Picture this: Your mom had a stroke last week. She’s stable now, but the doctors are saying she’ll need long-term nursing home care, and that means figuring out how to pay for it. You’ve heard about Florida Medicaid, and you know there’s planning that needs to happen. But here’s the problem: Mom can’t handle any of this herself anymore.
So who has the legal authority to step in and manage her Medicaid application? Who can move assets around to protect her life savings? Who can sign the paperwork that needs to be signed?
If you’re sitting there thinking, “Well, I’m her child, so I can just handle it”: I hate to break it to you, but that’s not how it works. Without the right legal documents in place, you could be stuck watching your family’s finances drain away while waiting months for a court to give you permission to act.
This is exactly why incapacity planning and Medicaid planning go hand in hand: and why having a solid Power of Attorney is absolutely essential for families in Florida. We work with families in Tampa, New Tampa, Lutz, Wesley Chapel, Zephyrhills and virtually across the state to help make sure someone has authority to act for your aging parents.
Why Florida Medicaid Planning Requires Someone at the Wheel
Let’s back up for a second and ask what Medicaid does. Florida Medicaid is a state and federal program that helps pay for long-term care, like nursing home stays or assisted living, when you can’t afford to pay out of pocket. And in Florida, where nursing home costs can easily run $9,000 to $12,000 per month, a lot of families end up needing this help.
But here’s what catches people off guard, qualifying for Medicaid isn’t as simple as filling out a form and waiting for approval. Florida has strict income and asset limits, and there’s a complex “look-back period” where the state reviews five years of your financial history. If you transferred assets during that time without proper planning, you could face penalties that delay your benefits.

This is where Medicaid planning comes in. It’s the process of legally restructuring your finances, sometimes moving assets, setting up trusts, or converting countable resources into exempt ones, so you can qualify for benefits while still protecting what you’ve worked your whole life to build.
The catch? This kind of planning requires someone to make decisions, sign documents, move money between accounts, and navigate a mountain of paperwork. If the person who needs Medicaid is incapacitated, whether from dementia, a stroke, or any other condition, they can’t do any of this themselves.
And that’s where things can go very wrong, very fast.
The Nightmare Scenario: No Power of Attorney
Without a Power of Attorney in place, your family is essentially locked out. You can’t access Mom’s bank accounts. You can’t sell her house. You can’t sign her Medicaid application. You can’t do anything on her behalf, even if you’re trying to help her.
Your only option at that point? Petitioning the court for guardianship.
Guardianship is a legal process where a judge officially appoints someone to make decisions for an incapacitated person. And while it accomplishes the goal of giving someone authority to act, it comes with some serious downsides:
- It’s expensive. Attorney fees, court costs, and ongoing reporting requirements can easily cost thousands of dollars.
- It takes time. We’re talking months, not weeks. And meanwhile, nursing home bills keep piling up.
- It’s public. Guardianship proceedings are court matters, so your family’s private financial situation
becomes part of the public record. - It’s ongoing. Once you’re a guardian, you have to file regular reports with the court and get permission for certain financial decisions.
All of this could have been avoided with a simple Power of Attorney signed while Mom was still competent.
What Is a Power of Attorney (and Why Does It Matter)?
A Power of Attorney is a legal document where one person (the “principal”) gives another person (the “agent”) the authority to act on their behalf. It’s one of the most fundamental: and most important: pieces of any estate plan.

With a properly drafted Power of Attorney, your agent can:
- Access your bank accounts and pay your bills
- Manage your investments
- Handle real estate transactions
- File your taxes
- Communicate with government agencies on your behalf
- And yes: apply for Medicaid and handle all the related planning
The key word there is “properly drafted.” Not all Powers of Attorney are created equal, and when it comes to Medicaid planning, this matters more than you might think.
Why a Generic Power of Attorney Might Not Cut It
Here’s something that surprises a lot of families: that Power of Attorney you printed off the internet
five years ago? It might not give your agent the authority they need for Medicaid planning.
Florida law requires specific language for certain powers and often those generic, boilerplate documents don’t include the needed language. This means even though someone has authority to act for mom or dad, they don’t have enough authority to do the things that must be done for Medicaid planning.
Additionally, your Power of Attorney needs to be “durable.” That means it stays in effect even after you become incapacitated. A non-durable POA is essentially useless for the exact situation where you need it most.
Timing Is Everything
Here’s the hard truth about Powers of Attorney: you can only sign one while you’re mentally competent. Once you’ve lost the ability to understand what you’re signing, whether from Alzheimer’s, dementia, a traumatic brain injury, or anything else, it’s too late.

And this is where I see families get stuck all the time. They know they should have these documents in place. They’ve been meaning to get around to it. But life gets busy, and it keeps getting pushed to the back burner.
Then something happens: a fall, a diagnosis, a sudden health crisis: and suddenly it’s too late. The window has closed.
The best time to create or update your Power of Attorney is right now, while you’re healthy and thinking clearly. Don’t wait until there’s a crisis. By then, your options are limited and expensive.
It’s Not Just About You: It’s About Your Family
I know talking about incapacity isn’t exactly a fun topic. Nobody wants to imagine a future where they can’t make their own decisions. But here’s the thing, planning for incapacity isn’t just about protecting yourself. It’s about protecting your family from an incredibly stressful, expensive, and emotionally draining situation.
When you have a solid Power of Attorney in place, you’re giving your loved ones a gift. You’re saying, “If something happens to me, I don’t want you to have to fight the legal system to help me. I’ve already taken care of that.”
That’s what real estate planning is all about: making things easier for the people you love.
What Should You Do Next?
If you’re reading this and realizing your Power of Attorney might be outdated, too generic, or, worse, nonexistent, now is the time to fix that. Here’s what I recommend:
- Review any existing documents. If you have a Power of Attorney, pull it out and look at what powers it actually grants. Is it durable? Does it include the specific authorities needed for Medicaid planning?
- Think about who you’d want as your agent. This should be someone you trust completely, not just with your money, but with making difficult decisions on your behalf.
- Talk to an attorney who understands both elder law and Medicaid planning. This isn’t the time for DIY legal documents. The stakes are too high, and the details matter too much.
Let’s Make Sure Your Family Is Protected
At Decker Legacy Law, we work with families throughout Tampa, New Tampa, Lutz, Wesley Chapel, Zephyrhills and virtually across the state, to create comprehensive incapacity plans, including Powers of Attorney that are specifically designed to handle Medicaid planning and other complex situations.
If you’re worried about what would happen if you or a loved one needed long-term care and couldn’t manage things independently, let’s talk. We can review your current documents, identify any gaps, and make sure your family has the legal authority they need to help you, no matter what the future holds.
Contact us today to schedule a consultation. Your future self: and your family( will thank you.)