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Practice Area

Medicaid Planning

Helping Florida seniors and their families qualify for Medicaid long-term-care benefits without giving up everything they own — even when care is needed right now.

Why It Matters

Florida Medicaid pays for nursing-home care and certain home- and community-based services for people who meet strict income and asset rules. Without planning, families burn through life savings to qualify; with planning, much of what looks disqualifying can be repositioned, exempted, or sheltered.

Medicaid planning is fundamentally different from long-term care planning. Long-term care planning is what you do five years before care; Medicaid planning is what you do when care is needed now and the five-year lookback has not yet run. Different toolset, different urgency.

Florida is an income-cap state, which means we use a Qualified Income Trust (QIT, sometimes called a Miller Trust) to bring monthly income under the limit. Spousal allowances, homestead exemptions, and certain transfers to disabled or blind children are all on the table.

You may need this if you:

  • A parent or spouse is in (or about to enter) a nursing home
  • You are paying for care privately and watching the savings drop
  • Hospital discharge planning suggested skilled nursing or memory care
  • You have been told you have to spend down to qualify for Medicaid
  • You are a community spouse worried about your own financial security
  • There is a disabled or blind child the rules treat differently

Our Services

What We Handle

Eligibility Assessment

We map your assets, your income, your spouse's situation, and the relevant transfers from the past five years. The result is a clear picture of where you stand under the current Medicaid rules.

Qualified Income Trust (QIT)

Florida's income cap requires a QIT for anyone over the limit. We set up the trust, choose a trustee, and coordinate with the bank that will hold the account.

Spousal Resource Allowance

The well spouse gets to keep a Community Spouse Resource Allowance. Done right, the allowance can be expanded — particularly when income is uneven between spouses.

Homestead & Transfer Strategies

Florida homestead is exempt from Medicaid asset counting, but transferring it the wrong way can trigger a penalty. We use exempt transfers (caretaker child, disabled child, sibling-with-equity) when they fit.

Application & DCF Liaison

We prepare the Medicaid application packet, gather the documentation, and respond to the Department of Children and Families. Most denials are paperwork denials — we keep them from happening.

Post-Eligibility Compliance

Once you are on Medicaid, an annual redetermination keeps it that way. We help families stay compliant and avoid losing benefits over a missed form.

Prefer to talk it through first?

Give us a call — we’re happy to answer questions before you start your intake.