Nassau County Medicaid Asset Protection Trust Attorney 

Protecting Your Home & Savings From Long Term Care Costs

For many families in Nassau County, the biggest financial worry is not day to day expenses. It is what happens if a spouse or parent needs long term care. Nursing home and home care costs can quickly drain a lifetime of savings, and many people are unsure how Medicaid fits into that picture.

At Kirshblum Taber PC, we help families understand how planning with a Medicaid asset protection trust can fit into a wider strategy for long term care. Our attorneys focus on family law, elder law, and estate planning, so we are used to balancing legal rules with real family concerns. We work to explain your options in clear, practical terms so that you can make decisions with confidence.

We know these conversations are sensitive. Our team is committed to attentive service and direct communication with our attorneys, so you do not feel alone while you plan for a loved one’s future care.

To speak with our experienced Nassau County medicaid asset protection trust lawyers, call us at (516) 908-8842 or contact us online today. 

How We Help Families Plan

When you contact our firm, you are usually not just asking about a document. You are asking how to protect a home, support a healthy spouse, and still prepare for possible Medicaid eligibility in the future. We start by listening carefully to what is happening in your family and what you want to preserve.

Our attorneys handle family law, elder law, and estate planning as part of one practice. This matters because Medicaid planning does not happen in a vacuum. Decisions about this kind of trust often affect inheritances, powers of attorney, health care decision making, and even family conflicts. We work to design planning that respects these connections instead of treating each piece in isolation.

Our team includes a former NYS Family Court Jurist. This background gives us seasoned insight into complex family situations, questions about capacity, and the kinds of disputes that can arise if planning is not handled with care. We draw on that experience when we help you think through who should act as trustee, how to protect a vulnerable spouse, and how to keep communication as open as possible within the family.

Communication is central to how we practice. Clients speak directly with our attorneys, and we make it a priority that you understand each step of the process. For families who are more comfortable in another language, we can arrange interpreters for Spanish and Russian. This helps make sure that key family members can participate in discussions and ask questions in the language they know best.

Throughout the planning process, we aim for clients to feel directly supported. That means we answer questions, explain tradeoffs, and adjust the plan as needed in response to changing health or family circumstances. Our goal is to protect your interests with care and attention, not to push a one size fits all solution.

Understanding These Trusts In New York

Before deciding whether to use this kind of trust, it helps to understand what it is and what it is not. In New York, a Medicaid oriented asset protection trust is usually an irrevocable trust that you create during your lifetime. You transfer certain assets into the trust, often a primary residence or investment accounts, with the goal of planning ahead for possible Medicaid eligibility.

When assets move into an irrevocable trust of this type, you are giving up direct ownership in a legal sense. You are usually not the trustee, and you cannot simply take assets back whenever you wish. At the same time, many people keep important rights, such as the right to live in the home for life or to receive income from trust investments. The trust is designed so that, after a period of time, these assets are generally not counted as available resources when Medicaid reviews an application.

Timing is an important part of this planning. New York applies a look back period to many nursing home Medicaid applications. Transfers into a Medicaid related trust during that time are reviewed and can affect when coverage begins. Earlier planning typically preserves more options, although families who waited are often surprised to learn that some strategies may still be available. In our meetings, we explain in plain language how timing might affect your particular situation.

Many people are familiar with revocable living trusts that help with probate avoidance. Those tools usually do not protect assets for Medicaid purposes, because you keep control and can revoke the trust at any time. An irrevocable trust that is designed with Medicaid rules in mind serves a different function. We help you understand that difference so you are not relying on a trust that does not match your goals.

No single plan fits every family. Before recommending any structure, we review your assets, family relationships, existing documents, and health circumstances. We discuss which assets might be appropriate for trust funding and which you may want to keep outside the trust for flexibility. Our role is to help you see the tradeoffs clearly so you can decide whether this type of planning fits your priorities.

Planning For Nassau County Long Term Care

Long term care planning feels very real when you think about life where you live. For residents of Nassau County and nearby Long Island communities, the cost of care can be significant whether it involves home health aides or a stay in a nursing facility. Families often find that private funds can only stretch so far before they must look at Medicaid options.

New York Medicaid programs are administered through state rules, but your experience as a resident involves local offices and procedures. For example, nursing home Medicaid applications for residents are typically processed through the Nassau County Department of Social Services. The way documents are requested, how questions are asked, and which issues tend to come up can depend on local practice as well as state level guidelines. We are familiar with how these applications are handled for families here.

For many clients, the primary concern is a house in Nassau County. Whether it is a single family home, a co op, or a condo, that property often represents both financial security and cherished family history. Using a trust for Medicaid planning requires careful thought about who will be trustee, how sale or rental might work in the future, and how to coordinate with any existing mortgage or co op rules. We talk through these practical details with you.

This kind of trust usually forms just one part of a wider plan. We often pair it with updated powers of attorney, health care proxies, and wills so that decision making remains clear if capacity declines. For married couples, we also look at how to protect a healthy spouse who will remain in the community and still need income and housing stability after the other spouse enters care.

Because we work regularly with Nassau County families, we understand the kinds of questions that arise as parents age, children move away or come back, and financial circumstances change. We help you view long term care planning not as a single transaction, but as part of an ongoing effort to maintain dignity and stability for everyone involved.

Steps To Start Your Planning

It can feel daunting to know where to begin. Breaking the process into a few clear steps can make it more manageable and help you feel in control of the planning. Our attorneys guide you through each stage, but it helps to know what to expect.

Here are practical steps many families take when they are ready to talk about long term care planning:

  • Make a simple list of assets, such as the home, bank and investment accounts, retirement funds, and life insurance with cash value.
  • Note who currently owns each asset and whether anyone else’s name is on the title or account.
  • Think about who you trust to manage finances or make health decisions if you could not do so yourself.
  • Gather any existing wills, trusts, or powers of attorney so we can see how they fit with new planning.
  • Schedule a consultation so we can review your situation, discuss whether a trust fits your goals, and outline next steps together.

When you meet with us, we start with your questions. We discuss your health outlook, family roles, and what you hope to protect. We then review how Medicaid planning works in New York and whether a trust is appropriate in light of the look back period and your current assets. Our goal is not to rush decisions, but to give you a clear picture.

If you decide to move forward, we work on designing the trust and related documents, reviewing drafts with you in detail. You will meet with an attorney, not just staff, to go over what each document does and how it supports your goals. We also help you understand the steps for transferring assets into the trust once it is signed.

Communication does not end at signing. Families often have follow up questions as they continue to live with the plan, and we work to remain available for guidance. When language is a concern, we bring in Spanish or Russian interpreters so that everyone around the table understands the choices being made. To talk with our team about planning for your family, you can call us at (516) 908-8842.

To speak with our experienced Nassau County medicaid asset protection trust lawyers, call us at (516) 908-8842 or contact us online today. 

Frequently Asked Questions

When should I set up a Medicaid asset protection trust?

Planning earlier usually preserves more options, because New York applies a look back period to many nursing home Medicaid applications. We encourage families to talk with us when long term care is a real possibility, rather than waiting until a crisis. We can then discuss timing in the context of your facts.

Will I lose control of my home if I put it in the trust?

You typically give up legal ownership but may keep important rights, such as the right to live in the home for life. The trustee manages the property under the trust terms. We explain how this balance of protection and security works so you know what to expect.

Is it too late to plan if my parent already needs care?

It is not always too late, but options may be more limited once care has begun. We review the current health situation, assets, and any transfers already made, then discuss what planning is still realistic. Even if a trust is not suitable, we may explore other ways to support your parent.

How does a trust affect a healthy spouse who stays at home?

A properly designed plan aims to protect a spouse who remains in the community by preserving housing and access to income. We look at ownership of the home, available resources, and New York’s rules for community spouses, then structure documents to support that spouse as much as possible.

Can your team help us in Spanish or Russian?

Yes. Our firm can arrange interpreters for Spanish and Russian speakers so that family members can participate fully in meetings and understand each part of the plan. Clear communication is essential, and we want everyone involved to feel comfortable asking questions and sharing concerns.

Start A Conversation About Your Family’s Future

Taking the first step toward long term care planning can bring real relief. When you understand how tools like a Medicaid asset protection trust might work for your family, it becomes easier to make thoughtful decisions instead of reacting in a crisis. Our attorneys are here to listen, answer questions, and help you weigh your options under New York law.

At Kirshblum Taber PC, we draw on our combined experience in family law, elder law, and estate planning, along with the perspective of a former NYS Family Court Jurist, to guide Nassau County families through these important choices. We strive to provide direct attorney communication, attentive service, and access to Spanish and Russian interpreters when needed, so the process feels as clear and supportive as possible.

If you are ready to talk about protecting a home or savings while planning for care, we invite you to contact us for a consultation to discuss your situation.

To speak with our experienced Nassau County medicaid asset protection trust lawyers, call us at (516) 908-8842 or contact us online today. 

  • “David and Orly are the definition of a DREAM TEAM!!”
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Dedicated and Experienced Legal Professionals

Our lawyers serving Nassau County bring a unique background of experience. Attorney David A. Kirshblum, Esq. is a retired judge who has spent over 24 years on the family court bench, including presiding over cases involving  Sean “Puffy” Combs, Al Pacino, and Mick Jagger. 

He has also written decisions that have been affirmed by the NYS Appellate Division. Having been on the judicial side of the law, Attorney Kirshblum has a unique perspective that can prove advantageous to strategizing against the other side. 

Further, while Attorney Kirshblum handles the family law side, Attorney Orly Taber, Esq. has significant experience with estate planning and helps clients, particularly the elderly, with estate matters and ex-spouse property disputes.  

She is an energetic and client-focused lawyer who helps build estate plans that safeguard your personal and material interests. 

Both Nassau County lawyers at Kirshblum Taber PC are experienced and professional advocates who treat their clients with respect.

Schedule an initial consultation with our attorneys by calling (516) 908-8842 today to get started on your case.

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