Proper spend down can be a part of good planning, but Medicaid rules do not mandate the disposal of assets. You can also transfer assets and accept a penalty or buy exempt assets. Trusts set up in advance of applying are another option. A Medicaid Asset Protection Trust and/or a Qualified Income Trust can help you hold onto assets and income and not have them count against your eligibility. Planning ahead is essential for making the most of trusts. No matter where you live in Texas, our attorneys can assist you in planning for the future Medicaid needs of yourself and your loved ones.