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The recent outpouring of support for the victims of the earthquake in Haiti highlights a question often asked about gifting and charitable contributions as it relates to Medicaid.  For example, last week Mary called me to ask whether it is OK for Mom to make a charitable contribution to help

Jane called because she was flat out of money and desperate.  Dad had been in a nursing facility for almost 4 years now.  He had spent down his money and Jane had paid the $11,000 per month expense after that, until she was tapped out of her home equity line

Joe calls me because he wants to understand how Medicaid works.  I start to explain how you have to spend down your assets before you can qualify for benefits.  That the spend down has to be for value, meaning that you are spending your money and receiving something of equal