I just read another post where someone asked if their Mom could take them on a family vacation during “Medicaid” spend down and the answer was no. My immobile, totally dependent Mom recently took a 4 night trip to Florida, nothing fancy at all but she did have to pay two of her caregivers at their normal hourly rate to take her. She wanted to see the ocean one last time. She will be applying for Medicaid in about a year. Will she be penalized for this?