Florida Elder Law Attorney  ·  LL.M. Estate Planning  ·  Broward County  ·  State of Florida

Medicaid Planning for Florida Families With Assets — Without Losing What You've Built.

If your loved one needs long-term care and you've been told you have too many assets for Medicaid — we help Florida families solve exactly that problem.

  • Keep your savings, investments, and retirement accounts
  • Protect the family home from Medicaid and estate recovery
  • Qualify for benefits — even over the $2,000 asset limit
  • Keep your spouse financially secure at home
  • Get a flat-fee plan — know the cost before you commit

We have helped hundreds of South Florida families in exactly this situation. Here is how we do it.

Why Timing Matters

Your Family Has Assets.
That's Exactly Why You Need to Call Us First.

Your family has savings, a home, and retirement accounts. And someone just told you that your loved one has too many assets to qualify for Medicaid. That is more common than you think — and it is not the end of the road.

Florida law provides legal strategies that allow families over the Medicaid asset limit to qualify for long-term care benefits while protecting what they have built. We have helped hundreds of South Florida families do exactly that. But the sooner you call us, the more we can protect.

$400K
A true story from a client

A family came to us after their mother had already been in a nursing home for three years. By the time they called, they had spent over $400,000 of her savings — and never knew Medicaid planning could have protected most of it. We helped them with what remained. But we could have saved far more if they had called us first.

Unfortunately, there is a great deal of misinformation about what Medicaid planning requires. Families are told they must sell their home, divorce their spouse, or give everything away before they can qualify. None of that is true. With the right legal strategy, most families protect far more than they expected — legally, ethically, and on time.

A word of caution: incorrect Medicaid planning — whether from well-meaning friends, the nursing facility, or unqualified advisors — has cost our clients tens of thousands of dollars in corrections. This is a highly technical area of law. The cost of getting it wrong is real. Get an attorney before you do anything.

Understanding Medicaid

What Is Medicaid — and How Does It Pay for Long-Term Care?

Medicaid is the government program that covers long-term nursing home and assisted living care for people who meet income and asset eligibility requirements. It is not the same as Medicare — and understanding the difference is one of the most important things a family can know.

Medicare
Short-term care only

Medicare is the federal health insurance program most seniors use for doctors, hospitals, and short-term rehabilitation. It covers skilled nursing facility care — but only under very specific conditions, and only for a limited time.

  • Covers up to 100 days of skilled nursing after a qualifying hospital stay
  • Does not cover long-term nursing home stays
  • Does not cover ongoing custodial or personal care at home
  • Does not cover assisted living facility costs

Once Medicare ends, families are on their own — until Medicaid planning steps in.

Medicaid
Long-term care solution

Medicaid is the joint state-federal program designed specifically to cover long-term care — including nursing home stays, assisted living, and in-home aides — for people who meet eligibility requirements.

  • Covers indefinite nursing home stays once eligible
  • Covers assisted living and memory care facilities
  • Covers in-home care and personal aides through Florida waiver programs
  • Requires meeting strict asset and income limits — which is where we help

For most Florida families, Medicaid is the only realistic way to fund long-term care without depleting everything.

Common Misconceptions

What You've Been Told Is Probably Wrong.

There is more misinformation about Medicaid planning than almost any other area of law. Here are the four most damaging myths — and what is actually true.

Myth

"We have to sell our home to qualify."

The truth

In most cases, you do not have to sell your home. Florida exempts the primary residence from Medicaid asset limits — especially when a spouse or dependent family member still lives there. There are also legal strategies to protect the home from Medicaid estate recovery after death.

Myth

"We need to get divorced to protect our assets."

The truth

Divorce is never necessary — and attempting it for Medicaid purposes can backfire badly. Florida's community spouse protection laws allow the spouse at home to keep significant assets and income.

Myth

"We just need to give everything away to the kids."

The truth

Unplanned gifts made within five years of a Medicaid application are reviewed under the look-back period. Transfers that don't follow the rules trigger penalty periods — meaning Medicaid won't pay for care for months, even if all assets are now gone. Do not give anything away without an attorney.

Myth

"It's too late — they're already in the nursing home."

The truth

It is rarely too late. Even after a loved one has been admitted to a nursing home, there are often legal strategies available to protect a significant portion of remaining assets. Crisis planning is one of our specialties. The sooner you call, the more options we have — but do not assume the window has closed.

Florida Eligibility — 2026

The Exact Numbers That Determine Your Options.

Florida Medicaid has strict asset and income limits for long-term care. If your family exceeds these — and most do — you need a legal strategy, not just an application.

Limit / Asset type Single applicant Married (one spouse applying)
Countable asset limit $2,000 $3,000 combined
Monthly income limit $2,901 / month $5,802 / month combined
Primary home equity Exempt up to $730,000 Fully exempt if spouse resides there
One vehicle Exempt Exempt
Life insurance (face value) Exempt up to $2,500 Exempt up to $2,500
Irrevocable funeral contract Exempt Exempt
Personal belongings & household goods Exempt Exempt
Bank & savings accounts Countable Countable
Investment & brokerage accounts Countable Countable
Retirement accounts (IRA, 401k) Countable Countable
Investment real estate Countable Countable
Stocks & bonds Countable Countable
Over the income limit? We can resolve that with a Qualified Income Trust (QIT / Miller Trust) — a legal document that redirects excess income so it no longer counts against eligibility.  |  Over the asset limit? That is exactly why we exist. There are multiple legal strategies available — call us before you assume anything is impossible.
Planning Starts Here

Essential Documents Every Family Needs in Place.

Proper Medicaid planning starts with having the right legal documents drafted correctly. Simply filling out forms is not enough — these documents must reflect your specific wishes and be carefully crafted by an attorney.

Durable Power of Attorney

Designates someone to handle financial and legal matters if you become incapacitated. Without this, your family may need to go to court for guardianship — a costly and time-consuming process that can delay Medicaid planning entirely.

Healthcare Surrogate

Names someone to make medical decisions on your behalf when you cannot. This document must be carefully worded to give your surrogate the authority they need — especially regarding nursing home placement, treatment decisions, and end-of-life care.

Living Will

States your wishes about end-of-life medical treatment — including life-sustaining measures, artificial nutrition, and resuscitation. A living will ensures your care preferences are respected and removes an impossible burden from your family at the most difficult moment.

Important: These documents must be drafted by an attorney who understands your specific situation — not filled out online. A generic form may not hold up legally, or may not give your representative the authority they actually need when it matters most.
Real Situations We Handle Every Day

Does Your Family's Situation Sound Like This?

These are the three most common cases we see across Broward, Miami-Dade, and Palm Beach counties. Every family's situation is different — but if any of these feel familiar, you should call us before you do anything else.

01
Married couple — one spouse needs nursing home care
John & Amy — Spousal Refusal & Asset Protection

Amy is in her early 70s. John is almost 80. One day John suffers a severe stroke — he is rushed to the hospital, transferred to rehabilitation, and after several weeks Amy is told he is no longer making progress. He will need long-term care in a nursing home permanently.

Amy is devastated. She knows she needs to act quickly. Nursing homes in South Florida average over $10,000 per month — more than $120,000 a year. Despite having savings, investments, and a home they built together, Amy has no idea how they will afford this without spending everything they have. She has been told she may have to sell their home or even get a divorce to qualify John for Medicaid.

She was given wrong information. Neither is necessary.

What PK Law does for families like John & Amy
Using Florida's Spousal Refusal strategy, here is what we achieve:
  • Amy does not have to sell their home — it is protected
  • Amy keeps her savings, investments, and financial security
  • John qualifies for Medicaid to cover his nursing home costs
  • No 5-year waiting period — John can qualify now, not after spending down
  • The community spouse protections Florida law provides are fully maximized
Spousal Refusal is a legal strategy available under Florida Medicaid rules that allows the spouse at home to refuse to contribute their assets toward the nursing home spouse's care. When structured correctly by an Elder Law attorney, it allows rapid Medicaid qualification while preserving the community spouse's financial future. This process is highly technical — attempting it without legal guidance regularly results in costly mistakes that take years to correct.

Sound like your family? We handle this situation regularly — and the sooner you call, the more options you have.

Call (954) 233-0682
02
Unmarried person — assets over the Medicaid limit
Ruth — Personal Services Contract & Asset Protection

Ruth's husband passed away years ago. She has been living independently — but over time, dementia and frequent falls have made that impossible. Her family has made the difficult decision to move her into a nursing home. It is the right decision for her care. But it comes with a serious financial problem.

Ruth has savings in the bank. Because her countable assets exceed $2,000 — the Florida Medicaid limit for a single individual — she does not qualify for benefits. Her family has been told she must spend down everything before Medicaid will help. At $10,000+ per month, that could happen very quickly.

There is a legal strategy available — but it must be done correctly.

What PK Law does for families like Ruth's

One of the most effective strategies in Ruth's situation is a Personal Services Contract (PSC). This is a legal agreement in which Ruth compensates a family member for providing care coordination services at fair market value — the same rate she would pay a hired professional.

A properly drafted PSC can cover a range of services, including:

Taking Ruth to medical appointments
Assisting with legal and financial matters
Helping with daily tasks, meal prep, and errands
Coordinating with medical providers and facilities
Managing bills, insurance claims, and records
Advocating for Ruth's care quality and preferences
What a properly executed PSC achieves:
  • Ruth's countable assets are legally reduced — bringing her below the Medicaid limit
  • The family member providing services is fairly compensated at market rate
  • Ruth qualifies for Medicaid benefits to cover her nursing home costs
  • Meaningful savings are preserved for Ruth's family — rather than spent on nursing home bills
A Personal Services Contract must be attorney-drafted and executed before services begin — not retroactively. The compensation rate must reflect actual fair market value for each service. A PSC done incorrectly can be challenged by the state and reversed, triggering a Medicaid penalty period. Done correctly, it is one of the most effective asset-protection tools available for unmarried individuals facing long-term care.

Is your loved one in Ruth's situation? Do not spend down before calling us — there are legal options available.

Call (954) 233-0682
03
Parent in Florida — adult children living out of state
Tina & Dan — Multi-State Medicaid Planning

Tina has lived in South Florida for over 15 years. Her husband passed away years ago. She has built a life and community here — her doctors, her neighbors, her routines. Her son Dan lives in New York. As Tina's health declines and she can no longer live alone, Dan faces a decision he was never prepared to make.

Should Mom stay in Florida for care — or move to New York to be closer to family?

It is a deeply personal question. But it is also a legal and financial one that most families do not realize until it is too late. Medicaid is a state-federal program — and the rules are different in every state.

Why this decision matters more than most families know
If Tina stays in Florida
Home equity exempt up to $730,000
Spousal Refusal available — a uniquely powerful Florida strategy
15+ years of established care network, doctors, and community
PK Law handles the full Medicaid planning process
Strategies like PSC fully available under Florida rules
If Tina moves to another state
Home equity exemption limits vary — often significantly lower
Spousal Refusal not available in most states
New Medicaid residency requirements must be met
All asset transfers reviewed under the new state's rules
Planning strategies differ — what works in Florida may not apply
Because Medicaid planning is highly complex and state-specific, it is essential to understand the legal and financial implications of where care is received before making the move. A decision that seems emotionally obvious can cost the family tens of thousands of dollars in lost asset protections. We help you see the full picture before you decide.

Is your parent in Florida while you live out of state? This is one of the most common situations we handle. Let us help you make the right call.

Call (954) 233-0682
Your Medicaid Planning Attorney

The Experienced, Calm Voice Your Family Needs Right Now.

When a loved one needs long-term care, families are suddenly facing decisions they were never prepared for. Patricia founded her practice to be the trusted guide through exactly that storm.

Patricia F. Keyes — Florida Elder Law and Medicaid Planning Attorney

Patricia F. Keyes

Florida Medicaid & Elder Law Attorney

When a loved one needs nursing home or assisted living care, families face skyrocketing costs, confusing eligibility rules, and the very real fear of losing everything they have worked to build. Patricia founded her practice to be the calm, experienced voice in that storm.

With an LL.M. in Estate Planning and years of focused Medicaid planning experience across Broward, Miami-Dade, and Palm Beach counties, Patricia has helped hundreds of Florida families protect their savings, their homes, and their spouses' financial security — while still qualifying for the long-term care benefits they need. When the clock is running and the bills are mounting, she becomes your family's fiercest advocate.

"No family should have to spend down a lifetime of savings just to get the care they need. My job is to make sure they don't have to."

— Patricia F. Keyes

LL.M. in Estate Planning Florida Bar Member Elder Law Section Probate & Trust Law Section Hablamos Español
The Team Behind Your Case
Jodi Mc-Mahon Bergman

Jodi Mc-Mahon Bergman

Paralegal

Brant Boehm

Brant Boehm

Legal Assistant

Catherine Laystrom

Catherine Laystrom

Legal Assistant

Lyn Estrada

Lyn Estrada

Paralegal

Arianny Bolivar

Arianny Bolivar

Legal Assistant

How It Works

Simple, Transparent — No Surprises.

We charge flat fees — so you know exactly what you are paying before any work begins. No hourly billing. No unexpected invoices. Here is exactly what working with PK Law looks like from your very first call.

1
Step one

Complimentary Call with Our Paralegal

Tell us your situation. Our paralegal listens carefully — and we only move forward if we genuinely believe we can help. No wasted time. No wasted money. No pressure. This call is free and carries no obligation.

  • Tell us about your loved one's care situation and what assets are involved
  • We ask the right questions to understand your family's specific needs
  • We give you an honest assessment — if we are not the right fit, we will tell you
  • If we can help, we schedule a full strategy session with Patricia
No obligation · Complimentary
2
Step two

Working Strategy Session with Patricia

We do not mess around. This is a working meeting — not a sales pitch. Patricia reviews your assets, your income, your care situation, and your family's goals. You leave with a clear, specific Medicaid plan and a flat-fee quote.

  • Patricia personally reviews every aspect of your family's financial picture
  • We identify which assets are countable, which are exempt, and what strategies apply
  • You receive a concrete plan — not general advice, but a specific legal strategy for your situation
  • You know the exact cost down to the dollar before you commit to anything
  • We respect that this is hard — we take the time to explain everything clearly
Flat fee quoted upfront
3
Step three

We Execute the Plan — Start to Finish

We do not hand you documents and disappear. We guide your family through every step of the process — protecting your assets, preparing and filing the Medicaid application, and staying with you until benefits are secured.

  • We draft and execute all required legal documents — powers of attorney, trusts, PSCs, QITs as needed
  • We prepare and file the Medicaid application correctly the first time
  • We respond to any requests for additional information from the state
  • We stay with you through every step — our job is not done until your family is protected
  • We do not just give you documents — we make sure the plan is implemented
We stay with you

Why flat fees matter to your family

Most law firms charge by the hour — which means every phone call, every email, every question adds to your bill in ways you cannot predict. We charge flat fees because families dealing with a health crisis deserve to know exactly what they are paying. In virtually every case, the cost of legal planning is a small fraction of what we help your family preserve.

Client Reviews

Families Who Trusted Us With What Mattered Most.

Real South Florida families facing nursing home costs and the fear of losing everything. Here is what working with PK Law made possible.

Common Questions

Medicaid Planning Questions, Answered.

These are the questions families ask us most often. If your question is not here, call us — we are happy to answer anything.

Eligibility & Asset Limits

Not necessarily — and this is one of the most important things we tell every family we meet. Medicaid has asset limits, but Florida law allows for legal strategies that can reposition or protect assets while still qualifying for benefits. Many families who were told they had "too much" have gone on to qualify with the right legal plan in place.

Being over the limit is a starting point, not a verdict. Call us before you assume anything is impossible.

For a single applicant in Florida, the countable asset limit is $2,000 and the monthly income limit is $2,901.

For a married couple where one spouse is applying, the combined asset limit is $3,000 and the combined income limit is $5,802 per month.

Over the income limit? A Qualified Income Trust (QIT / Miller Trust) can resolve that. Over the asset limit? There are multiple legal strategies available — many of which allow families to protect far more than they expected. These are exactly the situations we handle every day.

Certain assets are exempt and do not count toward the limit — including your primary home (up to $730,000 in equity), one vehicle, personal belongings, an irrevocable funeral contract, and life insurance with a face value up to $2,500. Most other assets — bank accounts, investments, retirement accounts, stocks, bonds, and additional real estate — are countable.

Medicare and Medicaid are not the same program — and the difference matters enormously for long-term care.

Medicare covers short-term skilled nursing facility care — typically up to 100 days after a qualifying hospital stay, and only under specific conditions. It does not cover long-term nursing home stays.

Medicaid is the program designed specifically to cover long-term care — including nursing home stays, assisted living, and in-home aide services — for people who meet eligibility requirements. For most Florida families, Medicaid is the only realistic way to fund long-term care without depleting everything they have saved.

When you apply for Medicaid, the state reviews all asset transfers made in the five years before the application date. Gifts to children, transfers to trusts, or any asset given away during that window — even with the best intentions — can trigger a penalty period.

A penalty period means Medicaid will not pay for care for a calculated number of months, even if the applicant now has no assets left. At $10,000+ per month for nursing home care, a penalty period of even a few months can be devastating.

Do not transfer or give away any assets without speaking to an attorney first. This is one of the most common and costly mistakes families make. Well-meaning gifts intended to help qualify a loved one can backfire badly if they are not structured correctly.
Protecting Your Assets

In most cases, yes — and this is one of the highest-value things we do for families. Florida exempts the primary residence from Medicaid asset counts, particularly when a spouse or dependent family member still lives there. If the home has equity under $730,000, it generally does not count against eligibility.

We also use legal strategies to protect the home from Medicaid Estate Recovery — the process by which the state can attempt to reclaim the cost of care from your estate after death. Without proper planning, families who protected the home during the applicant's lifetime can still lose it after they pass.

Protecting the home — both during the Medicaid application and from estate recovery after death — is one of the most important reasons to work with an experienced Elder Law attorney.

Florida's Medicaid rules include important protections for the spouse who remains at home — called the "community spouse." These protections include:

  • Community Spouse Resource Allowance (CSRA): The community spouse is allowed to keep a portion of the couple's combined assets
  • Minimum Monthly Maintenance Needs Allowance (MMMNA): The community spouse is entitled to a minimum monthly income, which can be supplemented from the nursing home spouse's income if needed
  • Spousal Refusal: A uniquely powerful Florida strategy that, when properly executed, allows the community spouse to keep significantly more — including assets above the standard CSRA limit

We work to maximize every available protection so your spouse is not left financially vulnerable while you receive the care you need. You should not have to become impoverished because your spouse needs long-term care.

No — and please do not do either of these things without speaking to an attorney first.

Selling the family home is almost never necessary for Medicaid qualification. Florida specifically protects the primary residence in most cases. And attempting to get a divorce for Medicaid planning purposes is not only unnecessary — it can create serious legal complications and actually harm your planning options.

These are two of the most persistent myths about Medicaid planning, and acting on them has caused real financial damage to families who received bad advice. The right legal strategy protects your home and your marriage while still qualifying your loved one for benefits.

Timing & The Planning Process

It is rarely too late. Even after a loved one has been admitted to a nursing home, there are often still legal strategies available to protect a significant portion of remaining assets. The sooner you call us, the more options we have — but we have helped families who waited months after admission and still protected meaningful savings.

Do not assume the window has closed until you speak with us. Crisis planning is one of our specialties.

Nursing facilities can file the basic paperwork — but they are not attorneys and they do not protect your assets. They process the application as-is, which means any countable assets your loved one has are fully exposed. The facility's job is to get your loved one covered; your family's financial protection is not their concern.

If your loved one has savings, a home, retirement accounts, or a spouse at home, filing without an attorney is one of the most expensive mistakes a family can make. The cost of legal planning is almost always a small fraction of what it helps preserve.

We charge flat fees — you know the exact cost after your strategy session, before any work begins. No hourly billing. No surprise invoices.

In virtually every case, the cost of legal planning is a fraction of what we help families preserve. Consider: one family spent $400,000 before they called us. Our fee for helping what remained was a small percentage of that. The families who plan ahead keep far more of what they worked a lifetime to build.

We will give you an honest, specific quote after your complimentary call with our paralegal. There is no obligation to proceed.

Yes — this is one of the most common situations we handle. Many of our clients are adult children who live in New York, New Jersey, or other states while their parents live in South Florida.

We work entirely with families remotely when needed — phone, video, email. And when the question involves whether a parent should stay in Florida for care or move to be closer to family, we coordinate with Elder Law attorneys in other states to give you a complete picture of the planning options in both jurisdictions before you make that decision.

Where your parent receives long-term care affects which Medicaid rules apply — and some strategies available in Florida (like Spousal Refusal) are not available in most other states. We make sure you understand the full legal and financial picture before any decision is made.

Sí, hablamos español. Patricia and her team proudly serve South Florida's Spanish-speaking families with the same care, attention, and expertise as all of our clients. Navigating Medicaid is complicated enough — you should never have to do it in a language that is not yours.

Still have questions?

Call us directly — we are happy to answer anything before you schedule a consultation.

(954) 233-0682
Let's Protect What Matters

Every Day Without a Plan
Is Money at Risk.

Tell us your situation. We will be honest about whether we can help — and exactly what it will cost. Start with a complimentary call with our paralegal. No obligation. No pressure. Flat fees — no surprises.

Complimentary paralegal call
Flat fees — no surprises
Licensed Florida Elder Law Attorney
Hablamos Español
Broward · Miami-Dade · Palm Beach

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