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Current: Establishing a Miller Trust Establishing a Miller Trust For individuals residing in nursing homes, or who are receiving the Home and Community Based Services (HCBS) under a Medicaid waiver, the applicable income standard is $2,250 per month, amount effective January 1, 2018.

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Income trusts are a type of special purpose trust that can be helpful to Medicaid applicants in states that have a set income limit for qualifying for Medicaid, such as Texas and Arizona. Sometimes referred to as Qualifying Income Trusts, Qualified Income Trusts, or Miller Trusts (based upon a court ...

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A Miller Trust is a trust that only includes income such as pension and Social Security income. Savings or other resources cannot go into a Miller Trust. The person who benefits from the trust …

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Medicaid Qualified Income Trust (Miller Trust) If a Medicaid applicant's income exceeds the lawful amount for Medicaid eligibility ($2,250.00 effective Jan. 1, 2018), a Qualified Income Trust must be created with the applicant's income in order to create eligibility for long-term nursing home care benefits. This instrument is also called a Miller Trust.

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Miller Trusts allow a person to redirect either all, or a portion, of their income to a trust. This is done to help that person qualify for the ALTCS program. ALTCS sets an income limit of $2250 per month and any income over the limit will disqualify an applicant.

Miller Trust, also known as a Qualified Income Trust for ...

Directing Income into the Miller Trust. The term "Miller Trust" is an informal name. The official ALTCS name is an Income Only Trust.A more accurate name for this trust is an "Income Cap Trust".

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The Miller trust can pay the Medicaid recipient a small personal needs allowance, and the trust can also be used to pay the recipient's spouse a monthly allowance. Any additional money is used to pay the recipient's share of his or her cost of care.

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Establishing the Miller Trust Bank Account Once the Miller Trust is created and signed by the patient or the patient's agent under Power of Attorney, the next step is to create a bank account in the name of the trust.

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Medicaid Qualified Income Trust (Miller Trust)

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