Asset Protection and Medicaid Planning in Florida 

At Burzynski Elder Law, we understand that planning for the cost of long-term care is one of the most pressing financial challenges facing older adults and their families in Southwest Florida. With nursing home care often exceeding $10,000 to $14,000 per month in the Naples area, most families quickly realize that personal income and savings alone will not be enough to cover these expenses without significant financial risk.

That’s where Asset Protection and Medicaid Planning becomes essential. Our elder law team provides strategic legal solutions to help you preserve assets, qualify for long-term care Medicaid, and ensure peace of mind for both the individual needing care and the family members supporting them. Whether you’re planning proactively or in the middle of a care crisis, we can help.

Why Medicaid Planning Matters

Medicaid is one of the few government programs that covers the long-term care costs associated with skilled nursing facilities. However, qualifying for Medicaid in Florida involves strict income and asset limitations—and improper planning can lead to penalties, delays in coverage, or even denial of benefits. That’s why it’s critical to consult with an experienced elder law attorney before making financial moves like gifting assets or transferring property.

Our Medicaid planning services aim to:

  • Preserve family assets for the healthy spouse and future generations
  • Minimize spend-down and reduce financial stress
  • Help you qualify for Medicaid benefits legally and efficiently
  • Protect income for the community spouse
  • Ensure that the elder receives high-quality, consistent care

Latest Florida Medicaid Eligibility Numbers

Here is a link to the updated figures that affect Medicaid eligibility in Florida

Understanding the Medicaid Institutional Care Program (ICP)

The Institutional Care Program (ICP) is the Medicaid program that covers nursing home care. Eligibility is determined by both medical and financial criteria. An elder must meet Florida’s level of care requirements, which is typically assessed by the CARES team from the Department of Elder Affairs.

Medicaid eligibility also takes into account whether the applicant is single or married, how their assets are titled, and whether transfers have occurred within the five-year look-back period.

Common Asset Protection Strategies in Medicaid Planning

At Burzynski Elder Law, our approach to asset protection is personalized to your unique circumstances. After reviewing your family’s finances, legal documents, and care needs, we may recommend a combination of strategies that could include:

  • Personal Services Contracts
  • Income-Producing Property
  • Medicaid-Compliant Annuities
  • Promissory Notes
  • Qualified Income Trusts
  • Spousal Refusal or Court Orders

We also explore appropriate use of Special Needs Trusts, Testamentary Trusts, and Caregiver Child Exceptions when applicable. The result is a roadmap tailored to your timeline, health needs, and financial goals.

Timing Matters: Pre-Crisis vs. Crisis Medicaid Planning

Ideally, Medicaid planning should begin at least five years before the need for nursing home care. This gives your family time to reposition assets and avoid the five-year lookback penalty period. However, even if you are facing a crisis—such as a sudden diagnosis or recent hospitalization—it is rarely too late to take action. There are still steps we can take to qualify your loved one for Medicaid while protecting assets legally.

Proactive (Pre-Crisis) Planning Benefits:

  • More asset protection options available
  • Ability to leverage irrevocable trusts and gifting strategies
  • No rush or emergency pressure
  • More control over long-term care decisions

Crisis Planning Solutions:

  • Emergency Medicaid applications
  • Immediate use of Qualified Income Trusts
  • Conversion of countable assets into exempt assets
  • Retrospective Medicaid applications if eligibility date is earlier

Whether you are planning in advance or in urgent need of help, we invite you to contact our office to schedule a confidential consultation.

Frequently Asked Questions

Can I gift my home or savings to my children to qualify for Medicaid?

Not without consequences. Medicaid has a five-year lookback period for asset transfers. Gifts or transfers for less than fair market value during this period can result in a penalty period of ineligibility. Before making any gifts, consult with our office to explore safer alternatives.

Will my spouse lose our life savings if I go into a nursing home?

No. Florida’s Medicaid rules include spousal protections designed to prevent the impoverishment of the community spouse. With proper planning, we can help you preserve assets and income so that both spouses are financially secure.

What if my income is too high?

That’s where a Qualified Income Trust (QIT) comes in. This trust is a legal tool that allows you to redirect income over the limit into a special account, allowing Medicaid eligibility without needing to spend down your income.

What types of assets are exempt from Medicaid eligibility?

In Florida, exempt assets generally include:

  • Your primary residence (up to a certain equity limit)
  • One vehicle of reasonable value
  • Irrevocable burial accounts
  • Personal property and household items

Schedule a Consultation with Our Elder Law Team

Planning for long-term care is about more than money—it’s about dignity, security, and protecting the people you love. At Burzynski Elder Law, we’ve helped countless families across Collier County and Southwest Florida navigate the Medicaid maze with clarity and confidence.

We offer both pre-crisis Medicaid planning and crisis intervention services. Our legal team will help you:

  • Analyze your current assets, income, and eligibility
  • Create a customized strategy to protect wealth and gain Medicaid eligibility
  • File and manage the Medicaid application process
  • Respond to denials or delays in benefits

Contact us today at (239) 434-8557 or schedule your initial consultation online. Let’s work together to make sure your loved one receives the care they need while preserving the legacy you’ve built.


For more information on Medicaid eligibility and planning, you can also visit the official Florida Department of Children and Families Medicaid site at myflfamilies.com.