This guide covers Medicaid long-term care from the first planning conversation through estate recovery after death. Part 1 sets out the statutory architecture and the federal-state division that makes every answer state-specific. Parts 2 and 3 cover the income and resource tests, including the qualified income trust used in income-cap states. Part 4 covers the spousal impoverishment rules that protect a community spouse. Part 5 covers the look-back and the transfer penalty, including the permitted transfers and the hardship waiver. Part 6 covers spend-down. Parts 7 and 8 cover home and community based services and the application itself. Parts 9 through 12 cover fair hearings, estate recovery, third-party liability, and nursing facility residents' rights.