Elder Law
Guiding families through long-term care and Medicaid planning with clarity and care.
Sections
overview
focus areas
depth of practice
team
insights
industries served
representative matters
testimonials
contact us
overview
focus areas
depth of practice
team
insights
industries served
representative matters
testimonials
contact us
Overview
Planning for long-term care is one of the most difficult and complex financial and legal challenges families face. These decisions often arise during already difficult moments for families. Rising healthcare costs, strict Medicaid eligibility rules, and the emotional strain of caring for a loved one can make these situations overwhelming without experienced guidance. Clear legal planning can bring structure to an otherwise uncertain process.
Rupp Pfalzgraf’s Elder Law team helps individuals and families plan for the future, protect their assets, and secure the care their loved ones need. Whether you are planning years in advance or facing an immediate crisis involving nursing home care, our attorneys provide clear strategies and compassionate support every step of the way. Many families worry that nursing home care will force them to sell their home or exhaust their life savings. With proper legal planning, that outcome can often be avoided.
Medicaid planning requires navigating complicated regulations, strict financial eligibility rules, and the five-year lookback period on asset transfers. Small mistakes can lead to delays, penalties, or loss of eligibility. Our attorneys help clients develop strategies that preserve their assets while ensuring eligibility for the benefits needed to cover the cost of care.
We assist families throughout Western New York with proactive Medicaid planning, crisis planning when care is urgently needed, and guidance through the Medicaid application process. Our team also works closely with families to evaluate long-term care options and understand the financial implications of nursing home placement.
Every family’s situation is different. Financial resources, health concerns, and family dynamics all influence the right strategy. We take the time to understand your financial picture, your healthcare needs, and your long-term goals so we can develop a plan tailored specifically to your circumstances.
Our goal is simple: to help you protect what you have worked hard to build while ensuring you or your loved one receives the care and support needed in later stages of life.
We Answer Your Elder Law Questions
Families facing long-term care decisions often have urgent and complicated questions. Our attorneys regularly assist clients seeking guidance on issues such as:
- How can I qualify for Medicaid without losing my home or life savings?
- What is the Medicaid five-year lookback period?
- What happens if a loved one suddenly needs nursing home care?
- Can assets still be protected if no planning was done in advance?
- How do married couples protect assets if one spouse requires long-term care?
- What legal documents should be in place if someone becomes incapacitated?
- How long does the Medicaid application process take?
- How do we choose the right nursing home for a loved one?
Our team provides the answers and guidance families need to make informed decisions during difficult times. Our role is to make the legal path forward clearer and less overwhelming.
Focus Areas
Medicaid Planning
The cost of long-term care continues to rise, and Medicaid remains one of the only programs that covers the full cost of nursing home care. Our Medicaid planning attorneys help clients plan ahead by restructuring assets, utilizing trusts, and implementing other legal strategies to preserve wealth while maintaining eligibility for Medicaid benefits.
Medicaid Applications
Applying for Medicaid can be overwhelming. The process requires extensive documentation, strict deadlines, and careful compliance with complex rules. Missing documentation can delay benefits for months. Our team guides families through the entire application process to avoid costly mistakes and unnecessary delays.
Crisis Planning
Sometimes families must act quickly when a loved one suddenly requires nursing home care. Even without prior planning, legal strategies may still be available to protect assets and secure Medicaid eligibility. Our attorneys help families navigate these urgent situations while minimizing financial loss.
Long-Term Care Planning
Planning ahead allows families to preserve more assets and avoid financial crisis later. We help clients evaluate long-term care options and develop strategies that balance care needs with financial security.
Asset Protection Strategies
Through strategic estate planning tools such as irrevocable trusts and asset restructuring, we help clients protect their homes, savings, and family assets while preparing for future healthcare needs.
Medicaid Appeals
If a Medicaid application is denied or benefits are reduced, our attorneys can advocate on your behalf through the appeals process.
Depth of Practice
Our Elder Law attorneys have experience assisting clients with:
- Medicaid planning for nursing home and long-term care
- Medicaid eligibility strategies and asset restructuring
- Preparing and submitting Medicaid applications
- Crisis planning for immediate nursing home placement
- Long-term care financial planning
- Protecting homes and family assets through trusts and legal planning
- Medicaid appeals and eligibility disputes
- Evaluating nursing home placement options and care planning
Team
Beresford-S

Samantha L.
Beresford
Associate
Williamsville, NY
Brenon-J

John
Brenon
Partner
Williamsville, NY
Insights
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Related Practice Areas
Business Law
Family Law
Trusts & Estates
Representative Matters
- Assisted families in restructuring assets and securing Medicaid eligibility to cover the cost of long-term nursing home care.
- Guided clients through crisis Medicaid planning to protect family homes and savings when immediate care was required.
- Successfully prepared and submitted complex Medicaid applications to ensure timely eligibility and benefits approval.
Testimonials
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