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My Adult Child Moved In to Take Care of Me. Can I Pay Them Without Ruining Medicaid?

Posted by Shawn Newman | Sep 07, 2026 | 0 Comments

Your adult child moved in. They cook, lift, sit up at night. Someone says pay them. Someone else says a check to a child will ruin Medicaid.

Paying a child for care can be real pay. It can also look like a gift. Florida looks back five years. It will look at whether there was a real agreement when money changed hands, whether the pay was fair for the work, and whether there is proof. A blog cannot set an hourly rate.

Writing a big check today for years of unpaid help is what that five-year review will see. That does not mean every past hour is automatically a gift. It also does not mean you can paper over five years with a contract dated this week and a lump sum.

Giving the house is a different, limited rule. An adult child who lived there two years and provided care that delayed the nursing home may be able to receive the house without that penalty. That is a house rule, not permission to pay back wages. Giving the house to an unmarried partner is not on that list.

Bring any agreement, the bank records, and an honest list of what was done and when. Free consult in person or Zoom. (954) 563-9160.

Give us a call. We can help.

About the Author

Shawn Newman

Few activities are more important, yet more intimidating, than planning for your own long-term security and the continued well-being of your loved ones. The complexities of estate laws can lead many people to put off this crucial task until it�s too late, but with competent legal help you can lay...

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We focus on Florida estate planning and probate: wills, trusts (including funding), powers of attorney, healthcare directives, probate and trust administration, guardianship-related planning, and planning for unmarried partners and families. If a matter involves contested estates, specialized tax filings, or complex trust design, we will tell you plainly whether we handle it in-house or work with trusted referral counsel.

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