What this covers
The most expensive mistakes in Louisiana Medicaid planning happen in the first two weeks, before anyone has looked at the numbers. Well-meaning transfers, adding a child's name to an account, or filing a Medicaid application too early can create months of ineligibility that a family has to pay through privately.
Crisis planning is different from long-range planning. The universe of tools is narrower, but there are still moves available under Louisiana law, particularly for a community spouse. The goal in the first conversation is simple: stop the harmful moves, take stock, and decide what to file and when.

Common questions
- What should we do in the first week?
- Pause. Do not move money or file paperwork yet. Gather a clear list of accounts, deeds, life insurance, and monthly income for both spouses. That inventory is what makes the first conversation useful.
- Isn't it too late to protect anything?
- Often not. Louisiana law provides specific protections for the community spouse, exempt assets, and certain types of restructuring even after care has begun. The plan is narrower than five-year planning but still meaningful.
- The facility says we should apply for Medicaid now. Should we?
- Filing before planning is one of the most common ways families create unnecessary penalty periods. The application timing is part of the plan, not the first step.

