Medicaid Planning

Who Can Help You Navigate Medicaid Planning—and Who Shouldn’t?

Medicaid planning can be complex and confusing, especially since rules differ not only by state, but sometimes even within a single state. A variety of professionals and volunteers offer guidance, but not all advisors are created equal—or appropriate for every situation. Some have specialized legal or financial knowledge; others may offer support but lack the tools to help with complex eligibility hurdles. Below, explore the pros and cons of each type of Medicaid planner and consult the comparison table to see which advisor might suit your family best. Be sure to use our free locator tool to find professional help in your area.

Tip: Many Medicaid planning professionals offer complimentary consultations—so exploring your options costs nothing upfront.

Can an Elder Law Attorney Handle It All?

How Do Elder Law Attorneys Help With Medicaid Planning?

Licensed in their respective states, Elder Law Attorneys are deeply knowledgeable about Medicaid eligibility requirements and can establish legal instruments like trusts to restructure income or assets. Since clients pay them directly—usually hourly—there’s no conflict of interest. That said, their expertise comes at a premium, often ranging from $3,000 to $15,000 total, depending on complexity and location.

Is a Geriatric Care Manager the Right Fit for Personalized Help?

What Makes GCMs Unique in the Planning Process?

Also known as Aging Life Care Experts, Geriatric Care Managers focus on care coordination and client well-being. Around 25% offer some financial guidance, but most lack legal training. Their real strength lies in understanding care needs and alternatives to Medicaid. Clients pay them directly, which supports unbiased advice. However, GCMs usually can’t establish legal protections or complex financial strategies like trusts or annuities.

What Do Certified Medicaid Planners Bring to the Table?

Are CMPs a Smart Choice for Financially Ineligible Applicants?

Certified Medicaid Planners (CMPs) specialize in Medicaid rules, eligibility strategies, and appeals. Paid directly by the client, they offer focused, impartial guidance—particularly useful for those initially over income or asset limits. While CMPs are experts in financial aspects of long-term care planning, they may lack the hands-on care knowledge of Geriatric Care Managers.

Are Free Public Benefits Counselors Enough?

What Are the Limitations of State-Employed Advisors?

Public Case Managers working at Area Agencies on Aging or Medicaid offices offer free help and are well-versed in the basics of eligibility. However, they cannot guide individuals through asset restructuring or income planning. If you already meet the financial criteria for Medicaid, they’re a great resource. If not, you’ll need additional support.

Can SHIPs Counselors Help With More Than the Basics?

What Do These Volunteer Advisors Actually Do?

State Health Insurance Program (SHIP) Counselors—typically volunteers—are trained in public benefits like Medicare and Medicaid. While they don’t provide in-depth planning or legal assistance, they can explain the criteria and guide applicants through the process. They’re best for those already well below Medicaid’s financial thresholds. Their services are free but limited in scope.

Should You Be Cautious of Commission-Based Medicaid Planners?

Why Might Their “Free” Services Come at a Price?

These planners often market themselves under “asset protection” and don’t charge upfront fees. Instead, they earn commissions when clients buy Medicaid-compliant annuities. They’re usually skilled in Medicaid rules, but their advice may be shaped by sales incentives. If you’re unable to buy an annuity, they may offer little help. Always be cautious of potential bias.

Can Insurance Agents Really Help You Qualify for Medicaid?

What Role Do Insurance Products Play in Eligibility?

Some insurance agents offer free Medicaid advice to sell policies like burial or final expense insurance, which can help reduce countable assets. While this may be a helpful tactic, families should be aware of potential conflicts of interest. Agents aren’t paid for financial planning—they’re selling a product. Combining their services with public resources may offer a balanced approach.

What About Long-Term Care Ombudsmen—Can They Help?

Is Their Focus More on Advocacy Than Eligibility?

Funded federally, Long-Term Care Ombudsmen advocate for nursing home residents and often assist with complaints or care issues. While they offer free guidance and understand the Medicaid application process, they can’t assist with financial planning. They’re ideal for families already paying privately for care who want to shift to Medicaid coverage.

Can You Do Medicaid Planning on Your Own?

What Are the Risks and Rewards of DIY Medicaid Planning?

Self-planning is possible and budget-friendly. There’s plenty of information online, including legal and financial Q&A services, books, and tools. However, success requires careful research, patience, and organization. Mistakes can be costly—leading to denial of coverage. If you go this route, proceed carefully.

Which Medicaid Planner Is Right for You?

How Do These Experts Compare Side-by-Side?

Use the chart below to compare qualifications, potential conflicts of interest, cost, and focus areas. Remember, the best fit depends on your family’s financial situation, care needs, and personal preferences.