
Special Needs Trusts

Supplemental needs
trusts (SNTs, also known as special needs trusts or supplemental
care trusts) are trusts, created for disabled individuals, which
are intended to supplement but not replace any public benefits
to which the disabled individual may be entitled.
Goals: The goal
of funding a supplemental needs trust is to provide a pool of
funds from which the disabled individual can increase the
quality of his or her life, while still remaining eligible for
public assistance.
Caveat: The
regulations regarding SNTs, SSI, Medicaid, federal housing, and
other programs are creatures of federal and state statute and
are subject to change. The protections provided by a SNT may
change throughout the beneficiary's lifetime and cannot be
guaranteed.
Supplemental needs
trusts which are established in accordance with the
regulations found under '1396p(d)(4)(a) were provided for
under OBRA '93 and created additional protections for disabled
individuals, including protection from certain asset and
transfer rules. A (d)(4)(a) trust must be
established by a parent, grandparent, legal guardian or court,
and must provide that after the death of the
beneficiary, the state be repaid from the assets remaining in
the trust up to the amount equal to the medical benefits paid
on behalf of the beneficiary.
Usually, the public
benefits which the recipients are trying to preserve are SSI
(Supplemental Security Income) and Medicaid. In most states,
persons eligible for SSI are automatically eligible for
Medicaid. The Medicaid program pays for medical assistance
that disabled individuals often need during their lifetimes.
Sometimes, preservation of housing and additional benefits is
also a consideration.
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