Elder Law Planning Workbook

What's Inside

A practical guide for families navigating long-term care planning, Medicaid eligibility, guardianship, and protecting seniors' rights in Texas.

1. Step 1. Assess current Powers of Attorney — are they durable and up to date?

2. Step 2. Review Medical Power of Attorney and Advance Directive for completeness

3. Step 3. Evaluate long-term care options: in-home care, assisted living, or nursing home

4. Step 4. Calculate monthly care costs in North Texas ($4,000–$9,000+ depending on level)

5. Step 5. Determine Medicaid eligibility: countable resources must be below $2,000 for applicant

6. Step 6. Identify exempt assets (homestead, one vehicle, personal effects, prepaid burial)

7. Step 7. Review the 60-month Medicaid look-back period for asset transfers

8. Step 8. Consider a Medicaid Asset Protection Trust (irrevocable, must be funded 5+ years before need)

9. Step 9. Understand Community Spouse Resource Allowance if a spouse remains at home

10. Step 10. Evaluate whether guardianship or a Supported Decision-Making Agreement is needed

11. Step 11. Document all medications, doctors, insurance policies, and financial accounts

12. Step 12. Create a family care coordination plan with emergency contacts and roles