What is the Medicaid Spend Down Process?

June 14, 2021

What is the Medicaid Spend Down Process?

two women are hugging each other while looking at a laptop .

Let’s be honest, planning for your final years isn’t something that anyone looks forward to. Yet, it is an inevitable part of life and planning for it will alleviate a lot of stress for you and your loved ones. One way to do this is to create an irrevocable trust that will allow you to set money aside for future funeral expenses.

What is Medicaid and What is its Relationship to Irrevocable Trusts?

Most of us might have an idea of what medicaid is: a type of financial assistance for individuals and families that qualify. Rules vary state by state. Here in Rhode Island, there are three types of Medicaid:

Institutional/ Nursing Home Medicaid, which has an income limit of $2,382/month in order to qualify.

Medicaid Waivers/ Home and Community-Based Services, which has an income limit of $2,382/month as well.

Regular Medicaid , which has an income limit of $1073/month.

Nursing homes cost on average between $7000 and $8000 a month, which can be extremely prohibitive for spouses or the child/children of the individual who needs to/would like to live in such a setting. Medicaid can be extremely helpful in helping to pay for this. While you might have an income over these limits, there are ways of “spending down” your money in order to qualify. One of these ways is creating an irrevocable trust.

an elderly woman is sitting in a wheelchair talking to a younger woman .

What is an irrevocable trust?

Just like the name suggests, an irrevocable is a non-changeable trust connected to your funeral home of choice, although this can usually be changed to another funeral home if you desire. Other changes can be made after it is created, however, it can be very difficult to do so.

The money put in to an irrevocable trust can only be used to cover funeral expenses, and is not counted as an asset when it come to qualifying for medicaid.

With an irrevocable trust, the cost of services is locked in and will not rise over time, so your family will not be hit with any unforeseen funeral expenses.

You can always connect with a Medicaid planner to help you see what you can do to qualify for medicaid. To find a medicaid planner, click here

For more information on Rhode Island Medicaid Eligibility, click here.

You can also, contact us here at Memorial Funeral Homes if you have an questions about funeral planning, irrevocable trusts or the medicaid spend down process.

Want to start planning now? Click here to start the process.

The post What is the Medicaid Spend Down Process? appeared first on Newport RI | Memorial Funeral Home.

February 5, 2025
Wow, October is almost done and November is just on the horizon! As we enter into the season of holidays, it can be even harder for those who have lost loved ones. Remembering special memories that you had with them and going through the pain of not having the ability to create new ones can be debilitating. In November, our Director of Community Relations and Grief Educator, Kim Shute will be running two workshops about “Hope for the Holidays” at Portsmouth Public Library from 1pm-2:30pm on Nov. 14th and another at the Middletown Public Library from 12:30pm-2pm on Nov. 16th. Experiencing loss can change the way we feel about those important dates in our lives, so please join us to discover ways of reducing stress and finding some peace during the holiday season. No registration or sign up needed.
January 31, 2025
This is a subtitle for your new post
By Pearl Marvell January 4, 2025
How each person defines “all taken care of” has quite a range and on one end of the spectrum is practically nothing is planned and the other every “i” is dotted and each “t” is crossed.
By Gabriella Iannetta November 24, 2024
Memorial Funeral Homes & St. Lucy’s Catholic Church are proud to announce a local stop for the Wreaths Across America Mobile Education Exhibit national tour.
a man in a green elf costume is standing next to a woman in a red cape .
By Pearl Marvell November 21, 2024
Memorial Funeral Home will host its annual showing of “Elf” at the Jane Pickens Theater on December 15th at 2pm! Doors will open at 1pm and entry is free with a donation of non-perishable food items for the Martin Luther King Jr. Center.
A photo of a caravan and a skeleton and flowers.
By Gabriella Iannetta Calabrese October 15, 2024
There’s no definitive answer on when, exactly, humans started to bury their own people–spouses, siblings, parents–because burial sites were hardly preserved.
A woman in black gloves is holding a picture of an older woman.
By Gabriella Iannetta Calabrese October 15, 2024
When Steven Wilson was diagnosed with terminal acute myeloid leukemia he was flooded with memories of his boyfriend’s funeral in 2014. He soured remembering the minister only knowing his partner’s name and nothing more, Wilson told the New York Times . 
By Pearl Marvell September 6, 2024
There are a few things that you need to know...
By Pearl Marvell July 11, 2024
Hay varios tipos de duelo y no todos son iguales.
By Pearl Marvell June 27, 2024
Dr. Martin Luther King Jr. Community Center's Community Programs Manager, Melanie Saunders gave some of the Memorial Funeral Home's staff a tour of MLK's new and improved space this week. "All we can say is wow! We are so lucky to have a community center like this one that helps so many people in our community," says Memorial's Director of Community Relations, Kim Shute.
More Posts
Share by: