Long-Term Care and
Nursing Home Planning

Planning for Long-Term and
Nursing Home Care

Long term care strategies while protecting your assets

Baker Law Group helps families prepare for the burden of long term nursing home costs and/or in-home care. We also assist families to identify options during crisis planning, when nursing home care is imminent.

Whether due to dementia, stroke, broken hip, fall or aging, we can provide options for long term care while helping to preserve assets and minimize taxes.

Develop Long Term Care Plan in MA

In accordance with the Internal Revenue Code and Massachusetts laws and regulations, our elder law attorneys can help you in a variety of ways.

  • Develop a plan to pay for long-term care
  • Review Medicare and MassHealth eligibility
  • Ensure there are financial resources for a spouse
  • Work closely with other professionals, such as geriatric care managers, accountants, and financial planners to address these complex issues in a thoughtful manner.

Planning in Advance for Elder Care

Nursing home care in Massachusetts averages $427 a day in 2023 ($155,855 a year). While Medicare and supplemental insurance may cover most of the medical expenses of an acute illness, they provide limited coverage for nursing home care.

Planning well in advance of when long-term care is needed opens up more options and can better protect your assets. If you are retired or are near retirement age, we offer you strategies including irrevocable trusts for planning for your future. Our planning incorporates elder law and probate concerns.

MassHealth / Medicaid Eligibility

Asset Limits and Reducing Countable Assets 

To qualify for nursing home care paid for by MassHealth / Medicaid, a single person cannot own more than $2,000 in “countable assets.” When a couple is involved, the spouse cannot have more than  $148,620 in assets (2023 figures and adjusted annually).  Note that the family home does not necessarily have to be sold to qualify for MassHealth.

It is possible to retain and transfer substantial assets and still qualify for MassHealth.  For an introduction, read more about Asset Protection and MassHealth / Medicaid Eligibility.


Attorney Assistance with Applications

When someone is admitted to a nursing home, it is best to quickly learn the financial options. This can include a plan to spend down any assets to meet the MassHealth eligibility requirements, if necessary.

Medicaid application services are social workers and not authorized to practice law. They often do not work for the applicant and many times are contracted by nursing facilities. Even though the cost of an attorney may be greater, it is often more beneficial to have your situation reviewed by an experienced elder attorney whose duty is to the client. One of the most common things said during our initial consultations is “I was never told I had those options.”

MassHealth, Transfers & the 5-Year Look Back Period

Under what is often referred to as the “5 year look back rule,” MassHealth may review all financial records for five years prior to filing an application for MassHealth. If you have transferred your home for less than fair market value to individuals or an irrevocable trust, assisted with college tuition payments for a grandchild or made other transfers during this time, you may be ineligible for MassHealth. This period of MassHealth ineligibility results, even though you meet the other guidelines established.

If you intend to make transfers of your property to someone else or a trust, consult an Elder Law Attorney to determine the future ramifications of the transfer.

senior woman in a wheel chair with a nurse behind her, both happy and smiling

Contact Us

Complete our online form to Schedule a Free Consultation or call Baker Law Group at 781-996-5656 or 800-701-0352 to set up a confidential meeting. Consultations are available by phone or at one of our offices in Hingham, Plymouth, Brockton, and Holliston.