The Role of Trusts in Missouri Medicaid Planning (2024)

What is a Trust?

A trust is an agreement that stipulates how one wishes to distribute their assets throughout the rest of their life and in death.

The three main characters in a trust are:

  • The grantor or trust maker, the person who creates the trust
  • The trustee, the person appointed to manage the trust according to the grantor’s wishes
  • The beneficiary is the person or persons (or entity) who will receive the income or assets from the trust.

Types of Trusts

A revocable living trust is a standard option that people use to provide them with control over the assets within and the ability to make changes when necessary.

An irrevocable trust is an option to help protect assets from taxes and provide other benefits. The drawback to this type of trust is once it’s in place, it can not be changed or revoked, meaning you lose some control over those assets.

A special needs trust is another option that is an excellent choice when necessary. The assets within the trust are protected from income requirements that may need to be met for your special needs loved one to remain eligible for state or federal benefits.

The Role of Trusts in Missouri Medicaid Planning (1)

An Irrevocable Medicaid asset protection trust is an effective tool used to provide protection for Medicaid eligibility by removing the assets in the trust from your income calculations. Though there are other methods to help ensure you are eligible for Medicaid, such as spending down your assets, placing them in a trust enables you to keep them for your loved ones but remove them to increase eligibility for Medicaid.

Main Advantages of a Trust

By placing assets into a trust, those assets can typically avoid the probate process upon death. The probate process can become timely and costly for your loved ones, leaving them without access to necessary funds until it is complete. By stipulating assets to be transferred through the trust, your loved ones will have quicker access to these funds.

Another appealing aspect is the privacy of the assets held within the trust. The probate process is public; therefore, all of your private financial information can be out in the open. Placing assets in a trust can generally remain confidential and not part of the public probate process.

Tax implications are another appealing aspect of creating a trust. In many cases, the assets within the trust are subject to less or no estate taxes when done effectively. This reduction in estate taxes can help to ensure your loved ones have more of your legacy left behind and less going to taxes. This benefit won’t apply to all families, depending on the size of their estate, but it is an appealing characteristic.

Finally, another critical reason to consider a trust is the ability to be eligible for Medicaid using an effective trust. You can place assets in a trust and remove them from your overall estate, thereby changing your eligibility probability for Medicaid without spending down other assets to meet the standard.

Medicaid Eligibility

One of the most significant expenses we may face in our lifetime is nursing home care. Medicaid allows us to have some reprieve from those costs, but strict eligibility requirements must be met to qualify.

The Role of Trusts in Missouri Medicaid Planning (2)

An effective trust can help to ensure that you are better qualified for Medicaid when done properly. An irrevocable trust can contain assets you no longer have access to or can change in the future, excluding them from your overall Medicaid calculations. It’s important to note that a revocable trust in which you can make changes or retain control during your lifetime will not protect those assets from Medicaid eligibility requirements.

Why is Timing Important?

One of the strict requirements for Medicaid eligibility is the time that they can review what assets were sold or transferred within five years to still count against you, called a “look-back period.”

What this means is that if you had gifted or sold assets within five years of applying for Medicaid, those assets would count against you, even if you no longer own them.

With an effective trust that was created at least five years in advance, these assets can be protected and not count against the eligibility requirements.

If you are within five years of applying for Medicaid, there are other options to review to help in asset protection. An experienced estate planning attorney can review all options to determine the best route for your situation.

Protect Your Legacy

If we have worked hard all of our lives to protect and provide for our family, it makes sense that we would want most of that legacy to go to our loved ones rather than other parties. By putting together an effective estate plan, you can achieve this and continue to protect and provide for your loved ones long after you are gone.

With several tools to utilize to achieve your goals, an experienced estate planning attorney can review your situation, work with you to understand your wishes and plan accordingly. What works for you may not work for your neighbor or co-worker, which is why many multiple estate planning tools exist.

The Role of Trusts in Missouri Medicaid Planning (3)

Contact our office today at (314) 347-3567 for your free consultation. We will sit down with you and your loved ones, discuss your concerns or priorities, and put together an effective strategy that helps you maximize the legacy you have worked hard for all your life and minimize the negative tax or Medicaid eligibility impacts that your assets may have.

We look forward to serving you and your loved ones.

The Role of Trusts in Missouri Medicaid Planning (2024)

FAQs

The Role of Trusts in Missouri Medicaid Planning? ›

You can place assets in a trust and remove them from your overall estate, thereby changing your eligibility probability for Medicaid without spending down other assets to meet the standard.

How do I protect my assets from Medicaid in Missouri? ›

Essentially, to protect assets you must forfeit control over them. Additionally, any asset transfers to an Irrevocable Medicaid Asset Protection Trust must occur at least five years prior to applying for long-term care. Otherwise, the assets may face penalties or be deemed non-exempt.

What assets are exempt from Medicaid in Missouri? ›

There are also many assets that Medicaid considers to be exempt (non-countable). Exemptions include personal belongings, household furnishings, an automobile, irrevocable burial trusts (also called personal funeral trust accounts) up to $9,999, and generally one's primary home.

How does a trust work in Missouri? ›

Typically, you'll name yourself as the "trustee" of your trust. This means that while you're alive, you retain control of the trust and its property. In your trust document, you will also name a "successor trustee" to take over and manage the trust (distribute your property) after you die.

What are the disadvantages of a Medicaid trust? ›

Drawbacks of Medicaid Asset Protection Trusts
  • Timing Is Everything. For a MAPT to function as intended, you need to create it in advance to avoid the Medicaid lookback period. ...
  • Income From MAPT Is Countable by Medicaid. ...
  • Giving Up Control Is Non-Negotiable. ...
  • Setting Up a MAPT Is Costly. ...
  • Potential Effects on Care.
Feb 16, 2024

How to avoid Medicaid estate recovery in Missouri? ›

There are exceptions to the right to estate recovery. One is if there is a surviving spouse of the decedent who received Medicaid benefits. The other is where a surviving child under 21 years of age or surviving adult child who is blind or permanently and totally disabled.

What is the monthly income limit for Medicaid in Missouri? ›

Benefit Program Income Limits
Program12
Program MO HealthNet for Expansion Adults1 $20,0302 $27,185
Program MO HealthNet for Families1 $1,6922 $2,892
Program MO HealthNet for the Aged and Disabled1 $12,8012 $17,374
Program MO HealthNet for the Blind1 $15,0602 $20,440
10 more rows

What is the spend down rule for Medicaid in Missouri? ›

What is Spend Down? If your income is above the limit to qualify for Missouri Medicaid (MO HealthNet), you may still be able to get MO HealthNet coverage if you agree to pay, or “spend down,” a certain amount each month. Once you spend this amount, you will have MO HealthNet coverage for the month.

What is the division of assets for Missouri HealthNet? ›

Division of Assets is the process used under Missouri Medicaid to determine the actual amount within that range that the Community Spouse will be allowed to keep. The Division of Assets is calculated on the first day the Medicaid applicant is admitted to a nursing home for at least 30 continuous days.

What is the difference between Medicaid and MO HealthNet? ›

Medicaid is a government program that provides public health insurance to adults with low income and children who qualify. Missouri's Medicaid program is called MO HealthNet. There are 2 types of MO HealthNet plans: Managed Care plans.

Does a trust avoid probate in Missouri? ›

In Missouri, you can make a living trust to avoid probate for virtually any asset you own—real estate, bank accounts, vehicles, and so on.

Why is a trust better than a will? ›

Trusts are legal structures that protect assets and direct their use and disposition by their owners' intentions and are managed by a trustee. A will takes effect upon death but trusts can be used both during the lives and after the deaths of the grantor, or creator.

Does a trust count as income? ›

When trust beneficiaries receive distributions from the trust's principal balance, they don't have to pay taxes on this disbursem*nt. The Internal Revenue Service (IRS) assumes this money was taxed before being placed into the trust. Gains on the trust are taxable as income to the beneficiary or the trust.

What is the major disadvantage of a trust? ›

The major disadvantages that are associated with trusts are their perceived irrevocability, the loss of control over assets that are put into trust and their costs. In fact trusts can be made revocable, but this generally has negative consequences in respect of tax, estate duty, asset protection and stamp duty.

Does income from a trust affect benefits? ›

In general, the trust will be considered a resource when applying or retaining SSI. With a revocable trust, the entire trust is the person's resource. With an irrevocable trust, if there are parts of the trust in which payments could be made to benefit the person, then that amount will be viewed as a resource.

What are the disadvantages of an irrevocable trust? ›

Disadvantages of an Irrevocable Trust
  • You will give up much more control over your financial affairs.
  • Additional tax returns may need to be filed for the irrevocable trust, which can add cost and complexity.
  • Irrevocable trusts may be more difficult to create and are nearly impossible to modify.
Apr 22, 2024

What is the division of assets for Missouri Healthnet? ›

Division of Assets is the process used under Missouri Medicaid to determine the actual amount within that range that the Community Spouse will be allowed to keep. The Division of Assets is calculated on the first day the Medicaid applicant is admitted to a nursing home for at least 30 continuous days.

How do I protect my assets from Medicaid in NY? ›

Benefits of MAPTs

A MAPT is an irrevocable trust, so once you transfer assets to the trust ownership, you cannot under most circ*mstances transfer them back. But once the trust owns your assets, Medicaid cannot count it as an asset you own or that may be seized to cover your costs.

How do I protect my assets from Medicaid in Illinois? ›

Medicaid Asset Protection Trusts (MAPT)

This form of trust allows someone who may otherwise be Medicaid-ineligible to become Medicaid-eligible and receive the treatment they need, whether at home or in a nursing home. The assets in this form of trust are no longer considered the applicant's property.

How do I protect my assets from Medicaid in Florida? ›

3 Ways to Prevent Medicaid Recovery
  1. Put your house in an irrevocable trust. In Florida, Medicaid can only go after assets that pass through probate. ...
  2. Set up a life estate. ...
  3. Use a Lady Bird deed.

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