This document discusses Medicaid planning to manage the high cost of nursing home care, which averages $6-7,000 per month. It provides two examples of Medicaid planning strategies. The first involves converting a joint living trust into a single living trust upon the first spouse's death to protect assets for the surviving spouse. The second uses a Medicaid trust to protect $250,000 in investments so the wife qualifies for Medicaid immediately rather than spending down assets. Both examples aim to allow the nursing home resident to qualify for Medicaid coverage while protecting assets for the surviving spouse.