Long-term care costs across the Capital Region can be unpredictable and overwhelming, leaving families uncertain about how to protect a lifetime of savings while still qualifying for Medicaid. A Medicaid Asset Protection Trust (MAPT) is an effective tool to help you do just that. But it’s not simple, and timing matters.
The Albany trust planning attorneys at Pierro, Connor & Strauss, LLC help seniors and families across the Capital Region – including Albany, Rensselaer, Saratoga, Columbia, Greene, Schoharie, Warren, Washington, and Montgomery Counties – make informed, strategic decisions about Medicaid Asset Protection Trusts and long-term care planning.

“A trust is a legal agreement, but what it represents is your script for what could happen in the future—planning for disability or death, reducing taxes, protecting assets and avoiding probate are all covered, with the people YOU choose following your plan.”
—Louis Pierro, Founding Partner
What Is a Medicaid Asset Protection Trust?
A MAPT is an irrevocable trust designed to hold certain assets so they are not counted toward Medicaid eligibility. Assets properly transferred to a MAPT are owned by the trust and generally excluded from Medicaid’s financial review. For nursing home care, the key is timing, as transfers must be made outside the five-year look-back window to avoid penalties. For home care Medicaid, however, New York currently has no look-back period, creating a valuable window of opportunity for families to plan and protect assets closer to the time when services are needed.
With MAPTs:
- You (the “grantor”) transfer ownership of qualified assets into the trust
- A trustee you choose manages and disburses assets according to rules you set
- You receive income from the trust, depending on how it’s drafted
- You retain the right change beneficiaries or trustee(s) at any time
This arrangement can protect assets that would otherwise have to be spent down to qualify for long-term care Medicaid. While it is structured to be irrevocable, a MAPT can be revoked with the consent of the beneficiaries. Plus, you have the power to change beneficiaries or trustee(s) at any time.







