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This packet was developed for individuals desiring institutional care or home and community- based services whose income may exceed the Medicaid eligibility limit. Such individuals may. need to establish a Qualifying Income Trust, also known as a Miller trust, in order to be eligible.
The Miller trust document establishes a special checking account. The terms of the trust legally redirect monthly income away from the care recipient. Instead, the patient directs his or her income into a new checking account. When properly the character of the income changes under Texas Medicaid Income rules.
Miller Trusts can be used to pay for a small monthly allowance, Medicare premiums and medical expenses that are not covered by Medicaid. Unlike other types of trusts, there are very few restrictions on who can establish a Miller Trust to qualify for government benefits.
Miller Trusts, also called Qualified Income Trusts, provide a way for Medicaid applicants who have income over Medicaid's limit to become eligible for Medicaid long term care. In short, income over Medicaid's limit, is put into a trust and therefore not counted as income, thus allowing the applicant to become eligible.
What is a Qualified Income Trust? If your income is over the limit to qualify for Medicaid long-term care services (including nursing home care), a Qualified Income Trust (QIT) allows you to become eligible by placing income into an account each month that you need Medicaid.
The trust account will be used to pay the Medicaid income spend down and any other medical expenses not covered by Medicaid or other insurance. For example, payment of a health insurance premium, such as a Medicare supplemental insurance premium, is allowed.
A Miller Trust uses a special bank account which keeps any excess money over the ALTCS limit. Any money that is left in the account after the death of a person using a Miller Trust will be paid to the state of Arizona.
Miller Trusts can be used to pay for a small monthly allowance, Medicare premiums and medical expenses that are not covered by Medicaid. Unlike other types of trusts, there are very few restrictions on who can establish a Miller Trust to qualify for government benefits.
In Indiana, common exempt assets include: One home up to an equity limit of $585,000 IF you are planning to return to the home OR a spouse resides in it. One vehicle. An irrevocable burial trust. Household furnishings, furniture, clothing, jewelry, and other personal effects.
The Trust pays a fixed amount towards the Medicaid recipient's responsibility for nursing home care. In the event that there are excess funds in the account after the applicant dies, Florida Medicaid is entitled to reimbursement from those funds.