Elder Law, Medicaid Planning and Guardianships


With special focus on Medicaid planning and guardianships, Mignanelli & Associates, Ltd. provides sound and compassionate counsel to elder adults and their families who want to understand elder law issues, exercise their rights, know their options and sidestep common mistakes.

Important Elements of Medicaid Planning and Eligibility

When planning a transition to a nursing home or an assisted living facility, we enable clients to become eligible for Medicaid while preserving their hard-earned assets. In that Medicaid is needs based, this government program imposes strict income, timing and procedural requirements as well as asset eligibility restrictions.

The advice of an experienced elder law attorney can suggest a variety of options that help clients qualify for long-term care benefits while preserving their assets. These include gifting, maximizing all available exemptions and other asset management tools that address "spend down" requirements.


We offer experienced representation to clients who seek to establish guardianship for a loved one. Probate court can appoint a guardian to make medical or financial decisions when a loved one is no longer physically or mentally competent to make these decisions themselves.

The Probate Court has legal authority to appoint a guardian to intercede over a person or over a person's finances. The extent of guardianship is assigned by the Court, and can be all encompassing or quite limited, depending on the specific health, welfare and financial needs of the person. These roles are usually assigned to the same person, though not necessarily so.

Guardianship can be an emotional and sometimes divisive occurrence in a family. We can advise you on the pros and cons of guardianship, assist you with understanding the duties, and help you make your best, informed decision regarding the responsibilities inherent in guardianship.

Advance Health Care Directives

In addition to guidance on Medicaid planning and guardianships, our firm also offers comprehensive estate planning services. We can assist you in drafting effective and clear advance health care directives and powers of attorney that allow you to specify who will handle your medical and financial affairs in the event that you cannot.

To schedule a free initial consultation to discuss your Medicaid planning, guardianship concerns and advance care directives, call the elder law attorneys of Mignanelli & Associates, Ltd. at 401-455-3500 or contact us online.

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(401) 455-3500

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Copyright © 2020 by Mignanelli & Associates, Ltd. All rights reserved. Disclaimer | 10 Weybosset Street Suite 400, Providence, RI 02903
 Phone: 401-455-3500 | Fax: 401-455-0648