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If they other spouse is well enough off financially on their own, Medicaid will only go after half of any marital assets. They are only entitled to half.
Aging people also make arrangements with their property and other assets to make them Medicaid-exempt. This means they take real estate and savings accounts and investments out of their names and transfer them to their heirs names before they need a care facility.
There are also certain kinds of Trusts that can be set up to make real estate a Medicaid-exempt asset.
Or, they don't make their families wait until they die or a nursing home takes it all. They start giving in life before they need to be placed.
Of course all of this has to be done usually five years before there's even a thought about Medicaid and placement in a care facility.
You'd do well to talk to a lawyer. One that specializes in Trusts.
The rules vary widely by state.