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Your profile reads you’re caregiver for a Sister, so she’s looking to do one?

if I’m not mistaken, Miller is set up for a way for a LTC NH Medicaid applicant - that has too much income - to have a way for qualified monthly income to be shifted to be paid into Miller- rather than to them - each month; so that they personally can be within the income limits required by Medicaid, as the Miller gets the overage (extra $). The Miller $ is dedicated $ to be paid to the NH & any $ extra (if any) has the state as beneficiary. So it’s not accessible by you as it’s going directly into the Miller, it’s legally paid to the Miller & in turn the Miller pays that $ to the facility & when she dies any $ left paid to state.
They also have already gotten their nonexempt assets at or below whatever your state requirements are for LTC Medicaid. Most do 2k.

Like say, Sylvia has SS of $1500 mo & another retirement of $958.25. So mo income is $2,458.25 and $358.25 over the state max income of $2,100 for LTC Medicaid. She does a Miller to be paid just the SS, & that $1500 now paid in name to “Miller Trust for Sylvia Smith” & in turn the Trust pays the facility directly. Sylvia still responsible to do a copay or SOC (share of cost) to the NH from her mo $958.25 retirement income but that’s done as a separate payment to the NH.

Miller $ is no longer exactly yours, the payee for the SS$ is the newly created Miller Trust. The Trust wouldn’t have judgements or liens against it, like you as a person might have. Trust wouldn’t have a credit score.

Miller has to be done from “qualified” income, like from SS$ or RRRB$ or from the mo. income paid if your a civil service annuitant. These all are ok for being Miller “qualified” as all are income sources that are guaranteed (“qualified”) to be paid. AND these also are income that are exempt from a wage garnishment or attachment by a judgement. They are exempt resources for that those types of actions. The only ones who can do an attachment would be the IRS or state tax authority as they are super creditors.

What kind of debt does does your Sister have?
You know lots of folks who go into a NH have debts. Like CC or drug bills or living costs (property taxes, housing stuff) beyond whatever SS$ income pays them. If they need to go into a NH & apply for Medicaid, they end up defaulting on those debts. Medicaid doesn’t care if they have debts. Medicaid is all about income & assets.
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If the miller trust is for you, then yes some banks may refuse to open an account for you. Especially if you have any outstanding debts with a bank-if you let an account go in to the negative and you didn’t resolve it.
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