Medicaid Planning

“I Visited My Mom This Summer and Something Was Different” — What to Do Next

You came back from a summer visit knowing something had changed. Here is what to do in the next thirty days, and why a diagnosis does not close the door on planning the way most families assume.
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Written by:
The Estate Planning & Elder Law Firm

Estate planning is personal, and no two families are alike. That’s why our firm takes the time to listen, understand family dynamics, and tailor solutions that fit real lives. Richard’s background as a social worker helps him connect with clients on a human level, turning what could be a stressful process into a conversation about your family’s future.

dementia planning attorney woodland hills

You flew in for a long weekend. From the driveway, your mother’s house in Encino looks the way it has for thirty years. Inside, something is off. There is mail stacked on the dining table, some of it opened twice. She asks about your flight, then asks again an hour later. One utility bill has been paid twice this quarter, another not at all.

She is still driving, still funny, still in every way that shows up in a photograph herself. And you fly home carrying a feeling you did not have last summer.

What You Noticed Is Not the Emergency. But There Is a Clock.

Most families treat this as a medical question — get her to the doctor, get an evaluation. That is right. What nobody tells you is that a second clock started at the same time, and it is a legal one.

Signing an estate planning document requires the person signing it to understand what they are signing. Early in a decline, that is usually true. Later it is not. What can be done for your mother is at its widest on the weekend you first noticed something, and narrows from there. That is the piece almost nobody has when they call a dementia planning attorney in Woodland Hills — the problem is rarely the diagnosis; it is the paperwork nobody can sign anymore.

What It Costs to Miss the Window

If a parent loses capacity and no durable power of attorney is in place, the family cannot simply step in. Someone has to petition the court for a conservatorship — a supervised proceeding giving one person authority over another adult’s finances and care. It takes months, costs far more than the documents it replaces, and puts her finances under court oversight.

A durable power of attorney signed while she still understands it avoids that, as does an advance healthcare directive naming who makes medical decisions if she cannot. And a HIPAA authorization lets providers share information with the people she chooses. Without it, they legally cannot tell anyone but the patient. Not an adult child. Not even a spouse.

The Advice You Are About to Get, and Why It Is Wrong

Within a few weeks, someone — a neighbor, a well-meaning cousin — will tell you to put your mother’s house in your name to protect it from nursing home costs. Do not do it.

The home is an exempt asset for Medi-Cal eligibility, so transferring it does nothing to help her qualify. What it does, for a West Valley family whose parent bought in the 1970s or 80s, is trigger a Proposition 19 reassessment on a property carrying decades of appreciation above its Prop 13 base — a tax increase the family lives with for as long as anyone owns the house.

The same applies to moving money. Gifts made ahead of a Medi-Cal application are measured against a 30-month lookback, triggered by the date the application is filed, not the date of the transfer. A gift made this fall can create a penalty that surfaces exactly when the family needs the benefit.

What to Do in the Next Thirty Days

  • Find out what already exists — a trust, a will, a power of attorney. A plan drafted in 2004 may not do what she thinks it does.
  • Check whether the trust was funded. One signed but never used to retitle the house or accounts gives no probate protection, and stays invisible until someone dies.
  • Have the conversation while she can be part of it. Most of the damage I am asked to undo was done by families who acted first and asked later.

Key Takeaways

  • What you noticed starts a legal clock as well as a medical one, and nobody at the doctor’s office mentions the second.
  • A diagnosis alone does not mean she can no longer sign. California presumes capacity until shown otherwise.
  • Without a durable power of attorney, waiting too long can land the family in court seeking a conservatorship.
  • Do not transfer the home or move money yet. Both instincts cost families more than doing nothing.

Common Questions From Families in This Position

My mother was just diagnosed. Is it too late for her to sign anything?
Not necessarily. California starts from the presumption that an adult has capacity, and a diagnosis by itself does not establish that she has lost it. What matters is whether she understands the document when she signs it. That is a reason to move, not to assume the door has closed.

She does not want to talk about any of this. What then?
Common, and pushing backfires. Starting with the healthcare documents rather than the money tends to go better, because it is a conversation about who she trusts rather than what she owns.

Getting the Documents in Place While She Can Take Part

Before I practiced law, I spent years as a social worker and then a hospital administrator, working with families in exactly this transition. Families who come in while a parent is still managing day to day almost always protect what matters to them. Families who come in during a crisis do the best they can with the time they have.

We will look at what your mother has, what it accomplishes, and what is still open to you. Book a call today to learn more.

References: California Probate Code § 810, presumption of capacity · California Probate Code § 812, capacity to make a decision

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