If I only need Medicaid for 2 years, do I need to continue spending down my IRA assets?
It sounds like you are confusing Medicare with Medicaid. Medicare is an entitlement program of health insurance through the Social Security system. It only covers a hundred days maximum in a nursing home. Medicaid is a joint state-federal program which will pay for the cost of long term care in a nursing home, but for which you must meet stringent financial limitations. Some states do not count IRA assets in determining Medicaid eligibility while others do. Your best bet would be to contact an elder law attorney in your state to see what planning is appropriate for you.
