October 25, 2023

Estate Planning and Medicaid in Ohio: Ensuring a Secure Future for Your Loved Ones

senior couple talking with estate planning attorney

Estate planning is a crucial process that involves arranging for the orderly management and distribution of your assets and properties during your lifetime and after your passing. However, when considering estate planning, it’s essential to understand how it intersects with Medicaid, the federal and state program that provides healthcare assistance to low-income individuals and families. Proper estate planning can help you protect your assets and ensure that you or your loved ones qualify for Medicaid benefits when needed.

In this article, we will delve into the importance of estate planning concerning Medicaid and how you can navigate this complex terrain effectively.

Medicaid Eligibility and Asset Limits

Medicaid eligibility in Ohio, as in most states, is contingent on meeting specific financial criteria. To qualify for Medicaid, individuals must demonstrate that their income and assets fall below certain thresholds. This means that, if you have significant assets, it could affect your eligibility for Medicaid benefits.

Estate Planning Strategies for Medicaid in Ohio

  1. Irrevocable Medicaid Asset Protection Trust: One of the most effective tools for preserving assets and Medicaid eligibility in Ohio is the Irrevocable Medicaid Asset Protection Trust (IMAPT). By transferring assets into an IMAPT, you retain some very limited control over the assets, while they are no longer considered countable resources for Medicaid purposes. However, the assets in this trust must be irrevocable, and you cannot make changes or revoke the trust.
  2. Qualified Income Trust (Miller Trust): For individuals with incomes exceeding the Medicaid limit, Ohio allows the creation of a Qualified Income Trust, also known as a Miller Trust. This trust can be used to reduce your income, making you eligible for Medicaid.
  3. Medicaid-Compliant Annuities: In Ohio, certain types of annuities can be structured to meet Medicaid regulations. These annuities can help convert excess assets into an income stream that complies with Medicaid eligibility rules.
  4. Exempt Assets: Certain assets are exempt from Medicaid consideration in Ohio. These typically include a primary residence, personal belongings, one vehicle, and pre-paid burial or funeral expenses. By taking advantage of these exemptions, you can protect important assets while still qualifying for Medicaid.

Professional Guidance is Essential

Given the complexity of Medicaid and estate planning regulations in Ohio, it’s crucial to seek advice from an experienced attorney or financial advisor who specializes in elder law and Medicaid planning. A seasoned professional can help you navigate the nuances of Ohio-specific rules and create a customized estate plan that aligns with your unique circumstances and goals.


Estate planning for Medicaid in Ohio requires careful consideration and professional guidance to ensure your assets are protected while maintaining eligibility for essential healthcare coverage. By implementing the appropriate strategies and following Ohio’s specific guidelines, you can secure your financial future and safeguard your legacy. Don’t delay in beginning your estate planning journey to provide for your loved ones and protect your assets.

Learn more about protecting your assets and Medicaid.

In this article

Proper estate planning can help you protect your assets and ensure that you or your loved ones qualify for Medicaid benefits when needed.