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Using Annuities to Accelerate Medicaid Eligibility

Level: Advanced
Runtime: 92 minutes
Recorded Date: October 01, 2020
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  • Understand the importance Medicaid planning plays in elder law
  • Discuss an overview of Medicaid’s eligibility requirements
  • Gain insight on how a Medicaid Compliant Annuity aids in the spend-down process
  • Learn to overcome objections from the state Medicaid agency
  • Acknowledge key best practices to produce the best results for your clients
Runtime: 1 hour, 32 minutes
Recorded: October 1, 2020


The Medicaid planning process can be daunting. This seminar will explore how to use Medicaid Compliant Annuities to accelerate eligibility, protect assets, and streamline the process. Complete with real life case studies, attendees will walk away with a detailed understanding of one of the industry's most powerful spend-down tools.

This program was recorded on October 1st, 2020.

Provided By

American Bar Association
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Scott Engstrom, J.D.

Corporate Counsel & COO
Krause Financial Services

Scott has been a part of the company since 2019. He began as Corporate Counsel before taking on the role of Chief Operating Officer. In his dual role, Scott wears several hats. As COO, he works closely with department heads and other team members, serving as a liaison to the executive team. His main priorities are to maintain smooth company operations and ensure services provided by outside groups are administered effectively and efficiently. As Corporate Counsel, Scott conducts legal research, drafts agreements, and provides support to other departments as needed. Whenever a problem arises, whether it relates to litigation, risk management, or compliance, Scott does what he can to resolve matters for everyone involved. He always aims to facilitate effective and clear communication and fill in the blanks when necessary to avoid misunderstandings.

Scott earned his Bachelor of Arts degree in Political Science from the University of Minnesota and his Juris Doctor degree from Penn State Law. He has previous experience as a litigation attorney and judicial law clerk, which have enabled him to see issues before they arise. He is able to use this experience in the corporate context in order to anticipate, avoid, and mitigate any issues before they end up in a courtroom. His training as a lawyer has sharpened his oral and written communication skills as well as his ability to analyze complex problems quickly. Scott has law licenses in Wisconsin and Maryland.

When working in private practice, Scott drafted basic estate planning documents, such as wills and POAs, and litigated probate matters. This experience served as a solid foundation that prepared Scott to cement his industry knowledge at Krause. He sees a great need for elder law and appreciates the opportunity to help connect those in need to those who can help. Scott truly values being able to provide solutions that help people with limited means avoid depleting their life savings on a few years of long-term care.

Scott is passionate about helping the entire team perform at a high level and feel their best. When the company is running efficiently, he believes staff will be able to see the fruits of their labor more clearly and feel more fulfilled. Scott’s goal each day is to have a positive impact on the internal processes of the company. In doing so, he is able to utilize his communication and analytical skills as well as his compassion for others. Teamwork, empathy, accountability, candor, and honesty are just a few of the values that drive Scott in his job. He is incredibly grateful to have positive working relationships with the management team, even when changes present more of a challenge, and he is always looking for ways to show appreciation to the entire team.

In his free time, Scott enjoys playing, watching, and coaching hockey. He also likes to read, listen to podcasts, and go to the gym. Scott is married to his wife, Jamie, and they have a wonderful dog named Bartlet.

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Valerie Peterson, J.D.

Chief Executive Officer
Elder Counsel, LLC

Valerie is the Chief Executive Officer of ElderCounsel, LLC. Before joining ElderCounsel, Valerie practiced law in Miami and Ft. Lauderdale where she was the owner of Peterson Law Office, P.A., and later Fisher & Peterson, P.C., a firm specializing in the areas of elder law and estate planning.

In addition to serving as CEO, Valerie also serves as the Education Director for ElderCounsel and she has taught elder law and Veterans benefits courses for numerous national organizations during her tenure at ElderCounsel. Valerie also teaches for a prominent law school. Since 2012, Valerie has served as an adjunct professor for Stetson Law School where she teaches the Veteran’s Benefits Course to Elder Law LL.M. students.

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Dale Krause

President & CEO
Krause Financial Services

Dale M. Krause, J.D., LL.M. is the President and CEO of Krause Financial Services – a Wisconsin-based firm that specializes in crisis Medicaid planning through the use of Medicaid Compliant Annuities and other insurance products. began his career as an estate planning and elder law attorney in Michigan. He eventually turned over his practice to pursue the design and development of Medicaid Compliant Annuities and established Krause Financial Services in the 1990s. Since then, his company has grown to a staff of over 25 elder care professionals devoted to providing solutions for those facing a nursing home stay.

Dale speaks at legal forums throughout the country with the goal of educating and empowering elder law attorneys on their crisis planning cases. With over 30 years of industry experience, he’s a national expert on using annuities to accelerate eligibility for Medicaid. His work has been recognized in several major publications, including Senior Market Advisor, NAELA News, The Wall Street Journal, and Lawyers Weekly USA. He also played an integral role in many landmark Medicaid Compliant Annuity cases, including Weatherbee v. Commonwealth of Pennsylvania and Zahner v. Mackereth.

Dale earned his B.S. degrees in Sociology and Political Science from the University of Wisconsin-Stevens Point in 1981, his J.D. from Thomas Cooley Law School in 1985, and his LL.M. in Taxation from DePaul College of Law in 1990. He is a member of the Wisconsin State Bar and an emeritus member of the Michigan State Bar. He is a Certified Medicaid Planner and has his Certification in Long-Term Care. He is also a licensed insurance agent throughout the country.

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