Qualified Income Trusts: What Every Florida Family Should Know
Estate Planning, Medicaid Planning, July 13, 2026
For many Florida families, qualifying for Medicaid long-term care benefits can be confusing, especially when a loved one’s monthly income exceeds Medicaid’s income limit. Fortunately, a Qualified Income Trust (QIT), also known as a Miller Trust, can help individuals remain eligible for Medicaid if they meet all other requirements.
In this YouTube video “Qualified Income Trusts Explained: The POA Issue Families Miss,” we explore how a Qualified Income Trust works and a commonly overlooked issue that can delay Medicaid eligibility if it isn’t addressed before a crisis arises.
The Power of Attorney Mistake That Can Delay Medicaid
One issue many families don’t discover until it’s too late is whether their Durable Power of Attorney includes the authority to create and fund a Qualified Income Trust.
If the Medicaid applicant no longer has the mental capacity to sign legal documents and their Power of Attorney doesn’t specifically authorize trust creation or Medicaid planning, the family may have to seek a court-appointed guardianship before moving forward. This can be time-consuming, costly, and emotionally stressful—especially when long-term care is urgently needed.
Fortunately, this issue is often preventable. Reviewing your estate planning documents before a crisis can help ensure your Power of Attorney includes the authority needed if a Qualified Income Trust becomes necessary.
Planning Before the Crisis Matters
Many families don’t think about Medicaid planning until a loved one needs nursing home care or experiences a serious medical decline. By then, their planning options may be more limited.
A well-drafted estate plan does more than distribute assets after death. It also prepares your family for periods of incapacity by giving trusted individuals the legal authority to make important financial and healthcare decisions without unnecessary court involvement.
Don’t Assume Your Documents Are Up to Date
Estate planning documents should be reviewed periodically. Laws change, Medicaid rules evolve, and older Durable Powers of Attorney may not include the provisions needed for today’s planning strategies.
If your documents were prepared years ago—or you’re unsure what authority they provide—having them reviewed now could save your family significant time, expense, and stress later.
We’re Here to Help
If you or a loved one may need Medicaid long-term care benefits, now is the time to make sure your legal documents are ready when they’re needed most.
At O’Connor Elder Law, we help Florida families navigate Medicaid planning, review estate plans, and prepare for the future with confidence. Contact our office today to schedule a strategy session and learn how proactive planning can help protect your family, your assets, and your peace of mind.