Planning Ahead: How Irrevocable Trusts Can Protect Assets from Long Term Care Costs

One of the most common concerns I hear from clients is the cost of long term care. Nursing home care can exceed $7,000 to $9,000 per month in Arkansas, and many families worry that a lifetime of savings could disappear quickly if care becomes necessary. Fortunately, there are planning tools available that can help protect assets while still allowing individuals to qualify for long term care Medicaid benefits when needed. One of the most effective tools is an irrevocable trust.
What Is an Irrevocable Trust?
An irrevocable trust is a legal arrangement where a person transfers ownership of certain assets into a trust that cannot be easily changed or revoked. Once assets are placed into the trust, they are no longer legally owned by the person who created it. Instead, the trust holds and manages those assets for the benefit of designated beneficiaries.
Because the person who created the trust no longer owns those assets, they may not be counted when determining eligibility for Medicaid long term care benefits, provided the trust was established early enough.
Understanding the Five Year Look Back Period
Medicaid has strict rules designed to prevent individuals from transferring assets at the last minute simply to qualify for benefits. One of the most important rules is known as the five year look back period.
When someone applies for long term care Medicaid, the state reviews all financial transactions made during the previous five years. If assets were transferred or gifted during that time without receiving fair market value in return, Medicaid may impose a penalty period during which benefits are delayed.
This is why advance planning is so important. Assets placed into an irrevocable trust more than five years before applying for Medicaid are generally outside the look back period and may not affect eligibility.
How Irrevocable Trusts Can Help
When used properly, an irrevocable trust can provide several advantages:
- It can protect certain assets, such as a home or investment accounts, from being spent down on nursing home costs.
- It allows families to preserve assets for children or other beneficiaries.
- It can provide peace of mind knowing that long term care needs have been considered in advance.
It is important to understand that irrevocable trusts are not appropriate for every situation, and they require careful planning. Once assets are transferred into the trust, the person creating it generally cannot take those assets back.
Planning Before a Crisis
The key takeaway is that Medicaid planning works best when done early. Waiting until someone is already in a nursing home or facing immediate long term care needs can limit the available options.
If you have questions about long term care planning, irrevocable trusts, or Medicaid eligibility, give me a call. I would be happy to speak with you about your situation and help you understand your options.
Ryan Villano
Farrar & Williams, PLLC
1720 Higdon Ferry Road
Hot Springs, Arkansas 71913
(501) 525-4401








