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Medicaid (Medi-Cal in California) is a joint federal and state program for the poor.  If your client has failed to plan ahead for a long term care expense, he or she will have to pay out-of-pocket for their own care.  This spend-down occurs until most of one's assets are exhausted. 

When your client applies for Medicaid, proof will need to be offered that all 'countable' assets have been exhausted down to the level of a maximum of $2,000 in assets and $35 a month income.  Upon death, each state is mandated by the federal government to have an 'estate-recovery' system in place to recover funds spent for a Medicaid recipient.  Each state varies as to how this is accomplished and to what degree the funds are recovered.

If your client is married, for 2006, the at-home spouse is allowed to keep one home, one car, income in his/her name and a maximum of $99,950* in countable assets.  If the at-home spouse has income less than $2,489* per month, then the spouse applying for Medicaid can allocate their own income to bring the at-home spouse up to the allowable monthly income. 

*These amounts differ for each state and increase from year-to-year. 

Be careful about advising your client in these matters.  Some agents mislead clients by recommending  that the client protect funds by placing them in an annuity.  Income generated from the annuity may be subject to the income limits.

The most important thing to remember about Medicaid is that unless you are a CPA or tax©2000-2006  LifeStyle Insurance Services, Inc. All Rights Reserved