’ve worked for. 

Our firm works with families throughout Corpus Christi, Texas, to help them find a path that honors their hard work while securing the care they need. Reach out to us today to start building a plan that protects your home while qualifying for Medicaid nursing home coverage.

Primary Exemptions for the Family Residence

Under federal and state guidelines, your home isn't always counted as a resource when you apply for Medicaid. This is a common misconception that keeps many people from seeking help early on. 

Usually, if your equity in the home is below a certain dollar limit and you intend to return home, the house remains an "exempt" asset. This means you can qualify for benefits without being forced to sell your property immediately to pay for nursing home stays. However, simply being exempt today doesn't mean the property is safe from future claims after you pass away.

We help our clients identify exactly how these exemptions apply to their specific situation. There are several ways the home remains protected even if the owner isn't currently living in it:

  • Spousal occupation: If your spouse continues to live in the home, it's generally protected regardless of its total value.

  • Intent to return: Even if it seems unlikely, stating a subjective intent to return home can sometimes keep the property exempt during your lifetime.

  • Minor or disabled children: Having a child under 21 or a blind/disabled child living in the home provides a significant layer of protection against asset counting.

  • Sibling equity: If a sibling has an equity interest in the home and has lived there for at least a year before you enter a facility, the home might not be counted.

These exemptions are the first line of defense in keeping your property in the family while qualifying for Medicaid nursing home coverage. By looking at these rules through the lens of your family's needs, we help you utilize every available protection.

The Power of Life Estate Deeds in Texas

One of the most effective ways to keep a home out of the reach of the Medicaid Estate Recovery Program (MERP) is through the use of specific types of deeds. In Texas, we often look at "Lady Bird Deeds" or Transfer on Death Deeds as vital tools. 

These documents allow you to keep control of your property while you’re alive, but pass it directly to your heirs upon your death. Because the property transfers outside of the probate process, it often avoids the reach of state recovery efforts that target a deceased person's estate.

When we assist clients with these deeds, we focus on maintaining their independence. You still have the right to sell the home, mortgage it, or change your mind about who inherits it without needing permission from your beneficiaries. It's a flexible option that doesn't trigger the harsh penalties associated with giving property away.

Our goal is to make sure your deed is drafted correctly to meet all requirements. We've seen how a well-prepared deed can save a family's legacy from being sold to reimburse the state. If you're curious about how this fits into your plan, our experienced lawyer can walk you through the specifics.

Utilization of Asset Protection Trusts

For those who are planning further in advance, an irrevocable trust can be a fortress for the family home. By transferring the house into a trust, you effectively remove it from your name for Medicaid eligibility purposes. This is a more formal arrangement that requires careful timing because of the five-year look-back period. 

If you transfer your home into a trust today, you generally have to wait sixty months before applying for benefits to avoid a penalty period. We work closely with clients to determine if they have the time and the resources to make this strategy work. While you lose some direct control over the property, the long-term benefits for your children or other heirs can be massive. 

The trust keeps the home safe from creditors and makes sure that it won't be counted as an asset when the time comes to apply for assistance. Here are a few things to keep in mind regarding these trusts:

  • Five-year look-back: Any transfer into a trust must happen well before care is needed to be fully effective.

  • Trustee selection: You'll need to choose someone you trust implicitly to manage the assets within the trust.

  • Irrevocability: These trusts can’t be easily changed or dissolved, so the decision must be made with a clear vision of the future.

  • Tax benefits: A properly structured trust can also provide significant capital gains tax advantages for your heirs.

Using a trust is a proactive way to take the "what-ifs" out of your long-term care planning. As experienced estate planning attorneys, we can help you weigh the pros and cons of this approach to see if it aligns with your goals. 

Finding Peace While Seeking Medicaid Assistance

Securing Medicaid coverage shouldn't feel like you’re being punished for a lifetime of hard work. At Baker & Baker, we’re here to provide the guidance and support you need to make decisions for your family’s future. Our firm is dedicated to helping our neighbors throughout Corpus Christi, Texas, find solutions. Reach out to us today to schedule a consultation and start protecting what matters most.