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The 5-Year Medicaid Lookback Period and How a Skilled Ohio Elder Law Attorney Can Protect Your Hard-Earned Assets

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As an Ohio resident, have you ever wondered how the 5-year Medicaid lookback period could affect your long-term care plans and your family’s financial well-being? According to the National Institute on Aging, you’re not the only one with these concerns.

As the number of seniors in the United States over 65 increases, so will the demand for long-term care. In today’s complex healthcare landscape, planning for the future is more important than ever.

The experienced Ohio elder law attorneys at Jarvis Law Office are dedicated to helping you navigate the intricate Medicaid rules and protect your hard-earned assets. In this blog, we cover what you need to know about the lookback period and provide information about legal strategies that can safeguard your hard-earned assets – possibly every last penny.

Don’t let the complexities of the Medicaid system keep you from taking advantage of strategies that can protect your assets. Contact us at (740) 653-3450 to schedule your FREE consultation with our experienced Medicaid planning team. We protect Ohio seniors and those who love them.

Understanding the Medicaid Lookback Period

The Purpose of the Lookback Period

The Medicaid lookback period prevents people from abusing the Medicaid system by transferring assets to family members or friends to qualify for Medicaid long-term care assistance.

The goal is to ensure that those who genuinely need Medicaid assistance for long-term care expenses receive it while others with sufficient resources pay their own way. In Ohio, the Medicaid lookback period is 60 months or five years.

How the Lookback Period Works

  • Asset Transfers: The lookback period covers any asset transfers made within the five years before applying for Medicaid. If an applicant has transferred assets within this timeframe, they may face penalties or disqualification from receiving Medicaid benefits for a certain period.
  • Penalties and Disqualification: The length of the penalty period depends on the amount and timing of the assets transferred. Essentially, Medicaid calculates the penalty by dividing the total amount transferred by Ohio’s average monthly cost of long-term care. The result is the number of months you’ll be disqualified from Medicaid coverage.

Strategies to Protect Your Assets

There are several legal asset protection strategies that can help protect your assets while still allowing you to qualify for Medicaid. These strategies should be discussed with a knowledgeable elder law attorney to ensure they are suitable for your specific situation.

Irrevocable Trusts

An irrevocable trust is a legal arrangement in which assets are transferred to a trustee, who manages the trust for the benefit of the designated beneficiaries. For example, you could set up an irrevocable trust, transferring your home and investment accounts into the trust.

The trustee would then manage these assets, making decisions based on the best interests of your beneficiaries, such as your children or spouse. Transferring assets into an irrevocable trust protects them from being considered countable assets when applying for Medicaid.

It is essential to note that once assets are transferred into an irrevocable trust, the original owner generally cannot regain control or ownership of these assets, so careful consideration and planning are crucial before establishing such a trust.


An annuity is a financial product that provides a steady income stream over a specified period, typically for the remainder of the purchaser’s life. For example, you could purchase a Medicaid-compliant annuity that converts a portion of your assets into a regular monthly income.

This can help reduce your countable assets for Medicaid eligibility while still providing a source of income for you and/or your spouse.

Start planning for the look-back period today.

Long-Term Care Insurance

Purchasing long-term care insurance can help cover the cost of care while preserving your assets. However, buying a policy well before you need long-term care is essential, as premiums can be quite high if you wait until you’re older or already in poor health.

Gifting and Medicaid

Understanding the Risks of Gifting

While gifting may seem like a straightforward way to protect assets, it can have significant consequences during the Medicaid lookback period. Gifting assets to family members or friends can be considered a transfer of assets, which may trigger penalties or disqualification from Medicaid.

Strategies for Safe Gifting

There are a few strategies that could allow for gifting without jeopardizing Medicaid eligibility, such as using the annual gift tax exclusion or providing funds for a caregiver agreement.

For example, the annual gift tax exclusion allows individuals to give a certain amount of money or assets to another person each year without incurring federal gift taxes or affecting Medicaid eligibility.

In the case of a caregiver agreement, a legally binding contract is established between the person needing care and a family member or friend who will provide the care. The agreement specifies the services to be provided and the compensation for those services, which can be paid upfront without affecting Medicaid eligibility if properly structured.

Life Estates and Medicaid

How Life Estates Work

A life estate is a legal arrangement in which you transfer the ownership of your home to a family member or friend while retaining the right to live in the property for the rest of your life. This strategy can help protect your home from being considered a countable asset for Medicaid eligibility.

Pros and Cons of Life Estates

Life estates can be an effective strategy for some individuals, but they also have potential drawbacks. For instance, if the property is sold during the life estate, the proceeds may still be considered a countable asset.

Spousal Impoverishment Protections

Medicaid’s Spousal Impoverishment Rules

To protect the financial well-being of a healthy spouse, Medicaid has spousal impoverishment rules that allow a certain amount of assets and income to be set aside for the non-applicant spouse. For example, suppose your spouse requires long-term care and applies for Medicaid while you remain healthy and live at home.

In that case, a portion of your joint assets, such as savings and investments, could be allocated to you, ensuring that you have financial resources to maintain your standard of living. These rules help prevent the healthy spouse from becoming impoverished while the other receives Medicaid benefits.

Maximizing Spousal Protection

An elder law attorney can help you navigate the spousal impoverishment rules and determine the best way to protect both spouses’ financial interests. They can provide guidance on asset allocation, income sources, and other strategies to maximize protection for the healthy spouse.

When Long-Term Care is Needed Before Asset Protection Strategies Can Be Utilized

Unfortunately, there may be situations where you might require long-term care before you can protect all your assets from the Medicaid 5-year lookback period.

While planning proactively for long-term care utilizing asset protection strategies is always preferable, options are still available if the need for long-term care arises before all your assets can be protected.

The Role of an Ohio Elder Law Attorney

An Ohio elder law attorney can play a crucial role in helping you navigate the complexities of the Medicaid lookback period and develop strategies to protect your assets. Here’s how they can assist you:

Assessing Your Financial Situation

A skilled attorney will evaluate your current financial situation, including income, assets, and expenses. They’ll determine your eligibility for Medicaid and identify potential issues that could arise during the application process.

Developing a Tailored Medicaid Plan

Based on your financial assessment, the attorney will develop a customized Medicaid plan that meets your specific needs. They will recommend strategies for protecting your assets, such as creating an irrevocable trust, setting up an annuity, or purchasing long-term care insurance.

Navigating Complex Regulations

Medicaid rules and regulations can be incredibly complex, and each state has its own unique requirements. An Ohio elder law attorney is well-versed in the state’s specific regulations and can help you navigate the intricacies of the Medicaid system.

Representing You in the Application Process

When applying for Medicaid, one of the most challenging aspects is trying to comprehend all the legal jargon, especially when it comes to the lookback period.

Your attorney can guide you through the application process and ensure you provide accurate and complete information, reducing the risk of penalties or disqualification.

By taking proactive steps and working with experienced legal counsel, you can preserve your hard-earned assets and ensure a secure financial future for you and your family.

Need help navigating the maze?

Empowering Ohio Seniors: How Jarvis Law Office Can Help You Plan for the Future

Navigating the complexities of the 5-year Medicaid lookback period can be frustrating and confusing for anyone looking to secure their financial future and long-term care plans. At Jarvis Law Office, we understand the importance of preserving your hard-earned assets and providing peace of mind for you and your family.

Let our experienced Ohio elder law attorneys empower you with the knowledge you need to make well-informed decisions for your future. Ready to take the first step toward a secure financial future? Our team is dedicated to helping you protect your assets and navigate the Medicaid lookback period with confidence.

At Jarvis Law Office, we protect Ohio seniors and those who love them. We understand the importance of aging with dignity and on your terms. We offer FREE consultations, in-person workshops, and monthly webinars for Ohio seniors and their families.

With locations in Lancaster, Dublin, and St. Clairsville, contact us at (740) 653-3450 or complete our online form to schedule your FREE consultation.

Copyright © 2022. Jarvis Law Office, P.C. All rights reserved.

The information in this blog post (“post”) is provided for general informational purposes only and may not reflect the current law in your jurisdiction. No information in this post should be construed as legal advice from the individual author or the law firm, nor is it intended to be a substitute for legal counsel on any subject matter. No reader of this post should act or refrain from acting based on any information included in or accessible through this post without seeking the appropriate legal or other professional advice on the particular facts and circumstances at issue from a lawyer licensed in the recipient’s state, country, or other appropriate licensing jurisdiction.

Jarvis Law Office, P.C.
904 N. Columbus Street
Lancaster, OH 43130
(740) 653-3450