Business Details
13 Years
experience
Emergency
services
Your Trusted Partner for Elder Law Solutions
At Letsch Law Firm, we are dedicated to providing legal education and guidance with compassion and understanding. Our practice focuses on elder law, estate planning, and Medicaid qualification, serving clients in Iowa, Missouri, and Nebraska. With a commitment to community trust and ethical standards, we help individuals navigate complex legal matters related to long-term care, trust administration, and probate. Our team prioritizes informed decision-making, transparent billing, and personalized solutions tailored to each client's unique needs.As a firm founded in 2013, we combine decades of collective experience with a client-centric approach to ensure asset protection, government benefits qualification, and seamless post-death administration. We actively engage in community education and collaborate with local services to empower individuals through legal preparedness.
Services
Estate Planning
Medicaid Qualification
Special Needs Trusts
Probate Administration
Powers of Attorney
Guardianship
Trust Administration
Elder Law
Wills
Asset Protection
Details
- Year established: 2013
Highlights and features
- Certified Medicaid Planner on staff
- Over 20 years of combined legal experience
- Personalized estate planning solutions
- Transparent billing and clear engagement letters
- Active community legal education programs
What people say
Efficient and empathetic
Best at handling sensitive situations
Absolute grace under pressure
Highly recommended repeatedly
Clear explanations of complex processes
Services
Estate Planning
Our estate planning services help clients create wills, trusts, and advanced directives to ensure their assets are distributed according to their wishes. We specialize in revocable and irrevocable trusts, probate avoidance, and legacy planning for families. Our approach balances legal precision with personalized guidance to protect your financial future.
Medicaid Planning
We assist clients in qualifying for Medicaid benefits to cover long-term care costs while protecting family assets. Our strategies include income trusts, asset restructuring, and spousal protections. With expertise in Iowa's Elderly Waiver and PACE programs, we simplify complex eligibility requirements for nursing home and in-home care.
Special Needs Trusts
Our special needs trusts ensure individuals with disabilities maintain government benefits while accessing additional financial resources. We design first-party and third-party trusts tailored to clients' unique circumstances, balancing legal compliance with quality-of-life enhancements for beneficiaries and their families.
Guardianship
We guide families through establishing guardianships and conservatorships for minors, adults with developmental disabilities, or elderly individuals with cognitive impairments. Our process includes emergency temporary arrangements, court documentation, and annual reporting compliance to protect vulnerable persons while respecting their autonomy.
Probate
Our probate services streamline the post-death distribution of assets through court-supervised processes. We handle will validation, inventory filings, debt settlement, and beneficiary distributions for estates requiring judicial oversight. We also provide pour-over wills to complement trust-based estate plans and ensure comprehensive asset transfer.
People
Cynthia P. Letsch
Owner, Managing Attorney, Certified Medicaid Planner
Cynthia Letsch, JD, CMP, founded the firm in 2013 after teaching law and practicing in elder care. Certified in Medicaid planning since 2024, she specializes in estate planning, probate, and asset protection. Admitted in IA, NE, and MO, she speaks nationally on elder law topics and holds memberships in Wealth Counsel and NAELA.
Questions
What areas of law does Letsch Law Firm specialize in?
We focus on elder law, estate planning, Medicaid qualification, probate, guardianships, and special needs trusts across Iowa, Missouri, and Nebraska.
Do you offer free initial consultations?
Yes, most cases qualify for complimentary phone or video consultations to discuss estate planning, Medicaid, or guardianship needs.
Can I create a will without going to court?
Yes, revocable living trusts often avoid probate. We'll help determine if a will or trust best suits your asset distribution goals.
How does Medicaid asset protection work?
Our strategies restructure countable assets into non-countable forms while complying with 60-month lookback rules to ensure eligibility for long-term care benefits.
What documents should every adult have?
We recommend a will, revocable trust, healthcare power of attorney, and living will to address asset distribution and medical decision-making.
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