Nursing Home Medicaid Preplanning Versus Crisis Planning
Tue Dec 02 2025
In this episode of the Miller Estate and Elder Law Podcast, Bill Miller discusses the critical differences between crisis planning and pre-planning for nursing home care, particularly in the context of Alabama Medicaid. He emphasizes the importance of understanding Medicaid rules, the five-year look back provision, and the necessity of having the right power of attorney. Through real-life examples and practical strategies, listeners learn how to protect their assets and navigate the complexities of long-term care planning.
Takeaways
Crisis planning is essential for families facing immediate nursing home needs. Pre-planning can significantly reduce financial stress and protect assets. Understanding Alabama Medicaid rules is crucial for effective planning. The five-year look back period can impact Medicaid eligibility. A Miller trust can help individuals with excess income qualify for Medicaid. Community spouses have protections under Medicaid to prevent impoverishment. Real-life case studies illustrate the effectiveness of proper planning. Common mistakes include not having the right power of attorney. Asset protection strategies can help preserve wealth for future generations. Early planning is key to avoiding financial loss in nursing home situations.
Chapters
(00:00) Medicaid Crisis Planning vs. Pre-Planning for Nursing Home Care
(01:30) The Three Ways to Pay for Long Term Care
(04:27) When Should You Start Planning for Long Term Care
(06:33) Alabama Medicare Requirements for Long Term Care:
(16:19) What is a Miller Trust or a Qualified Income Trust
(20:51) Why Having the Tight Power of Attorney is Critical to Medicaid Crisis Planning
(24:20) What you need to know about the Medicaid 5 Year Look Back
Learn More and Connect with Bill Miller
https://millerestateandelderlaw.com/
https://www.facebook.com/MillerEstateandElderLaw/
https://www.linkedin.com/in/bill-miller-estate-and-elder-law-attorney-44036511/
https://twitter.com/attybillmiller
https://www.youtube.com/channel/UC_UuzlnOOHGmiGHgPY7FZ6A
Disclaimer
Please remember that this podcast is for informational purposes only. Please do not make any legal decisions based on what you hear on the podcast. The laws differ from state to state. Listening to this podcast does not create an attorney-client relationship. That does not happen unless we meet, agree to work together. and have a signed fee agreement.
More
In this episode of the Miller Estate and Elder Law Podcast, Bill Miller discusses the critical differences between crisis planning and pre-planning for nursing home care, particularly in the context of Alabama Medicaid. He emphasizes the importance of understanding Medicaid rules, the five-year look back provision, and the necessity of having the right power of attorney. Through real-life examples and practical strategies, listeners learn how to protect their assets and navigate the complexities of long-term care planning. Takeaways Crisis planning is essential for families facing immediate nursing home needs. Pre-planning can significantly reduce financial stress and protect assets. Understanding Alabama Medicaid rules is crucial for effective planning. The five-year look back period can impact Medicaid eligibility. A Miller trust can help individuals with excess income qualify for Medicaid. Community spouses have protections under Medicaid to prevent impoverishment. Real-life case studies illustrate the effectiveness of proper planning. Common mistakes include not having the right power of attorney. Asset protection strategies can help preserve wealth for future generations. Early planning is key to avoiding financial loss in nursing home situations. Chapters (00:00) Medicaid Crisis Planning vs. Pre-Planning for Nursing Home Care (01:30) The Three Ways to Pay for Long Term Care (04:27) When Should You Start Planning for Long Term Care (06:33) Alabama Medicare Requirements for Long Term Care: (16:19) What is a Miller Trust or a Qualified Income Trust (20:51) Why Having the Tight Power of Attorney is Critical to Medicaid Crisis Planning (24:20) What you need to know about the Medicaid 5 Year Look Back Learn More and Connect with Bill Miller https://millerestateandelderlaw.com/ https://www.facebook.com/MillerEstateandElderLaw/ https://www.linkedin.com/in/bill-miller-estate-and-elder-law-attorney-44036511/ https://twitter.com/attybillmiller https://www.youtube.com/channel/UC_UuzlnOOHGmiGHgPY7FZ6A Disclaimer Please remember that this podcast is for informational purposes only. Please do not make any legal decisions based on what you hear on the podcast. The laws differ from state to state. Listening to this podcast does not create an attorney-client relationship. That does not happen unless we meet, agree to work together. and have a signed fee agreement.