Thank you for your thoughtful comments. In response to your first question, yes, placing your assets in a properly structured irrevocable trust will begin the lookback period. With respect to the second, it appears to me that you are concerned with a situation with one spouse in the nursing home and a non-institutionalized spouse. In a case like that, I would generally advise a different type of irrevocable trust that will allow immediate qualification. This trust is called a solely for the benefit of trust, and while it does not protect assets in the event that the second spouse would need nursing home care, it does allow for assets to be protected from the cost of one spouse’s long term care needs.
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