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Is Your Durable Power of Attorney Medicaid Compliant?

Is Your Durable Power of Attorney Medicaid Compliant?
Medicaid Planning
Jason Neufeld
March 31, 2025

For many Florida residents, having a durable power of attorney feels like checking off an important box on their estate planning checklist. But not all powers of attorney are created equal—especially when it comes to planning for long-term care needs and Medicaid eligibility.

Beyond Basic Powers of Attorney

A common misconception exists that a power of attorney is a standardized document that works for every situation. This assumption can create significant problems, particularly when family members need to make important financial decisions for a loved one who has become incapacitated.

Many people carry a false sense of security with documents they:

  • Downloaded from the internet
  • Received from a general practice attorney
  • Created using DIY legal services

While these documents might handle basic transactions like banking or selling property, they often fall short when more sophisticated planning becomes necessary.

What Makes a Power of Attorney "Medicaid Compliant"?

A Medicaid compliant durable power of attorney contains specific provisions that allow your agent (the person you designate) to implement advanced planning strategies that may become necessary if you need long-term care.

Key Components Required in Florida

For a power of attorney to support Medicaid planning in Florida, it must explicitly authorize:

  1. Creation of irrevocable trusts
  2. Establishment of qualified income trusts (Miller trusts)
  3. Self-dealing transactions when appropriate
  4. Gifting powers with specific parameters
  5. Authority to change beneficiary designations

Not only must these powers be explicitly stated, but in Florida, certain provisions must be properly initialed by the principal (the person creating the document). Without these initialings, the powers are invalid—regardless of what the document says.

The Cost of Having an Inadequate Document

When families come seeking help for a parent who can no longer manage their affairs, they're often shocked to find their existing power of attorney doesn't allow for the planning strategies needed to:

  • Protect assets
  • Qualify for Medicaid benefits to pay for home care
  • Pay for nursing facility care
  • Implement other crucial arrangements

By then, it's too late to create a new document if the parent lacks capacity to sign legal documents. At that point, it sometimes becomes necessary to implement a legal guardianship proceeding - which can be unnecessarily costly and time consuming.

Why Specific Legal Expertise Matters

Florida has distinct requirements for powers of attorney, especially those intended to support potential Medicaid planning. Estate planning attorneys who focus on elder needs typically draft documents with these contingencies in mind, even if Medicaid isn't currently on your radar.

The laws governing these documents in Florida are found in Chapter 709 of the Florida Statutes, which outlines the requirements for powers of attorney, including the specific powers that must be explicitly granted and properly executed.

Take Action Before Crisis Strikes

The time to secure a proper Medicaid compliant durable power of attorney is before you need it. If you're concerned about long-term care planning or want to ensure your existing documents actually provide the protection you think they do, consulting with an attorney who focuses on Florida estate planning and elder needs is essential.

Don't wait until a health crisis forces your family to find out your documents aren't adequate. A properly drafted Medicaid compliant durable power of attorney gives your loved ones the tools they need to help you when you can't help yourself.

Jason Neufeld

Jason Neufeld is the Founder and Managing Partner of Elder Needs Law, a Florida estate planning and elder law firm he created in 2017. With more than 15 years of experience practicing law, he represents clients in a wide range of legal matters, including Medicaid planning, estate planning, elder law, probate, Medicare, and life insurance.

Jason received his Juris Doctor from the University of Miami — School of Law and is a member of the Florida Bar and the Broward County Bar Association. He has received numerous accolades for his work, including being named a Rising Star and Super Lawyer by Super Lawyers and among the Florida Legal Elite by Florida Trend in 2024.

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