While an attorney is not required to file an application, it is frequently advisable to at least consult with an elder law attorney before spending all of your assets on nursing home care or submitting an application for Medicaid.  While the assistance may be available from the nursing home or certain service agencies, an elder law attorney provides more than simple support with filling out the application.  He or she may advise you on planning opportunities that may be available to maximize the use of your assets, or strategies available to address issues which could interfere with eligibility, such as trusts or disqualifying transfers.  There also may be other legal issues which should be addressed at the same time, such as updating your Will, Durable Power of Attorney, and Appointment of Health Care Representative, or reviewing the nursing home contract.