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2022 Medicaid Planning and Rules Update: New State Legislation, Restrictions, Annuities, SPIAs, Transfers, Valuations

Recording of a 90-minute CLE video webinar with Q&A

This program is included with the Strafford CLE Pass. Click for more information.
This program is included with the Strafford All-Access Pass. Click for more information.

Conducted on Thursday, January 20, 2022

Recorded event now available

or call 1-800-926-7926

This CLE webinar will provide elder law attorneys an in-depth analysis of recent state legislation impacting Medicaid planning, assets, transfers, and common challenges, and methods to overcome them. The panelist will discuss strategies for navigating annuity rules for married couples and single individuals, asset limits, look-back periods, purchase of exempt assets, valuations in Medicaid asset planning, and more.


Medicaid planning assets, transfers, conversion rules, and recent state legislation cause much confusion amongst elder law attorneys. Practitioners advising the senior population must understand the qualification standards for Medicaid, how assets are classified, the impact of annuity rules for married couples and single individuals, look-back periods, and the valuation issues in Medicaid planning.

The assets held by an applicant largely determine Medicaid eligibility, but not all assets are treated the same. Rules for married couples are particularly complex when implementing asset protection and spend-down strategies. In addition, qualifying for nursing home care benefits under Medicaid requires careful attention to detail and advanced knowledge of the requirements and limitations involved.

Counsel with elderly clients must navigate applicable rules and asset limits, qualifying asset transfer requirements, methods to convert assets to noncountable assets, and necessary provisions for Medicaid trusts.

Listen as Melissa Negrin-Wiener, Senior Partner at Cona Elder Law, guides counsel in navigating limitations, annuity rules, look-back periods, valuation issues, purchase of exempt assets, conversions, transfer rules, and more.



  1. Medicaid eligibility criteria
  2. Valuation in Medicaid asset planning
  3. Transfers and penalties
  4. Asset conversions
  5. Annuity rules
  6. Medicaid trusts and taxes
  7. Recent cases and state legislation


The panelist will review these and other key issues:

  • What are the Medicaid eligibility requirements?
  • What are the asset limits, level of care, and look-back periods?
  • How do transfers, gifts of assets, and purchase of exempt assets factor into Medicaid planning?
  • How can you convert assets into noncountable assets?
  • Valuations in Medicaid asset planning
  • What are the challenges under the annuity rules for married couples and single individuals?
  • What are the key issues and ramifications of recent cases and state legislation?
  • What are the critical considerations for Medicaid trusts and tax implications?


Negrin-Wiener, Melissa
Melissa Negrin-Wiener

Senior Partner
Cona Elder Law

Ms. Negrin-Wiener manages the Government Benefits Department, concentrating her practice in the areas of asset...  |  Read More

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