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Recent Blog Posts


Annuities are often used to produce a monthly stream of income for a fixed period or even for life. Many people use annuities as a form of retirement account to provide a stream of income in their golden years. However, if your annuity is not properly created it may prevent you or your spouse from… Read More »

Achieving a Better Life Experience (ABLE) Accounts

Prior to passing the Achieving a Better Life Experience (ABLE) Act of 2014, the IRS tax code provided significant tax benefits to parents who save money for their children’s college education with a 529 Plan. However, parents of children with disabilities had no similar way to use these tax benefits and save for their children’s… Read More »

New York State Department Of Health Issues New Administrative Directive Related To Expedited New York Medicaid Eligibility For Personal Care Services And Consumer Directed Personal Assistance Services

On July 1, 2016 The New York State Department of Health issued Administrative Directive 16 OHIP / ADM-02 setting forth the requirements and procedures for expedited Medicaid eligibility determinations for New York Medicaid applicants/recipients who have an “immediate need” for Personal Care Services (PCS) or Consumer Directed Personal Assistance Services (CDPAS). This Administrative Directive is… Read More »

Advanced Planning With Medicaid Asset Protection Trusts

Many people recognize the importance of implementing traditional estate planning techniques such as having a will or revocable trust, executing a durable power of attorney and preparing advance health care directives. But advance planning for long term care (LTC) in a nursing home often doesn’t get the attention it should. Without proper planning, a mere… Read More »


This is the official Elder Law blog of Giannasca & Shook, PLLC. We will begin posting on this blog shortly, so please check back regularly for updates about the firm, notable cases and more.