My wife is in the process of trying to transfer her father from an assisted living facility in Arkansas to either a nursing home in a different area of Arkansas or a nursing home in Kentucky. They set up a Miller Trust in Arkansas that allowed him to qualify for Medicaid LTC. We are trying to determine what needs to be done to transfer to a nursing home in either Arkansas or Kentucky. Can the same Miller Trust account be used if he stays in Arkansas? Will he need to go through Medicaid approval process again? If he moves to a Kentucky facility, would we need to set up a new trust or can it be transferred to Kentucky? Any assistance would be greatly appreciated.