Trusted guidance and support for families when it matters most.

You don’t have to navigate aging, care decisions, or Medicaid alone.

As a professional specializing in aging, long-term care planning, and navigating complex systems, I help individuals and families understand their options, create a clear plan, and move forward with confidence.

  • Medicaid Application
  • Pooled Income Trust Setup
  • community program referrals
  • aging & caregiving strategies
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Medicaid Home Care Alert

GREAT NEWS!!!!!

You Still have time!!! Act now!!

The look back period for community Medicaid was pushed back. You have more time to apply for Medicaid and recieve the services you need for yourself and/or a loved one. In addition, the eligibility guidelines have changed, as well.

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Navigating aging and care decisions can feel overwhelming.
You don’t have to do it alone.

My process makes it easier. About myself.

Our mission is to provide compassionate, expert care management for seniors, individuals with disabilities, and their caregivers. We understand that each journey is unique, and we are committed to providing personalized support and empowering families with the tools and guidance they need. With empathy and respect, we walk alongside you, ensuring that every question is answered, every need is met, and every step forward is taken with care and dignity.

We believe that quality care and support are within reach for everyone. We've encountered many families who felt overwhelmed and uncertain about their options, believing that their situation was too complex or that they wouldn't qualify for assistance. We are here to guide you through the process, explore all available resources, and prove that the right care is possible for you and your loved ones.

We look forward to working closely with you and your family as we navigate this journey together.

Navigating care decisions can be complex and emotionally overwhelming for individuals and their loved ones.

Areas of Expertise

The services below are designed to provide guidance, clarity, and support every step of the way.
In-Home Safety Assessment

A comprehensive home assessment to identify cognitive, emotional, environmental, and functional concerns, along with recommendations for services, equipment, and long-term planning needs.

Supportive Counseling

Compassionate support for individuals and families facing challenging care decisions, transitions, and emotional stress throughout the process.

Medicaid Guidance and Application Assistance

Step-by-step support through the Medicaid process, including eligibility review, documentation guidance, application assistance, and coordination with involved agencies.

Excess Income / Spenddown Evaluation

Assessment and explanation of Medicaid excess income, with guidance on approved methods to satisfy spenddown requirements, including direct payment, medical expenses, or a Pooled Income Trust.

Pooled Income Trust Assistance

Evaluation and management of the Pooled Income Trust process to help maintain Medicaid home care eligibility while preserving income for living expenses.

Case Management Services

Individualized care planning, resource coordination, advocacy, and ongoing support to help clients achieve safe, appropriate, and cost-effective care outcomes.

Dementia Education and Caregiver Support

Specialized support for families affected by dementia, including education on behavior changes, safety strategies, caregiver guidance, and individualized recommendations.

Mobile Notary Services

Professional notary services provided at your location for convenience and ease in executing important legal and personal documents.

Strategic Aging & Family Care Advisory (Coaching)

In addition to hands-on services, I offer personalized advisory and coaching sessions for individuals and families who want expert guidance as they navigate aging, caregiving responsibilities, and long-term planning decisions.

Many families wait until they are in crisis before seeking help. My goal is to help people become proactive rather than reactive when planning for the inevitable life changes that come with aging.

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I understand how emotional and overwhelming it can be for individuals and families navigating aging, care decisions, and planning for the future.

There Is Always a Way Forward. There Should Always Be a Plan.

I believe that when families are faced with difficult care decisions, the process can feel overwhelming and uncertain. My role is to help bring clarity, direction, and reassurance during these moments.

Through years of professional experience specializing in aging, care planning, and navigating complex systems, I have developed an approach that helps individuals and families understand their options, create thoughtful plans, and move forward with confidence.

I also believe that many of the challenges families face can be eased through proactive planning and open conversations about the changes that come with aging. By preparing ahead and understanding the resources available, families can reduce stress and make informed decisions that support both independence and quality of life.

Every situation is unique. My goal is to walk alongside individuals and families with empathy, knowledge, and practical guidance, helping them navigate each step with dignity, confidence, and a clear path forward.

Are you struggling to work with a loved one with dementia? I can provide a helping hand.

Living With Dementia

As a Certified Dementia Practitioner, I help individuals and families navigate the challenges of dementia with compassion, education, and practical support.

  • Agree, never argue.
  • Divert, never reason.
  • Distract, never shame.
  • Reassure, never lecture.
  • Reminisce, never say "remember".
  • Repeat, never say "I told you so".
  • Do what they can do, never say "you can't".
  • Ask, never demand.
  • Encourage, never condescend.
  • Reinforce, never force.

My clients are happy and satisfied.

J. Leone

"Dealing with nuances of Medicaid and Social Services can be a daunting and intimidating task. I cannot say enough about the expert guidance MaryJo provided to me and my family in navigating the process of applying for Medicaid for my senior parents.

MaryJo provided start to finish service filling all paperwork, obtaining approvals, setting up a Spend Down Trust, something that is beyond a novice.

Most important, is MaryJo's caring and personal approach to this process, which was perhaps as important to me and my family as her professional knowledge. I wholeheartedly recommend MaryJo, without reservation, to anyone in need of her special services."

George I.
"When I needed help getting care for my father I was lost. I found MaryJo through a friend, and what a find. She really knows the system and was effective at getting me the care my dad needed. MaryJo is service oriented, honest and caring. I couldn't have done it without her, a real angel."
Larry G.
"MaryJo is responsive, caring and knowledgeable. She was a great help to my family."
Nancy B.
"Great service. Her attention to details shows how much she cares for her clients."
Thomas D.
"I was dealing with my mother-in-law and didn't know where to turn. I was given MaryJo Mastrogiacomo's name and called her. She was a pleasure to deal with and steered me in the right direction. She took care of all the paperwork. MaryJo put my wife and I at ease and was a great help. Very professional."
Mary
"So grateful that MaryJo was referred to me to help in the process of getting my spouse Medicaid. She is a phenomenal person who has strong knowledge of the Medicaid process, aide services & trust account information.

MaryJo's knowledge coupled with her very caring heart and patient way about her made the complicated process so much easier. She truly is a remarkable human being and you will be glad you hired her for the exceptional service she provides. Start to finish she was always there going above & beyond to address my questions & concerns. She put me at ease and she will do the same for you. Her values & expertise are top notch!!"
Bob
"I just wanted to thank you for helping me get thru the system. I would not have been able to get this application completed as quickly without your knowledge of the system. Knowing what forms are required and where to send them were a big help. I feel that without your help I would still be trying to figure out what to do."
Jackie S.
"I had the absolute pleasure to work with MaryJo for my mom. She is extremely knowledgeable in the whole Medicaid process and responds in a very timely fashion to get back to you with any questions you may have. I can't recommend her enough."

When you or a loved one is in need of long term care, numerous challenges can be expected. The added stress of these challenges, in conjunction with the Medicaid application process, can become extremely overwhelming.

My guidance and expertise will make the process smooth and comforting.

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