A Medicaid 'spend down' may get an older person long-term care coverage but isn't a DIY strategy - AP News

A Medicaid "spend down"—a strategy where older adults reduce their assets to qualify for Medicaid coverage of long-term care—can help seniors access nursing home or home care services, but financial advisors warn against attempting it without professional guidance. To qualify for Medicaid's long-term care benefits, applicants must meet strict asset limits that vary by state, making the spend-down process complex and legally risky if done incorrectly. Improper execution can trigger penalties, disqualify applicants, or result in costly mistakes that delay coverage when seniors need care most urgently. Experts recommend working with elder law attorneys or financial planners who understand Medicaid rules, state-specific regulations, and how to legally restructure assets while preserving eligibility. The guidance reflects growing concern among families navigating long-term care costs as medical expenses and care needs increase with an aging population.