013: Medicaid’s 5-Year Lookback Rule Explained: What Florida Families Need to Know About Medicaid Eligibility

By | Podcasts

In this episode of Life, Legacy & Wealth, Cary Moss breaks down everything families need to know about Medicaid planning — before a crisis forces their hand. From the five-year lookback rule to irrevocable trusts, spousal refusal, and the caregiver child exception, Cary walks through the legal strategies available to Florida families who want to protect their assets and preserve their legacy without running afoul of Medicaid rules. Cary brings years of hands-on elder law experience to the conversation, offering practical guidance on what documents to gather, what questions to ask when hiring an elder law attorney, and what steps families can take right now — even if a nursing home is still years away. If there’s one thing to take away from this episode, it’s this: don’t wait for a crisis to start planning. In this episode, you will hear: The five-year lookback rule and why timing is everything…

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Florida’s Five-Year Medicaid Lookback Rule: What Families Need to Know Before It’s Too Late

By | Medicaid

When a loved one needs long-term care, families often discover — too late — that financial decisions made years earlier are now creating serious problems. Florida’s five-year Medicaid lookback rule is one of the most misunderstood aspects of elder law planning, and the consequences of getting it wrong can be devastating. What the Lookback Rule Actually Is When someone applies for Florida Medicaid long-term care benefits, the Department of Children and Families reviews five years of financial history. They are looking for any uncompensated transfers — gifts, property transfers, or asset movements where the applicant received nothing of equal value in return. The underlying logic is straightforward: if assets were given away, they could have been used to pay for care instead. Why Families Get It Wrong The most common mistake married couples make is transferring all joint assets into the healthier spouse’s name, assuming this sidesteps the rule. It…

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012: Medicaid’s 5-Year Lookback Rule Explained: Protecting Your Family’s Assets from Penalty Periods

By | Podcasts

In this episode, Cary Moss breaks down one of the most misunderstood rules in Florida elder law — the five-year Medicaid lookback period. Families are constantly caught off guard by this rule, making costly mistakes like transferring assets to children or adding names to property deeds, only to discover these moves can trigger serious penalties when it comes time to apply for Medicaid. Cary walks through how penalty periods are calculated, which transfers are exempt, and how tools like personal care contracts can protect a family’s assets while staying fully compliant. She also tackles tricky real-world scenarios — from grandparents paying college tuition to families compensating a child for in-home caregiving — and explains how proper documentation can mean the difference between approval and denial. Don’t let a lack of planning cost your family everything — this episode could save you thousands. In this episode, you will hear: Why transferring…

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Who Should Be Your Trustee? What Families Get Wrong — and How to Get It Right

By | Estate Planning

Choosing a trustee is one of the most consequential decisions in estate planning. Yet families often make that choice based on love, loyalty, or a desire to keep the peace — rather than on qualifications and capability. Here’s what to consider before naming someone to that critical role. “Keeping Things Equal” Can Create Unequal Problems The instinct to treat children equally is understandable, but equality isn’t always the right framework for trustee selection. Different people have different strengths. One child may be financially savvy but lack compassion. Another may be deeply caring but poor with money. A better approach is to match the role to the person — naming a financially capable child as trustee while designating a more empathetic sibling as healthcare surrogate. Catering to individual strengths protects everyone, including the beneficiaries. Red Flags That Should Give You Pause Not everyone who seems qualified actually is. A financial advisor…

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011: Trustee Selection Secrets: What Every Family Needs to Know Before Signing

By | Podcasts

Choosing the right trustee is one of the most important — and most overlooked — decisions in estate planning. In this episode, attorney Tom Moss breaks down what families need to know before naming a trustee, from red flags that signal the wrong choice to the “desired behaviors” clauses that can reduce family conflict before it starts. Tom also tackles the co-trustee question, the case for corporate trustees, and why “keeping things equal” isn’t always the right approach. Whether a trust is already in place or just getting started, this episode offers a practical roadmap for making one of the most consequential decisions a family will face. In this episode, you will hear: Why “keeping things equal” can actually breach the peace Red flags that disqualify a trustee before they even start How “desired behaviors” clauses give trustees clear guidance When co-trustees are a blessing — and when they’re a…

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Why Choosing the Right Trustee Matters More Than You Think

By | Estate Planning

Selecting a trustee is one of the most consequential decisions in any estate plan. A trustee is not simply “the responsible child” or the person who is best with money. A trustee is a fiduciary, meaning they are legally obligated to act solely in the best interest of the beneficiaries. They control assets, make distribution decisions, manage investments, and often serve for years or even decades. When a trust is designed to protect a loved one from creditors, poor financial decisions, addiction, disability, or divorce, the trustee becomes the gatekeeper. That shift in family dynamics can either preserve relationships or permanently damage them. Understanding the Fiduciary Standard A fiduciary operates under the highest legal standard of care. Trustees must follow prudent investment rules, avoid conflicts of interest, and provide annual accountings to beneficiaries. In Florida, these accounting requirements are not optional. Trustees are expected to inventory assets, safeguard property, review…

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010: How to Choose the Right Trustee and Avoid Family Conflict in Orlando Trust Administration

By | Podcasts

Choosing the right trustee can protect a family’s legacy—or create years of conflict. In this episode, Tom Moss breaks down what trustee selection really means and why it goes far beyond picking the child who is “good with money.” He explains the true definition of a fiduciary, the legal duties involved in trust administration, and the emotional weight placed on someone asked to manage assets for siblings or loved ones. Tom walks through the practical differences between trustees and personal representatives, common family conflict triggers, co-trustee pitfalls, corporate trustee pros and cons, and Florida-specific considerations like annual accountings and U.S. citizenship requirements. If an estate plan is meant to preserve both wealth and relationships, this conversation offers a clear roadmap for doing both well. In this episode, you will hear: What a fiduciary really is and the legal duties of a trustee Trustee vs personal representative and why court oversight…

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The Hidden Risks of DIY Medicaid Planning

By | Medicaid

Many families try to protect assets from nursing home costs on their own, often acting out of urgency or fear. Unfortunately, well-intentioned moves like gifting money to children or transferring property without guidance can create serious problems. Medicaid has a five-year lookback period, and improper transfers can result in lengthy periods of ineligibility right when care is needed most. Once the gifted money is gone, it is not always possible to reverse those decisions, leaving families exposed at the worst possible time. Common Asset Protection Mistakes Families Make One of the most frequent mistakes is adding children to bank accounts, investment accounts, or deeds in an attempt to reduce countable assets. Medicaid generally treats jointly held assets as fully available to the applicant unless strict proof shows otherwise. These changes can also trigger unintended tax consequences, reduce stepped-up basis, and create ownership complications that are difficult to unwind later. What…

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Medicaid Planning and the Rising Cost of Nursing Home Care

By | Medicaid

For many seniors and their families, nursing home costs come as a financial shock. Monthly expenses can reach five figures, quickly draining savings that took a lifetime to build. One of the biggest sources of confusion is the assumption that Medicare will cover long-term care. In reality, Medicare offers limited short-term coverage, while Medicaid planning is often the primary path to managing ongoing nursing home expenses. Understanding how Medicaid works, what it covers, and how eligibility is determined is essential for families who want to protect assets while securing necessary care. Medicare vs Medicaid and What Families Need to Know Medicare is a federal health insurance program designed primarily for people aged 65 and older, but it does not cover long-term nursing home care. Medicaid, by contrast, is a joint federal and state program that can pay for long-term care for individuals who meet specific income and asset requirements. This…

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009: Medicaid Planning Strategies to Reduce Nursing Home Costs and Protect Savings – Part 2

By | Podcasts

In today’s episode of Life, Legacy & Wealth, we continue the conversation around Medicaid planning, nursing home costs, and asset protection—and the costly mistakes families often make when they try to navigate this process on their own. I’m joined again by elder law attorney Cary Moss, who shares real-world examples from her practice that show how well-intended decisions can create serious financial and legal problems if they’re not done correctly. Cary breaks down common red flags, including gifting assets, adding children to accounts, misunderstanding special needs trusts, and relying on incorrect advice from friends or the internet. We also walk through a powerful success story that shows how proper planning can protect a spouse, preserve assets, and bring peace of mind during an incredibly stressful time. If you or your family are thinking about long-term care, Medicaid eligibility, or protecting what you’ve worked so hard to build, this is a…

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