An older Latino couple and their adult daughter across a desk from an attorney in an office with bookshelves

Elder Law Attorney: When Your Parent Needs One, and How to Find One

Not every family needs a lawyer. These are the moments that do, how elder law attorneys charge and how to find one you can trust.

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The short answer

Call an elder law attorney before money moves or papers get signed: when long-term care and Medicaid are on the horizon, when a power of attorney is missing or refused, when guardianship comes up, or before your parent signs a care facility contract. Most charge by the hour or a flat fee for set jobs, so ask up front. Find one through the National Academy of Elder Law Attorneys, your state bar or legal aid.

Before you read

We're not lawyers, and this is general information, not legal advice. Rules on Medicaid, powers of attorney and guardianship differ from state to state, so talk with a licensed attorney in your parent's state before you act. If your parent is in immediate danger from abuse or exploitation, call 911.

The assisted living director slides a 14-page contract across the table and says your mom's signature goes on page nine. The bank won't accept the power of attorney your dad signed in 2009. Someone at church says the family should put the house in the kids' names before Mom needs a nursing home. Each of these is a moment when an hour with the right lawyer can prevent an expensive mistake, and when guessing can cause one. Here's when to call an elder law attorney, how they charge and how to find a good one.

What an elder law attorney does

Elder law attorneys focus on the legal side of aging and disability. The topics the National Academy of Elder Law Attorneys organizes its work around show the range: government benefits, guardianship and capacity, health care, housing and residents' rights, tax, trusts and estate planning, and veterans' benefits.

In practice, families hire one to plan for long-term care costs and Medicaid, draw up or fix powers of attorney and health care directives, handle guardianship or find alternatives to it, review care facility contracts, appeal benefit denials and respond to suspected financial exploitation. A general estate planning lawyer can write a will. The difference is depth in Medicaid, benefits and incapacity, which is where families tend to get into trouble.

The moments your family should call one

It's easy to wait until money has already moved or a document has been refused. These are the moments to call first:

An adult daughter rests her hand on her parent's hand as he pauses over an unsigned contract at the dining table.
Have a lawyer read a care facility contract before your parent signs, especially the part about who is responsible for payment.

What an elder law attorney costs

No national price list exists, because fees are set lawyer by lawyer and vary with the job and the state. The best public numbers come from state bar surveys. The State Bar of Michigan's 2026 Economics of Law Practice survey, which collected 2025 billing rates, found a median of $350 an hour for elder law, with the middle half of those lawyers charging $300 to $360 and the top 5% charging $425 or more. Big-city markets run higher and rural ones lower, so treat that as a reference point, not a quote.

According to The Florida Bar, the common arrangements are:

Before the lawyer's meeting, Mom hears it in plain words.

The Medicaid notice, the bank's refusal, the facility contract: your parent can read it aloud to Tiina or share a photo, hear what each part means in plain words, and sort out what they want to ask the elder law attorney. The decisions stay theirs.

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Free and low-cost legal help

Talk about fees at the first consultation, ask whether that meeting is free, and get the fee agreement and an estimate in writing. If the legal matter is your parent's, it's generally your parent's bill, so involve whoever manages their money.

If money is tight, look into legal aid. The Legal Services Corporation funds 129 nonprofit legal aid organizations for people with low incomes; search by your parent's address. Separately, about 1,000 legal services providers funded through the Older Americans Act help older adults with economic or social needs with benefits, advance directives, guardianship, housing and long-term care questions.

How to find a good one

Start with the National Academy of Elder Law Attorneys' Find a Lawyer search, which searches by ZIP code. Then check whether a nearby lawyer is a Certified Elder Law Attorney. The National Elder Law Foundation is the only national organization accredited by the American Bar Association to certify lawyers in elder and special needs law, and there are more than 500 CELAs nationwide. Your state bar's lawyer referral service is another route.

Look for someone licensed in your parent's state, since Medicaid and guardianship rules are state law. A lawyer who mostly does elder law will know the local Medicaid office and courts in a way a generalist may not.

What to bring, and what to ask

Gather everything in order and write a short statement of the problem and what your family wants to happen, as The Florida Bar suggests. Bring copies, and let the lawyer decide whether originals are needed:

An adult son and his parent sort papers and insurance cards into an accordion file before the meeting with the lawyer.
Bring copies, in order, with a short written statement of the problem, and let the lawyer say whether originals are needed.

Your parent is the client

If the documents and decisions are your parent's, your parent is the client, even if you found the lawyer and drove them there. Ask up front who the lawyer represents and what they can tell you, and expect them to want to hear your parent's wishes directly.

That protects everyone. Papers your parent truly understood and wanted are far harder to challenge later. If you'll be managing money under a power of attorney, the Consumer Financial Protection Bureau has free guides for agents and guardians on what they can and can't do.

Mom walks into the lawyer's office with her own list of questions.

She read the facility contract to Tiina the night before, heard the payment clause explained in plain words and wrote down what she wanted to ask. It's her plan, in her words, and the lawyer hears it from her.

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Frequently Asked Questions

As a reference point, the State Bar of Michigan's 2026 survey found a median of $350 an hour for elder law, with most lawyers in the $300 to $360 range; big-city rates run higher. Routine documents are often a flat fee quoted in advance, while Medicaid planning or guardianship is usually billed by the hour, plus costs like court filing fees. Ask at the first consultation and get the agreement and an estimate in writing.
An estate planning attorney focuses on wills, trusts and passing on property. An elder law attorney also handles the legal issues of aging: Medicaid and long-term care planning, benefits, guardianship, powers of attorney and residents' rights. Many do both, so ask how much of their practice is elder law.
Often, yes. Legal aid organizations funded by the Legal Services Corporation help people with low incomes, and legal services funded through the Older Americans Act focus on older adults with economic or social needs. Some private lawyers also offer a free first consultation, so ask.
Not always, and many people apply on their own. But if your parent has assets to protect, has given money away in the last five years, or has a spouse still living at home, a consultation before applying can help avoid a denial or a penalty period. Medicaid rules vary by state.

Methodology & editorial policy

Reviewed and updated October 31, 2026 by the Tiina Editorial Team. Facts, programs and prices in this guide come from the sources listed below.

About composite scenarios. The opening scene is a composite.

About Tiina. Tiina is a voice-first AI companion for older adults: an app for iPhone and iPad that your parent opens whenever they want someone to talk to, day or night.

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Sources. 10 references: National Academy of Elder Law Attorneys, National Elder Law Foundation, CMS, Alzheimers.gov (National Institute on Aging), Administration for Community Living, Legal Services Corporation, The Florida Bar, Consumer Financial Protection Bureau, State Bar of Michigan.View all
  1. National Academy of Elder Law Attorneys. Find a Lawyer. naela.org
  2. National Elder Law Foundation. Certified Elder Law Attorney and attorney directory. nelf.org
  3. CMS. Deficit Reduction Act: Important Facts for State Policymakers (transfer of assets). cms.gov
  4. Alzheimers.gov (National Institute on Aging). Planning After a Dementia Diagnosis. alzheimers.gov
  5. Administration for Community Living. Alternatives to Guardianship. acl.gov
  6. Administration for Community Living. Legal Services for Older Americans Program. acl.gov
  7. Legal Services Corporation. I Need Legal Help. lsc.gov
  8. The Florida Bar. Attorneys' Fees (consumer pamphlet). floridabar.org
  9. Consumer Financial Protection Bureau. Managing someone else's money. consumerfinance.gov
  10. State Bar of Michigan. 2026 Economics of Law Practice Survey Results (Table 7: hourly billing rates by field of practice). michbar.org