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Cost Analysis: Setting Up a Medicaid Asset Protection Trust


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When it comes to protecting your hard-earned assets from the high costs of long-term care, one crucial tool you can leverage is a Medicaid Asset Protection Trust (MAPT). If you’re wondering how much does a Medicaid asset protection trust cost, the price generally ranges from $2,000 to $12,000 depending on various factors such as your location, the complexity of your financial situation, and the services offered by the attorney setting up the trust.

Here’s a quick breakdown:

  • Legal fees: $2,000 to $12,000
  • Geographic variation: Costs can be higher in urban areas
  • Additional services: Packages including other legal documents can increase the overall cost

A Medicaid Asset Protection Trust is not just about the numbers; it’s a strategic move to protect your home and savings from being depleted by nursing home expenses. This type of trust is irrevocable, meaning once assets are transferred, they can no longer be touched by the trustor, but the benefits can be substantial in preserving your estate for your heirs.

I’m Marty Burbank, a trusted expert in estate planning with experience in elder law. Over the years, I have been featured by Forbes and the Orange County Register, and I speak frequently about seniors, military veterans, and their care. My goal is to help you navigate the complexities of elder law and secure your financial future using tools like Medicaid Asset Protection Trusts.

Medicaid Asset Protection Trust Cost Breakdown - how much does a medicaid asset protection trust cost infographic comparison-2-items-formal

Let’s delve deeper into what a Medicaid Asset Protection Trust is and explore the various factors that influence its cost.

What is a Medicaid Asset Protection Trust (MAPT)?

A Medicaid Asset Protection Trust (MAPT) is a legal tool designed to help individuals protect their assets from the high costs of long-term care while still qualifying for Medicaid. Sometimes called a Medicaid planning trust, Medicaid trust, or home protection trust, an MAPT holds the title to transferred assets, effectively removing them from your ownership.


The primary goal of an MAPT is to safeguard your assets, such as your home, savings, and investments, from being spent down to meet Medicaid’s eligibility requirements. This is particularly important if you anticipate needing long-term care in the future.

Asset Protection

When you transfer assets into an MAPT, these assets are no longer considered your property. This means they won’t be counted when determining your Medicaid eligibility. For example, if you deposit funds into an MAPT, you can still receive the interest, but you can’t access the principal amount.

Case Study:
Imagine John, a retired teacher with a home and savings. He sets up an MAPT and transfers his assets into it. Five years later, John needs nursing home care. Because his assets are in the MAPT, Medicaid does not count them, allowing John to qualify for Medicaid benefits without losing his home or savings.

Irrevocable Trust

An important feature of an MAPT is that it is irrevocable. Once you create the trust and transfer your assets, you can’t change or cancel it. This ensures that the assets are protected from Medicaid’s asset recovery processes. However, you retain the ability to replace the trustee if needed.

If Mary sets up an MAPT and appoints her daughter as the trustee, she can later decide to replace her daughter with a professional trustee if she feels it’s necessary.

Look-Back Period

Setting up an MAPT triggers Medicaid’s look-back period, which is generally 60 months (5 years) in most states. During this period, Medicaid reviews any transfers to ensure they weren’t made to qualify for benefits dishonestly. If assets are transferred within this period, it could result in a penalty.

California has a shorter look-back period of 30 months, and it will be eliminated entirely by mid-2026.

Benefits for Beneficiaries

An MAPT also ensures that your assets are protected for the people you name as beneficiaries. When you pass away, the assets in the trust can be distributed to your beneficiaries without going through probate, making the process smoother and faster.

The average cost of a nursing home is over $7,750 per month. By setting up an MAPT, you can save a significant amount of money in the long run.

By understanding the basics of what an MAPT is and how it works, you can make informed decisions about protecting your assets and ensuring financial security for your loved ones.

How Much Does a Medicaid Asset Protection Trust Cost?

Factors Influencing the Cost of a MAPT

The cost of setting up a Medicaid Asset Protection Trust (MAPT) can vary widely, typically ranging from $2,000 to $12,000. Several factors influence this cost:

  1. Legal Fees: The cost of hiring an attorney to draft and establish the MAPT is a significant part of the overall expense. Attorneys who specialize in elder law and Medicaid planning may charge higher fees due to their expertise.

  2. Complexity of the Trust: The more complex your financial situation, the more time and effort will be required to set up the trust. This includes the number and types of assets being transferred and any special provisions you may need.

  3. Geographic Variation: Costs can vary significantly depending on where you live. For instance, legal services in urban areas tend to be more expensive than in rural areas.

  4. Asset Types: The types of assets you are transferring into the trust can also impact the cost. Real estate, investments, and other complex assets may require additional legal work to transfer properly.

  5. Marital Status: Your marital status can affect the complexity and cost of setting up an MAPT. Married couples may need additional planning to ensure both spouses’ assets are protected.

  6. Crisis Planning: If you need to set up an MAPT quickly due to an imminent need for Medicaid, this “crisis planning” can be more expensive. Attorneys may charge higher fees for expedited services.

Comparing Costs Across Different States

The cost of setting up an MAPT can also vary based on state-specific regulations and the general cost of living in different areas.

  • State-Specific Regulations: Each state has its own rules and regulations regarding Medicaid planning and asset protection. Some states may have more stringent requirements, which can increase the complexity and cost of setting up the trust.

  • Urban vs. Rural Pricing: Typically, legal services in urban areas are more expensive than in rural areas. For example, setting up an MAPT in California might cost more than in a less densely populated state.

Here’s a quick comparison table to illustrate these variations:

FactorUrban Area (e.g., San Francisco, CA)Rural Area (e.g., Rural Midwest)
Average Legal Fees$8,000 – $12,000$2,000 – $5,000
Complexity HandlingHigh due to diverse assetsModerate to Low
State RegulationsStringentLess Stringent

Case Study:
In Wisconsin, irrevocable trusts can generally be altered or canceled if all parties agree, which might reduce some legal complexities and associated costs.

According to the Centers for Disease Control and Prevention, Americans are living longer, increasing the likelihood of needing long-term care.

By considering these factors, you can better understand the potential costs involved in setting up an MAPT and make an informed decision about whether this financial planning tool is right for you.

Benefits and Drawbacks of Medicaid Asset Protection Trusts

Advantages of Setting Up a MAPT

Asset Security: One of the biggest advantages of a Medicaid Asset Protection Trust (MAPT) is that it protects your assets from being counted when determining Medicaid eligibility. This means your hard-earned savings and property can be preserved for your heirs instead of being spent on long-term care costs.

Medicaid Eligibility: By placing assets into a MAPT, you can meet Medicaid’s asset limit requirements without having to “spend down” your assets. This allows you to qualify for Medicaid benefits while keeping your wealth intact for your family.

Protection from Estate Recovery: After a Medicaid recipient passes away, the state often tries to recover the costs of care from the deceased’s estate. However, assets placed in an MAPT are generally protected from this estate recovery process, ensuring that your beneficiaries receive their inheritance.

Asset Limit Exemption: An MAPT allows you to transfer assets out of your ownership, effectively reducing your countable assets to meet Medicaid’s eligibility criteria. This is especially beneficial for those who have assets exceeding the Medicaid asset limit but cannot afford the high cost of long-term care.

Potential Disadvantages of MAPTs

Loss of Control: Once you transfer assets into an MAPT, you no longer have control over them. The trust is managed by a trustee, who must adhere to specific rules about how the assets can be used. This can be a significant drawback if you need access to these assets in the future.

Look-Back Period: Medicaid has a “look-back” period, typically five years, during which any transfer of assets to an MAPT can lead to penalties. If you apply for Medicaid within this period, you may be penalized with a period of ineligibility. This makes advance planning crucial.

Legal Complexity: Setting up an MAPT involves navigating complex legal requirements and ensuring that the trust is drafted correctly to meet Medicaid guidelines. This often requires the assistance of an experienced elder law attorney, adding to the overall cost and complexity.

Case Study:
In California, the look-back period is 2.5 years, shorter than the typical five years in other states. However, starting January 1, 2024, California will eliminate the asset limit for Medicaid (Medi-Cal), making MAPTs less relevant for eligibility purposes in the state.

“An irrevocable trust must be established well in advance of the need for Medicaid to be effective. Planning ahead can save families from financial hardship,” says Marty Burbank, founder of OC Elder Law.

By weighing these advantages and disadvantages, you can determine whether setting up a Medicaid Asset Protection Trust aligns with your financial and healthcare planning goals.

How to Set Up a Medicaid Asset Protection Trust

Necessary Steps to Establish a MAPT

Creating a Medicaid Asset Protection Trust (MAPT) involves several key steps. Each step is crucial to ensure the trust is set up correctly and meets all legal requirements. Here’s a breakdown:

Attorney Requirement

To establish a MAPT, you must work with an attorney who specializes in estate planning and elder law. The rules around Medicaid and asset protection are complex and vary by state. A knowledgeable attorney ensures your trust is set up correctly and complies with state laws. Incorrectly setting up a MAPT can make you ineligible for Medicaid, defeating its purpose.

Trust Setup Process

  1. Consultation: Meet with an attorney to discuss your financial situation, healthcare needs, and long-term goals.
  2. Drafting the Trust: The attorney will draft the trust document, outlining the terms and conditions.
  3. Review and Signing: Review the draft carefully. Once satisfied, you will sign the trust document, making it legally binding.
  4. Funding the Trust: Transfer assets into the trust. This step is critical as the trust only protects assets it holds.

State-Specific Laws

Medicaid rules differ from state to state. For instance, in Wisconsin, irrevocable trusts can be altered or canceled if all parties agree. In California, the look-back period is only 30 months, unlike the 60 months in other states. An experienced attorney will help you navigate these state-specific regulations.

Choosing a Trustee

The trustee manages the trust’s assets. This person or company should be trustworthy and competent. While you, as the grantor, can remove and replace the trustee, you cannot be the trustee yourself.

Transferring Assets

Transferring assets into the trust is a critical step. You must transfer ownership of the assets to the trust. This can include your home, investments, and other valuable properties. Once transferred, these assets are no longer yours. They belong to the trust.


A MAPT is irrevocable, meaning you cannot change or cancel it once it’s set up. This feature is essential for Medicaid eligibility but also means you lose control over the assets placed in the trust. Plan carefully to ensure you retain enough assets for your immediate needs.

By following these steps and working with a qualified attorney, you can set up a Medicaid Asset Protection Trust that safeguards your assets and ensures Medicaid eligibility when needed.

Alternatives to Medicaid Asset Protection Trusts

When planning for Medicaid eligibility, you have options beyond a Medicaid Asset Protection Trust (MAPT). Here are some common alternatives:

Spending Down Assets

Spending down your assets is a strategy where you use your excess resources on allowable expenses to meet Medicaid’s asset limit. This can include:

  • Home improvements: Making necessary repairs or modifications to your home.
  • Paying off debts: Settling any outstanding loans or credit card balances.
  • Purchasing exempt assets: Buying items like a new car or prepaying funeral expenses.

The key is to spend money on things that Medicaid does not count towards your asset limit. But, be cautious: any spending that appears to be a gift or transfer could trigger the Medicaid look-back period, potentially delaying your eligibility.

Irrevocable Funeral Trusts

An Irrevocable Funeral Trust (IFT) is a trust specifically set up to cover funeral and burial expenses. This type of trust has several benefits:

  • Exempt from Medicaid asset limits: Funds in an IFT do not count towards your Medicaid asset limit.
  • Peace of mind: Ensures that funeral costs are covered, reducing the financial burden on your family.

IFTs are typically capped at a certain amount—often around $15,000. This makes them a practical option for protecting a modest sum while ensuring your final expenses are covered.

Medicaid Compliant Annuities

A Medicaid Compliant Annuity is another tool for managing assets. This type of annuity converts a lump sum of money into a stream of income that is not counted as an asset by Medicaid. Key features include:

  • Immediate annuitization: Payments must start right away and be structured to last for a period not exceeding your life expectancy.
  • Irrevocability: Once set up, the terms cannot be changed.

These annuities can be particularly useful for married couples. For example, if one spouse needs nursing home care, an annuity can ensure the community spouse (the one not needing care) has a steady income while still qualifying the institutionalized spouse for Medicaid.

Summary Table of Alternatives

Spending Down AssetsUsing excess assets for allowable expenses.Simple to implement.Must be done carefully to avoid penalties.
Irrevocable Funeral TrustsSetting aside funds specifically for funeral and burial expenses.Exempt from asset limits, peace of mind.Limited to funeral expenses, capped amount.
Medicaid Compliant AnnuitiesConverting assets into a stream of income.Provides steady income, asset protectionIrrevocable, complex to set up.

By considering these alternatives, you can better tailor your Medicaid planning strategy to your specific needs and circumstances. For personalized advice, consult with an elder law attorney experienced in Medicaid planning.


Planning for the future is crucial, especially when it involves protecting your hard-earned assets. At OC Elder Law, we understand the complexities and emotional weight of these decisions. Our team of experienced and compassionate attorneys is here to guide you through every step of the process.

Whether you’re considering a Medicaid Asset Protection Trust (MAPT), exploring other asset protection strategies, or simply looking for a way to ensure your estate is in order, we can help. Our goal is to make sure you and your loved ones are well-prepared for whatever the future holds.

Why Choose OC Elder Law?

  • Expertise: With over three decades of experience, our attorneys have the knowledge and skills to navigate the intricate world of estate planning and elder law.
  • Personalized Service: We offer tailored solutions that fit your unique circumstances, ensuring that your assets are protected and your wishes are honored.
  • Convenience: Can’t come to our office? No problem. We make home visits in Orange County and throughout California, and we’re even willing to fly to your town to meet you.

Legal Guidance You Can Trust

Navigating the legal landscape can be daunting, but you don’t have to do it alone. Our team will thoroughly examine your case, walk you through all your legal options, and recommend the right path forward for your situation. From setting up a MAPT to exploring alternative asset protection strategies, we are here to help.

Get Started Today

Don’t leave your future to chance. Contact us online or call (888) 493-5088 to discuss your legal needs with our firm today. Let us help you plan for the unknown and protect you and your loved ones.

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