Elder Law

Medicaid Asset Protection Trust in Georgia

A legal trust that removes your home and savings from Medicaid's countable assets before the spend-down begins.

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How Georgia Families Use a Medicaid Trust to Protect Their Home From Nursing Home Costs

Georgia nursing home costs average over $8,000 per month — without a plan, Medicaid requires you to spend most of your assets before the state pays a dollar. A Medicaid Asset Protection Trust transfers your home and savings out of your estate at least five years before you need care, so they are shielded when you apply for Medicaid. The longer you wait to act, the fewer options you have.

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Here Is What Medicaid Does to Assets in Your Name

Georgia Medicaid will not pay for a nursing home until your countable assets are at $2,000 or less. Your savings, investments, and some property all count. If you have $300,000 saved, Medicaid expects you to spend $298,000 of it before coverage begins. That is not a penalty. That is the rule. Most Georgia families who enter a nursing home without a plan spend through everything they have within two to three years.

What a MAPT Is

A Medicaid Asset Protection Trust is an irrevocable trust. You transfer ownership of your assets into it typically your home, sometimes savings and investments. The trust becomes the legal owner. Medicaid counts what you own. It cannot count what you do not own. That is the entire mechanism: move assets out of your name before Medicaid starts counting, and Medicaid cannot touch them.

The Trade-Off You Have to Make

A MAPT is permanent. You cannot change your mind. You cannot pull the principal back out. Your adult child serves as trustee and controls those assets. You give up that control on purpose, because control is exactly what makes assets countable to Medicaid. The choice is straightforward: give up control of your assets now and protect them for your family, or keep control and lose them to the spend-down. There is no version where you keep both full control and full protection.

Georgia’s Estate Recovery Program

Many families assume the home is safe after a loved one passes. In Georgia, that assumption is often wrong. Georgia runs an expanded Medicaid Estate Recovery Program (MERP). When a Medicaid recipient dies, the state can recover what it paid for their care from the estate. In Georgia, MERP reaches not just probate assets but also revocable living trusts Georgia treats a revocable trust as still belonging to you. A MAPT defeats MERP because at your death, the trust owns the assets. You do not. The state cannot recover assets you did not own.

The Five-Year Look-Back Rule

Medicaid reviews five years of financial history before approving long-term care coverage. Any transfer made within that 60-month period triggers a penalty. Georgia calculates the penalty by dividing the transferred amount by $10,965 per month. A $109,650 transfer made three years before applying creates a 10-month penalty period during which Medicaid pays nothing and you pay out of pocket. The penalty does not start at the time of the transfer. It starts when you apply and are otherwise eligible. Families who fund a MAPT five or more years before needing care avoid this entirely. Families who wait do not have the same options.

What a MAPT Does Not Cover

  • Assisted living is not covered by Georgia Medicaid. Georgia Medicaid pays for nursing home care only. If you end up in an assisted living facility, your MAPT principal is locked and Medicaid covers nothing. This is the most overlooked limitation of a MAPT.
  • Retirement accounts do not belong in a MAPT. IRAs and 401(k)s have their own Medicaid rules and require separate planning. Transferring them into a trust creates a taxable event with no Medicaid benefit.
  • A MAPT does not protect assets transferred within five years of a Medicaid application. The look-back applies regardless of intent.
  • A MAPT is not a complete estate plan. It addresses one specific exposure and works alongside wills, powers of attorney, and healthcare directives not instead of them.

Who This Is Right For

A MAPT makes sense if you are currently healthy, own a home or have savings above $2,000, do not expect to need nursing home care in the next five years, and have an adult child or other trusted person available to serve as trustee. The earlier you act, the more the trust can protect. If you are in your late 50s or 60s and in reasonable health, you likely have the five-year runway this strategy requires.

60 Month Medicaid Look-Back Period Move assets before this window closes, not after.
$8,800+ Avg. Monthly Georgia Nursing Home Cost That's what one month of care could cost without a plan.
$2,000 Medicaid Asset Limit (Individual) Everything above that amount must be spent down first.

What a MAPT Does, How It Works, and What You Keep

Once your assets are transferred into a MAPT, the trust is the legal owner. Medicaid cannot count them. When you die, those assets pass directly to your named beneficiaries without probate and without MERP reaching them. The trust protects the assets during your life and delivers them to your family after you are gone.

What You Can Still Do

You can still live in your home after transferring it to the MAPT. The trust document gives you a contractual right of occupancy for your lifetime. You can receive income generated by trust assets interest, dividends, and rental income. What you cannot do is access the principal. The income stays yours. The principal stays in the trust, out of Medicaid’s reach, and goes to your family when you pass.

Who Controls the Trust

You cannot serve as your own trustee. Your spouse cannot serve as trustee either. Georgia Medicaid rules require the trustee to be someone other than the grantor or their spouse. An adult child is the most common choice. The trustee has legal responsibility for managing the assets, keeping records, and making distributions according to the trust terms. They cannot give you the principal, and they cannot take it for themselves. If they do either, the trust fails and Medicaid counts the assets. Choosing a trustee who understands the responsibility is not a formality it is part of the plan working.

What Happens to the Assets When You Die

Trust assets do not go through probate. The trustee distributes them directly to your named beneficiaries according to the trust terms. Because you held no legal interest in the trust principal at death, Georgia’s MERP cannot claim them. Your family inherits what you put in, minus any income you drew during your lifetime. That is the outcome a MAPT is built for: Medicaid gets paid for your care, and your family still inherits something.

How to Get Started

The first step is a free 15-minute call with Shawn to review your situation. If it is a fit, your next step is a Design Meeting, a 60-minute meeting with Melissa to review your assets, your timeline, and whether a MAPT is the right fit for your situation. That cost is credited in full toward your plan if you move forward. If a MAPT is the right structure, most engagements at The Hive Law start at:

Estimated value at other firms: $10,297
$6,500
One flat fee. No hourly billing. No surprise invoices.

The Documents

  • Medicaid Asset Protection Trust (MAPT)
  • Pour-Over Will
  • Quitclaim Deed
  • Financial Power of Attorney
  • Advance Healthcare Directive
  • HIPAA Authorization

The Implementation

  • Document Walk-Through Call
  • Trust Funding Session
  • Funding Checkup

The Included Services

  • Successor Trustee Orientation
  • Professional Coordination Call
  • Surviving Spouse Transition Call
  • Post-Signing Checklist

Every asset we place in your MAPT is structured to meet Georgia Medicaid eligibility requirements. If a drafting error affects your qualification, we correct it at no charge.
Your Design Meeting is credited toward this total. Everything is handled over the phone. Documents stored in a secure client portal. Most families complete the process in 2 to 3 weeks.

You leave your Design Meeting knowing exactly what Medicaid can reach, what it cannot, and what needs to happen before the five-year period runs.

The fact that you read this far tells us something about you. You take this seriously. So do we.

See exactly what The Hive Law includes and charges for the Medicaid Asset Protection Trust: Georgia MAPT — Flat-Fee Pricing →

Assets in Your Name

  • Countable assets must be spent down to $2,000 before Medicaid pays for care
  • Most families exhaust everything they have within two to three years
  • Georgia's Estate Recovery Program can reach a revocable trust or your probate estate
  • You keep control of the assets, which is exactly why Medicaid counts them
  • A transfer inside the 5-year look-back window triggers a penalty period

Assets in a MAPT

  • Once transferred, the trust owns the assets — Medicaid cannot count them
  • You keep the right to live in your home and receive the trust's income for life
  • Assets pass directly to your beneficiaries, with no probate and no MERP claim
  • An adult child serves as trustee, satisfying Medicaid's independent-trustee rule
  • Assets funded before the look-back period are fully protected at your death

How It Works

1

A 15-Minute Call With Shawn

Tell us what is going on with your family. Shawn walks you through your options and what each one costs. Free.

2

The Design Meeting With Shawn and Melissa

In a 60-minute meeting, Shawn and Melissa review your assets, your family, and your goals together and confirm your price. This meeting is credited toward your plan if you move forward.

3

Review Every Document With Melissa

Before you sign, Melissa walks through every document with you in plain language. No legal jargon. No confusion about what you are signing.

4

Your Plan Is Complete

Melissa delivers your completed documents and explains exactly what your family needs to do. You leave knowing your plan is in place and your family is protected.

Melissa Breyer

Melissa Breyer

Georgia Estate Planning Attorney

Melissa Breyer is a Georgia estate planning attorney who works exclusively on trust-based estate planning and LLC formation. She personally designs and drafts every plan at The Hive Law after the initial call. Every plan is built from scratch for your specific family, your specific assets, and your specific wishes.

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Frequently Asked Questions

You can keep living in the home. The trust document includes a lifetime right of occupancy. You stay in the house, pay the property taxes, and keep it maintained. If the home is ever sold, the money stays inside the trust and is reinvested under the trust terms. What you cannot do is take those sale proceeds out as a personal distribution.

The principal is not available to you once it is in the trust. A MAPT is irrevocable on purpose, and that is exactly what takes the assets out of the countable resources Medicaid looks at. Any back door that let you reach the principal would cause Medicaid to count the whole trust and deny coverage. Before funding one, keep enough outside the trust to cover living expenses and anything you can see coming.

An adult child is the most common trustee choice for a MAPT. You cannot be your own trustee here, and your spouse is not a workable choice either, because keeping that control is what would make the assets countable again. The trustee manages the assets, keeps the records, and follows the trust terms. Pick someone who will keep good documentation and can produce records to Georgia DFCS if a Medicaid application is ever filed.

A MAPT does not protect a transfer made in the last five years. Medicaid looks back 60 months at your financial history before approving long term care coverage. A transfer into the trust inside that window creates a penalty period where Medicaid pays nothing. The MAPT is built for planning done well before care is needed. If care may be needed sooner, other strategies may still apply.

A revocable trust can be changed or cancelled by you at any time. Because you keep that control, Georgia Medicaid counts revocable trust assets as still yours, and they have to be spent down before Medicaid pays anything. A MAPT is irrevocable. You give up ownership permanently, and once the 60 month look-back has run, those assets no longer count against your eligibility. That look-back and the permanent give-up of ownership are the real difference between the two, not anything to do with probate.

Retirement accounts should not be moved into a MAPT. Transferring one is treated as a taxable distribution, which can create a large tax bill and buys you no Medicaid benefit in return. A retirement account already in payout status is generally exempt from the countable assets Medicaid reviews in Georgia. Your accounts need their own analysis as part of a wider Medicaid conversation.

Find Out Where You Stand

You’ve been meaning to do this for a while now. That’s normal. Most families wait until something happens, then wish they hadn’t.

A 15-minute call tells you exactly what you have, what’s missing, and what your family needs next. No paperwork, no obligation, just a straight answer.

  • No sales pitch. Just a straight answer about where you stand.
  • No confusing terms. We explain everything in plain English.
  • A real next step. You’ll know exactly what to do when we hang up.