Medicaid and the Living Trust

You've probably gotten a postcard or seen an ad forbenefit.
a seminar on "Living Trusts" and all the benefits theySince you basically have to withdraw all the Trust
supposedly offer you. Basically, a Living Trust is a trustassets and retitle them back into your own name, as
you create and fund during your life and which youyou can see it makes absolutely no sense to pay an
retain the ability to change and revoke at any time.attorney to create a Living Trust for you if you are
They have their place and can be quite useful, in thesingle and facing long-term care, and if you think that
right circumstances, but the question of today isyou may need or want to apply for Medicaid at some
whether they are useful if you may be applying forpoint.
Medicaid.If you are married, it is possible for the Community
The problem with Living Trusts for someone applyingSpouse (i.e., the spouse not in the nursing home) to
for Medicaid is that everything titled in the name of thehave assets titled in the name of a Living Trust, but
Living Trust is considered an available asset, even if itthere is usually little advantage to doing so in a state
was exempt outside of the Living Trust. For instance,like Colorado which has relatively inexpensive and
your home is exempt (up to $500,000), but if you deedsimple probate procedures.
it into your Living Trust, it suddenly loses its exemption.As a matter of fact, there is a type of trust that the
That alone can cause you to become ineligible forCommunity Spouse can set up to be funded after the
Medicaid, forcing you to deed your house out of thedeath of the Community Spouse, which can hold
Trust back into your own name. The same would beassets for the benefit of the nursing home spouse yet
true of your car or even your other personal property.not count against that spouse's Medicaid eligibility.
Now bank accounts and investments can certainly beHowever, such a trust cannot be used in a Living Trust
titled in the name of the Living Trust, since such assetsand can only be used in a Will.
are countable whether they are titled in your name orSo the lesson of all this is that Living Trusts may be
in the Trust's name. However, if you are single, you willuseful for general estate planning purposes but are
have to spend down those assets in any case, ininappropriate--or worse--in a Medicaid planning situation.
order to qualify for Medicaid, so that's a dubious