Medicaid Crisis Planning: Advanced Techniques for Preserving Assets After Nursing Home Admission

Leveraging DRA Promissory Notes, Community Spouse Resource Allowance and Medicaid Qualified Annuities

Recording of a 90-minute CLE 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 Wednesday, October 22, 2014

Recorded event now available

Course Materials

This CLE course will equip elder law attorneys with real-world, practical techniques to facilitate asset preservation for senior clients facing a Medicaid eligibility crisis.


Counsel to seniors should take the opportunity to plan in advance for Medicaid asset preservation. The need for Medicaid crisis planning most often arises when your client faces a catastrophic illness or when hospital or rehab medical personnel determine he or she cannot return home.

It’s still not too late for counsel to implement Medicaid crisis planning to protect income and assets to the extent permitted under the law for the client’s and their spouse’s benefit. Otherwise, your client’s life savings can easily be consumed in a short period of time.

Counsel can still offer effective planning opportunities and tools to clients in this position. Key approaches include Medicaid qualified annuities, making countable assets unavailable through the use of DRA qualified promissory notes, and leveraging the use of the Community Spouse Resource Allowance.

Listen as our distinguished panel of attorneys experienced in Medicaid asset preservation reviews the eligibility requirements and their current strategies and approaches to benefit senior clients in preserving assets.



  1. Minimization of the Medicaid “spend-down”
  2. Irrevocable trusts as a planning technique
  3. Conversion of countable assets to exempt assets
  4. Leveraging the Community Spouse Resource Allowance
  5. Deficit Reduction Act qualified promissory notes
  6. Medicaid qualified annuities


The panel will review these and other key issues:

  • What are the key planning strategies available to assist senior clients in the midst of a crisis period to preserve their assets while maintaining Medicaid eligibility?
  • How can you leverage the use of the Community Spouse Resource Allowance, Medicaid qualified annuities and DRA qualified promissory notes for your client’s and his or her spouse’s benefit?
  • What are the most practical and effective approaches for clients to convert Medicaid-countable assets to exempt assets?


Marty Burbank, J.D., LL.M.
Marty Burbank, J.D., LL.M.

Law Office of Marty Burbank

Mr. Burbank focuses his practice in the area of estate planning, elder law and Veteran's Benefits. His...  |  Read More

Joley L. Eason
Joley L. Eason


Ms. Eason’s practice focuses on elder law and disability planning, estate planning and administration, and...  |  Read More

David Goldfarb
David Goldfarb

Managing Partner
Goldfarb Abrandt Salzman & Kutzin

Mr. Goldfarb is a nationally recognized authority in the field of elder law, Medicare, Medicaid and the use of trusts...  |  Read More

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