Seniors who own a home and are faced with a long-term custodial illness and consider eligibility for Medicaid, commonly voice a concerned about "losing my home." It is frequently their largest asset and the one with the greatest emotional attachment as well. The proper advice will vary case by case based upon such variables as the fair market value of the home; the existence of any financing; the family members who reside in the home; when the home was purchased; the type of medical care that is sought; and the estate plan. Counseling of clients in this situation requires a careful understanding of the rules that govern Medicaid's treatment of the homestead.