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When formulating a contract, a public service application, or a power of attorney, it is crucial to evaluate all federal and state laws of the particular region.
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A Miller Trust is specifically designed to qualify an individual for Medicaid benefits by diverting all income into the trust. Income diverted to the trust is not counted as income for purposes of Medicaid eligibility when attempting to qualify for nursing home care. A Miller Trust can only hold the applicant's income.
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.
For 2022, an individual must have a monthly income of $2,523 or less to be eligible for Ohio Medicaid assistance to pay for either nursing home care or home or community-based services. (If both spouses are applying, the monthly income limit is $5,046.)
In 2022, this is $2,523 / month for an individual. A portion, or all of one's income, can be directly deposited into a Miller trust and it is not counted towards Medicaid's income limit. Therefore, this option allows an applicant to become income eligible.
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.
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.
Miller Trusts are basically agreements where one person (called the trustee) agrees to hold and manage money for another person who needs long term care (called the beneficiary), and promises to spend the money only in ways approved by Idaho Dept. of Health & Welfare (primarily paying long term care costs).
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.