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Please talk to an elder care lawyer. Most reputable ones will give you at least a free 30 minute consultation. Write down your questions in advance, to maximize that free time.

If, as I assume, you are asking about a qualified income trust, you may get lots of responses on this forum, and many of them may well be on point, and maybe some even from lawyers/retired lawyers.....but you need your own lawyer.

Also, at least in Florida, they have a guidance sheet about these trusts, from Department of Children and Family Services, which manages Medicaid here.
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In dealing with my mom’s financial situation, we consulted with three elder care attorneys. This Medicaid stuff gets so complicated! 1st attorney never mentioned it, 2nd one was going to do a Trust, 3rd one said she didn’t know what it would accomplish for us!

Best of luck finding an attorney that’s honest & knows what they’re doing!
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My understanding is that Miller is really used for 1 scenario..... that the LTC Medicaid applicant is over the monthly income maximum for Medicaid for your state but does not have enough income to private pay; and they have an income source that is eligible / qualifies for Miller (like SS) and are eligible for LTC Medicaid in all other aspects (so are medically “at need” and are good on their assets limits).

Your state has to allow for these type of Trusts to exist, not all do.
beneficiary of Miller is the state, not heirs or family.
So should they die and there is $ left, it goes to the state first & foremost.

there was a post on Miller in FL couple years back, as I recall the cost was abt. $850.00; the elder had SS - which is “qualified” - that went into the Miller and they also had a pension - which was not “qualified” as it could not be guaranteed - which remained outside of the Miller. Both income sources were paid to the NH for the required Medicaid copay.

Advantage. is they will be eligible for LTC Medicaid. Cause if there’s not a Miller in place, they will be totally private pay for care & if they don’t have enough on their own, then you or other family will have to fund the gap.
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Not sure of disadvantages. The advantage would be that the extra money is put in the trust so the person qualifies. As the person's passing, the trust reverts to Medicaid.
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