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Jane called because she was flat out of money and desperate.  Dad had been in a nursing facility for almost 4 years now.  He had spent down his money and Jane had paid the $11,000 per month expense after that, until she was tapped out of her home equity line

Joe calls me because he wants to understand how Medicaid works.  I start to explain how you have to spend down your assets before you can qualify for benefits.  That the spend down has to be for value, meaning that you are spending your money and receiving something of equal

Some months ago I wrote about the couple who, not understanding the peculiarities of the Medicaid rules, did not spend down in a timely manner and, as a result, lost six months of Medicaid eligibility.  Even though the money was eventually spent those lost months could not be recovered and

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