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Asset Spend-Down for Medicaid Qualification: Classifying Assets, Individuals vs. Married Couples, Appeals Process

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, September 8, 2022

Recorded event now available

or call 1-800-926-7926

This CLE course will provide counsel with an in-depth analysis of asset spend-down techniques for Medicaid qualification. The panel will highlight strategies for spend-down, understanding exempt vs. non-exempt assets, and distinctions between individuals and married couples, as well as offer methods to avoid common mistakes and pitfalls.


The spend-down of assets for Medicaid qualification causes much confusion. Practitioners advising the senior population must understand new medical criteria, qualification standards for Medicaid, how assets are classified, differences between individuals and married couples, and the appeal process.

Asset protection strategy implementation requires a working knowledge of how to determine the spend-down. Rules for married couples are particularly complex. Some spend-down strategies that work well for a married couple may not work for a single person, and vice versa. Counsel with elderly clients must thoroughly understand how funds can be spent to avoid Medicaid disqualification.

Listen as our panel of elder law attorneys guides counsel in navigating the Medicaid spend-down rules. The group will highlight key spend-down strategies to avoid Medicaid disqualification.



  1. Qualifying for Medicaid
  2. Spend-down rules and requirements
  3. Case study: applying spend-down techniques to individual applicants
  4. Case study: applying spend-down techniques to married couples
  5. Other considerations: timing issues, use of annuities and insurance
  6. Common mistakes and pitfalls to avoid


The panel will review these and other key issues:

  • Rules and limitations of asset spend-down for Medicaid
  • Application of spend-down techniques to individual applicants
  • Overcoming problems with spend-down techniques for married couples
  • Best practices in avoiding Medicaid disqualification


Keenan, Michael
Michael J. Keenan

Keenan Law

Mr. Keenan specializes in elder law, estate planning, special needs trusts and probate law. He has written...  |  Read More

Kelim, Kyla
Kyla G. Kelim

Aging in Alabama

Ms. Kelim focuses her practice on proactive planning involving those in need concerning Medicaid, Medicare and Social...  |  Read More

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