Understanding the 5-Year Look-Back Rule: What Michigan Families Need to Know About Medicaid Spend-Down
Early planning is the key to protecting assets and securing care—here’s how the look-back rule works and what to do now.

Founder / Attorney

Michael L. RutkowskiDecember 9, 2025
When a parent experiences a sudden health crisis, such as a stroke, fall, or unexpected hospitalization, the initial hours are often filled with emotion and urgent decisions. Adult children may be thrust into managing everything from medical choices to financial responsibilities. Without the proper legal documents, your ability to help may be restricted.
Here’s what you need to know—and how to prepare:
Five Critical Documents to Locate or Establish
Preparing these documents in advance gives you—and your parent—greater peace of mind when it matters most.
If your parent hasn’t completed these documents, or if their location is unknown, don’t panic. Legal pathways exist. In urgent cases, you may be able to obtain emergency guardianship or conservatorship through probate court, allowing someone to step in with the authority needed to help quickly.
That said, proactive planning is always easier and more effective than responding in a crisis.
These documents aren’t just paperwork; they’re powerful tools that empower families to act with clarity, compassion, and confidence. If you’re the adult child likely to be called in a crisis, now is the time to speak with your parents. Start the conversation gently: “I want to be able to help if something happens, and I want to make sure we have everything we need in place.”
We support families every day in creating and organizing these essential protections. Whether you’re reviewing current documents or starting from scratch, having a clear plan can make all the difference when the unexpected occurs.
Contact our team today to schedule a consultation and ensure your family is prepared—legally, financially, and emotionally.
Estate Planning is an essential process that will protect your assets and ensure you’re your estate is distributed according to your wishes after your death.
Many people make mistakes when creating their estate plan, which can lead to unnecessary stress, confusion, and costly legal battles for their loved ones. Below, our estate planning team put together the top 10 and most common mistakes we see in estate planning.

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