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The average cost of a private nursing home room in Nebraska runs into the thousands of dollars per month. In Minnesota, it’s even higher. For a couple, that combined cost can quickly become overwhelming. Without planning, the farm — the land, the equipment, the savings — becomes the payment source.
Medicaid will cover long-term care costs, but only after your assets are “spent down” to near-zero. For a farm family, that means the land you spent your life building could be liquidated to pay for care before Medicaid kicks in.
The good news: there are legal strategies that can protect farm assets from Medicaid spend-down requirements. The bad news: they require advance planning. Most of these tools have a 5-year “look-back” period, which means assets transferred within 5 years of applying for Medicaid can be clawed back.
The earlier you plan, the more options you have. Long-term care planning is one of the most critical components of a comprehensive farm estate plan. If a family member is already in a facility or likely to need care within the next year, options are more limited — but they do exist.
The primary tool for long-term care asset protection is the Irrevocable Asset Protection Trust. Unlike a revocable trust, once assets are placed in an irrevocable trust, they are no longer considered “yours” for Medicaid eligibility purposes — provided the transfer is outside the 5-year look-back window.
For farm families, this often means transferring the farmland into an irrevocable trust while retaining a life estate or farming rights. The family continues to farm the land, collect rent, and manage the operation — but the land itself is legally protected from long-term care spend-down.
Other strategies include spousal protections, caretaker child exemptions, and specific exemptions for certain agricultural assets. The right approach depends entirely on your family’s situation, timeline, and goals.
We don’t do hourly billing, and we don’t hand you a stack of paper and wish you luck. Our process is designed to be transparent, thorough, and completely finished when we’re done.
We evaluate where you are on the planning timeline. Is care needed now, in 1-2 years, or 5+ years out? This determines which strategies are available.
We design a customized protection plan — irrevocable trust, spousal protections, exempt asset strategies, or a combination — based on your specific assets and family situation.
We draft the trust, prepare deeds, and execute the transfers. We then monitor the look-back clock and coordinate with your family throughout the process.
Every plan is tailored to your family’s timeline and financial picture.
Places farm assets outside your countable estate for Medicaid purposes. Must be done at least 5 years before care is needed for full protection.
Federal and state rules protect a portion of assets for the community spouse — the spouse who does not need care.
If an adult child lived on and cared for the parent for 2+ years, the home may be exempt from Medicaid recovery.
The best time to plan was five years ago. The second-best time is now. Schedule a free consultation to discuss your family’s options.
