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Understanding Medicaid Programs Available for Your Client: A Tutorial for Attorneys (2025 Edition)

2025-01-31 13:00:00

2025-01-31 13:00:00

2 Credits

Comprehensive guide to Medicaid eligibility, asset protection strategies, penalty periods, and crisis planning for long-term care cases.

2025-01-31 13:00:00

Comprehensive guide to Medicaid eligibility, asset protection strategies, penalty periods, and crisis planning for long-term care cases.

2025-01-31 13:00:00

1000+

Live stream programs

24/7

Access to live webinars & recordings

70,000+

Trusted by Legal Professionals

1000+

Live stream programs

24/7

Access to live webinars & recordings

70,000+

Trusted by Legal Professionals

1000+

Live stream programs

24/7

Access to live webinars & recordings

70,000+

Trusted by Legal Professionals

1000+

Live stream programs

24/7

Access to live webinars & recordings

70,000+

Trusted by Legal Professionals

Course Overview

Mastering Medicaid Planning for Long-Term Care

Attorneys will learn financial eligibility requirements, asset protection strategies, and crisis planning techniques for Medicaid applications. These skills enable effective client counseling when families face immediate long-term care decisions.

Key topics that will be covered

What will you learn

Attorneys will learn Medicaid financial eligibility requirements, income and asset rules, penalty periods, exempt transfers, and crisis planning strategies for long-term care.

What will you gain

Attorneys will gain practical knowledge to help clients preserve assets while navigating complex Medicaid applications for nursing home and home care.

Look-Back Period
Medicaid examines gifts made within five years for nursing home care applications.
Asset Limits
New York allows individuals to keep $32,395; some states limit assets to $2,000.
Exempt Transfers
Transfers to spouses, disabled children, or caregiver children avoid penalty periods.
Pool Trusts
Not-for-profits pool funds to pay applicants’ bills for home care Medicaid eligibility.
Miller Trusts
Income cap states require qualified income trusts naming the state as beneficiary.
Crisis Planning
The promissory note strategy can save approximately half of assets during emergencies.

What will you learn

Attorneys will learn Medicaid financial eligibility requirements, income and asset rules, penalty periods, exempt transfers, and crisis planning strategies for long-term care.

What will you gain

Attorneys will gain practical knowledge to help clients preserve assets while navigating complex Medicaid applications for nursing home and home care.

Agenda

Session 1

Asset and Resource Eligibility for Medicaid Services

Session 2

Spend-Down vs. Income-Cap States Managing Excess Income

Session 3

Transfer Penalty Determination in New York States

Break

Break

Session 4

Overview of Exempt Transfer Options Under Medicaid

Session 5

Crisis Planning Using Part Gift Part Loan

Session 6

New York Waiver Programs and CDPAP Benefits

clock 1:00 pm - 1:20 pm EST

Asset and Resource Eligibility for Medicaid Services

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

This session explores the financial eligibility requirements for both nursing home and community-based home care Medicaid programs. Attendees will learn about asset limits, exempt assets like retirement accounts and burial agreements, and the Community Spouse Resource Allowance rules that protect the well spouse.

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

clock 1:20 pm - 1:40 pm EST

Spend-Down vs. Income-Cap States Managing Excess Income

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

This session examines the two approaches states use to handle applicants whose income exceeds Medicaid limits. Participants will learn how spend-down states utilize pool trusts while income-cap states require Miller Trusts, including the specific requirements and allowable expenses for each mechanism.

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

clock 1:40 pm - 2:00 pm EST

Transfer Penalty Determination in New York States

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

This session clarifies the critical distinction between the five-year look-back period and the penalty period calculation. Attendees will understand how regional rates determine penalty duration and learn that penalties now begin at application submission rather than when the gift was made.

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

clock 2:00 pm - 2:10 pm EST

Break

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

A short intermission allowing attendees to refresh before the remaining sessions. Please return promptly for the continuation of the program.

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

clock 2:10 pm - 2:30 pm EST

Overview of Exempt Transfer Options Under Medicaid

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

This session covers transfers that do not trigger penalty periods, including transfers to spouses, disabled children, and caregiver children who meet residency requirements. Participants will also learn about returning gifts to eliminate penalties and the home equity limitation rules.

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

clock 2:30 pm - 2:50 pm EST

Crisis Planning Using Part Gift Part Loan

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

This session presents the promissory note strategy for clients who need immediate nursing home care without prior planning. Attendees will learn how dividing assets between gifts and Medicaid-compliant loans can preserve approximately half of a client’s assets during the penalty period.

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

clock 2:50 pm - 3:10 pm EST

New York Waiver Programs and CDPAP Benefits

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

This session introduces the Nursing Home Transition and Diversion Waiver program for individuals who can remain home with enhanced services. Participants will also learn about the Consumer Directed Personal Assistance Program, which allows trusted caregivers to be compensated through Medicaid.

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

01 07
Prev
Next

speakers

Joe Ervin

The Law Firm for Truck Safety, LLP
A Partner at The Law Firm for Truck Safety. He focuses exclusively on cases involving commercial motor vehicle crashes and wrongful death. Joe also holds a valid class “A” commercial driver’s license with endorsements for double/triple trailers and tankers.

Education & Credentials

A 2013 graduate of the Gerry Spence Trial Lawyers College in Dubois, Wyoming, Joe is rated AV Preeminent™ by Martindale-Hubbell — the highest peer rating for exceptional legal ability and ethics. He is among the first nine attorneys nationwide to earn board certification in Truck Accident Law from the National Board of Trial Advocacy.

Recognition & Leadership

Joe received the Roadway Safety Award from the American Association for Justice (AAJ) for his commitment to improving highway safety.
 He currently serves as Co-Chair of the Academy of Truck Accident Attorneys (ATAA) Safety Committee, advocating for higher safety standards across the trucking industry.

Professional Involvement

Joe serves on the faculty of the AAJ Advanced Trial Advocacy College: Litigating Truck Collision Cases (2015 & 2024).
 He is an active member of AAJ’s Trucking Litigation Group and sits on the Board of Regents for the Academy of Truck Accident Attorneys.

Experience

Joe frequently consults and co-counsels on complex commercial truck cases. His proven track record includes numerous successful trials against motor carriers and truck leasing companies — delivering justice for victims of commercial vehicle accidents.

Kevin Foley

Reminger Co
A Partner at The Law Firm for Truck Safety. He focuses exclusively on cases involving commercial motor vehicle crashes and wrongful death. Joe also holds a valid class “A” commercial driver’s license with endorsements for double/triple trailers and tankers.

Education & Credentials

A 2013 graduate of the Gerry Spence Trial Lawyers College in Dubois, Wyoming, Joe is rated AV Preeminent™ by Martindale-Hubbell — the highest peer rating for exceptional legal ability and ethics. He is among the first nine attorneys nationwide to earn board certification in Truck Accident Law from the National Board of Trial Advocacy.

Recognition & Leadership

Joe received the Roadway Safety Award from the American Association for Justice (AAJ) for his commitment to improving highway safety.
 He currently serves as Co-Chair of the Academy of Truck Accident Attorneys (ATAA) Safety Committee, advocating for higher safety standards across the trucking industry.

Professional Involvement

Joe serves on the faculty of the AAJ Advanced Trial Advocacy College: Litigating Truck Collision Cases (2015 & 2024).
 He is an active member of AAJ’s Trucking Litigation Group and sits on the Board of Regents for the Academy of Truck Accident Attorneys.

Experience

Joe frequently consults and co-counsels on complex commercial truck cases. His proven track record includes numerous successful trials against motor carriers and truck leasing companies — delivering justice for victims of commercial vehicle accidents.

Grant H. Lawson

The Law Firm for Truck Safety, LLP
A Partner at The Law Firm for Truck Safety. He focuses exclusively on cases involving commercial motor vehicle crashes and wrongful death. Joe also holds a valid class “A” commercial driver’s license with endorsements for double/triple trailers and tankers.

Education & Credentials

A 2013 graduate of the Gerry Spence Trial Lawyers College in Dubois, Wyoming, Joe is rated AV Preeminent™ by Martindale-Hubbell — the highest peer rating for exceptional legal ability and ethics. He is among the first nine attorneys nationwide to earn board certification in Truck Accident Law from the National Board of Trial Advocacy.

Recognition & Leadership

Joe received the Roadway Safety Award from the American Association for Justice (AAJ) for his commitment to improving highway safety.
 He currently serves as Co-Chair of the Academy of Truck Accident Attorneys (ATAA) Safety Committee, advocating for higher safety standards across the trucking industry.

Professional Involvement

Joe serves on the faculty of the AAJ Advanced Trial Advocacy College: Litigating Truck Collision Cases (2015 & 2024).
 He is an active member of AAJ’s Trucking Litigation Group and sits on the Board of Regents for the Academy of Truck Accident Attorneys.

Experience

Joe frequently consults and co-counsels on complex commercial truck cases. His proven track record includes numerous successful trials against motor carriers and truck leasing companies — delivering justice for victims of commercial vehicle accidents.

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

Debby Rosenfeld serves as Counsel to the Trusts & Estates and Elder Law Practice Groups at Meltzer, Lippe, Goldstein & Breitstone, LLP. With a career spanning decades in elder law, estate planning, and real estate, she brings deep substantive knowledge to both individual clients and the broader legal community through public and private lectures and published articles addressing elder law issues for attorneys and laypeople alike.

Education & Credentials

Debby earned her Bachelor of Arts from Barnard College of Columbia University in 1983, followed by her Juris Doctor from New York University School of Law in 1986. She is admitted to the New York State Bar.

Recognition & Leadership

Debby was recognized in the 2025 edition of Best Lawyers in America.

Professional Involvement

Debby is a member of both the New York State Bar Association and the Nassau County Bar Association.

Experience

Prior to joining Meltzer Lippe, Debby spent 20 years at Ronald Fatoullah & Associates, where she practiced elder law, estate planning, and real estate. Before that, she worked as a tax attorney. She has lectured publicly and privately on elder law matters and has authored articles on those issues for both attorney and lay audiences.

Debby Rosenfeld

Meltzer, Lippe, Goldstein & Breitstone, LLP

Debby Rosenfeld serves as Counsel to the Trusts & Estates and Elder Law Practice Groups at Meltzer, Lippe, Goldstein & Breitstone, LLP. With a career spanning decades in elder law, estate planning, and real estate, she brings deep substantive knowledge to both individual clients and the broader legal community through public and private lectures and published articles addressing elder law issues for attorneys and laypeople alike.

Education & Credentials

Debby earned her Bachelor of Arts from Barnard College of Columbia University in 1983, followed by her Juris Doctor from New York University School of Law in 1986. She is admitted to the New York State Bar.

Recognition & Leadership

Debby was recognized in the 2025 edition of Best Lawyers in America.

Professional Involvement

Debby is a member of both the New York State Bar Association and the Nassau County Bar Association.

Experience

Prior to joining Meltzer Lippe, Debby spent 20 years at Ronald Fatoullah & Associates, where she practiced elder law, estate planning, and real estate. Before that, she worked as a tax attorney. She has lectured publicly and privately on elder law matters and has authored articles on those issues for both attorney and lay audiences.

Plans

Proven CLE solutions for every legal professional

Access type Individual Purchase Basic Premium Most Popular Corporate CLE Plan
Price
$95 – $245
Price varies based
on the course duration
of 1 to 3+ hours
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based on firm size
Access type Pay per class Unlimited annual access Unlimited access for all firm members
Number of Available Webinars 1 1,000+ 1,000+
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Price varies based
on the course duration
of 1 to 3+ hours
Access type Pay per
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Number of Available Webinars 1
Number of New Webinars Added Yearly Limited
Earn "Live" CLE credit Included
Ability to Ask Questions During
the Presentation via a Chat Box
Included
Attend "Live" Re-Broadcasts Included
Exclusive Partner Webinars & Events
Special credits (Ethics, Elimination
of Bias, etc.)
Instant Certificates After Completion
Personalized CLE Platform
Live Conferences
Bootcamps

Why Attend

Why this 
program matters

Understanding Medicaid eligibility rules, look-back periods, and asset protection strategies enables attorneys to protect client assets and prevent costly denials.
70%
Of Americans turning 65 will require some form of long-term care services during their lifetime. (Administration for Community Living)
$257B
Total Medicaid long-term services and supports spending in 2023, representing 45.6% of all U.S. LTSS expenditures. (Congressional Research Service)
$127k
Annual median cost for a private room in a nursing home in 2024, representing a 9% increase from the prior year. (Genworth Cost of Care Survey 2024)
5.6M
Americans used Medicaid long-term services and supports in 2020, comprising 6% of enrollment but 37% of total Medicaid spending. (Kaiser Family Foundation)

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