Medicaid Planning

As New Jersey’s long-term care costs continue to rise, more families are turning to Medicaid as part of a comprehensive estate and elder-law strategy. To meet this growing need, our firm is proud to offer full Medicaid Application Services (MLTSS/Managed Long-Term Services & Supports) and pre-planning Medicaid strategies for individuals and families seeking clarity, protection, and peace of mind.

Why Medicaid Planning Matters

A single year in a New Jersey nursing home can cost well over $120,000. For many families, these expenses can quickly consume a lifetime of savings—unless proactive steps are taken.

Medicaid planning protects your health, your home, and your legacy by ensuring that you qualify for benefits without unnecessary spend-down or avoidable penalties.

Thank You

Thanks for your interest. I know you have a lot of options when it comes to legal planning. Ralston Law has been the trusted partner of New Jersey residents. I look forward to meeting with you. Schedule today!

Our Medicaid Services

Medicaid Pre-Planning (5+ Years Before Need)

  • Irrevocable “Medicaid Asset Protection” Trusts (MAPTs)
  • Long-term care risk assessment and asset-protection mapping
  • Protection of the family home
  • Income-planning strategies for future eligibility
  • Planning for married couples, blended families, and vulnerable beneficiaries
  • Preserving inheritances for children while securing future care needs

Medicaid Crisis Planning (When Care Is Needed Now)

  • Qualified Income Trusts (QITs / Miller Trusts)
  • Strategic spend-down planning
  • Care-provided agreements
  • Medicaid-compliant annuities (when appropriate)
  • Exempt transfers permitted under New Jersey law
  • Protection of the home and primary vehicle
  • Asset preservation for a community spouse

Full Medicaid Application Filing (MLTSS)

We manage the entire process—from intake to approval—so you can focus on your loved one’s care. Services include:

  • Review of financial records and documentation
  • Completing and filing the Medicaid application
  • Responding to county caseworker inquiries
  • Preparing spend-down documentation
  • Tracking the file until approval

Why Work With an Estate Planning Attorney for Medicaid?

Unlike non-attorney planners, our firm integrates Medicaid eligibility with estate planning, tax consequences, asset protection, probate avoidance, and fiduciary guidance to prevent:

  • Avoidable transfer penalties
  • Unnecessary tax exposure
  • Problems with future real estate sales
  • Conflicts among heirs
  • Administrative mistakes

Protecting Your Home and Your Legacy

We provide guidance that can help protect:

  • The family home
  • Retirement assets (IRA/401k)
  • Savings and investment accounts
  • Life insurance and annuities
  • A spouse or disabled child’s long-term security

Schedule a Consultation

If you or a loved one is facing long-term care, now is the time to get answers. Whether you need help filing an application today or want to create a five-year protection plan, we are here to guide you every step of the way.

Contact our office to schedule a consultation and begin securing your future.

Misty Ralston
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