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Ohio uses section 1634 of the Social Security Act (codified at 42 USC 1383c) to determine eligibility for medicaid. These means that individuals can no longer "spend down" their income to become eligible. Instead, individuals having too much money, will have to set up a Miller Trust.
Qualified Income Trusts (QIT), also referred to as Miller Trusts, are intended for those who have an income greater than qualifications for Medicaid allow, yet don't have enough income to pay for long term care. With QIT's, an individual's excess income is directly deposited each month into a restricted funds account.
A Qualified Income Trust (QIT), also known as a Miller Trust, is a special legal arrangement for holding a person's income. A QIT is a written trust agreement for which the trustee establishes a dedicated bank account.
A Qualified Income Trust (QIT), also known as a Miller Trust, is a special legal arrangement for holding a person's income. A QIT is a written trust agreement for which the trustee establishes a dedicated bank account. Banks that can set up QIT accounts are Chase, Huntington and Key Bank if needed.
A Qualified Income Trust is set up to lower a Medicaid applicant's income, not their assets. If the applicant dies and the Qualified Income Trust holds the applicant's assets, the remaining assets will all be going to the State of Florida to pay back medical expenses.
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.
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.
Qualified Income Trusts (QIT), also referred to as Miller Trusts, are intended for those who have an income greater than qualifications for Medicaid allow, yet don't have enough income to pay for long term care. With QIT's, an individual's excess income is directly deposited each month into a restricted funds account.
Upon Death, Assets in a QIT Will be Given to the State Any funds that remain after the state has been reimbursed will be paid to other trust beneficiaries. Normally, all deposited income is spent each month, so most QITs are usually empty at the time of the applicant's death.