09/10/2026
Most families don’t think about Medicaid planning until there’s a crisis.
A fall. A dementia diagnosis. A hospitalization. A parent who suddenly can’t safely live at home.
And then comes the question:
“What happens to Mom’s house if she needs nursing-home care?”
Unfortunately, that is often when families first learn about Medicaid’s five-year lookback period.
For nursing-home Medicaid, certain transfers made during the five years before applying can create a period of ineligibility, the “penalty period.” That means waiting until someone needs care to start planning can dramatically limit the options available.
This is why advance planning matters.
For some families, a properly drafted and funded irrevocable trust can be an effective way to protect assets, including a home, while still allowing the person creating the trust to retain certain important rights.
But there is a word in that sentence that matters:
IRREVOCABLE.
This is not the same as putting your house into a revocable living trust.
Asset-protection planning requires giving up certain ownership and control on paper. The trust must be carefully drafted, properly funded, and - most importantly - established early enough for the planning to work as intended.
And the five-year clock?
It generally starts when the asset is actually transferred, not when you meet with an attorney, sign a retainer, or start thinking about planning.
The good news is that planning does not mean giving up the ability to live in your home or maintain your property tax exemptions. Depending on the strategy used, there may also be ways to preserve important rights and flexibility.
But every family is different, and Medicaid planning is definitely not one-size-fits-all.
The best time to talk about protecting a home and other assets is before there is a health crisis - when there is time to carefully consider the options instead of making decisions under pressure.
If you or your parents are approaching retirement age and own a home or other significant assets, now may be a good time to have that conversation.
The Law Office of Amanda Scott
Estate Planning • Elder Law • Probate
Serving families throughout Western New York
scottlawwny.com
This post is for general informational purposes only and is not legal advice.
Scott Law PLLC is a Western New York estate planning and elder law firm owned by attorney Amanda J. Scott. Personal, plain-English help with wills, trusts, Medicaid asset protection, probate, and powers of attorney — serving Buffalo, Amherst, Williamsville, and all of WNY.