Thursday, August 30, 2012

Planning For A Child With extra Needs

No.1 Article of Missouri Medicaid Eligibility

Many people have put their estate planning on hold until Congress decides the fate of the federal estate tax. For a house with a special needs child, this could prove costly.

Lack of planning can jeopardize a special needs child's eligibility to receive means-tested government disability and condition benefits. The federal government provides Supplemental safety wage (Ssi) to people who are 65 or older, or who are blind or disabled, who have low incomes and minimal resources. Applicants must meet the group safety supervision (Ssa) definition of disabled, earn miniature or no wage and have ready assets of less than ,000 to qualify. The branch excludes the value of a primary residence, a vehicle, personal furnishings and other assets (such as a burial plan of less than ,500 or up to ,500 of cash surrender value in a permanent life guarnatee policy) when determining "available assets."

Missouri Medicaid Eligibility

For 2010, the monthly federal Ssi benefit is 4 for an individual, which is meant to be used for food and protection expenses. This benefit is indexed for inflation and can change each year. Most states furnish an added benefit, which augments the total monthly payment. However, many disabled children under age 18 who meet the government's requirements may still be disqualified from Ssi benefits because of the wage earned by house members residing in their households. As a result, many families with the economic means to care for their disabled children may feel that special needs planning is unnecessary. This would be shortsighted.

Planning For A Child With extra Needs

When the disabled child reaches age 18, the Ssa views him as an adult. This is a indispensable milestone, because the branch then excludes the wage and resources of house members when determining whether an adult meets the financial limits for Ssi eligibility.

In 39 states and the District of Columbia, an Ssi recipient is automatically eligible for Medicaid, a federal-state condition guarnatee agenda for low-income adults and their children, as well as for people with inevitable disabilities. Medicaid offers indispensable condition care cost savings for the disabled personel and his family. Therefore, it is imperative that a disabled person's Ssi benefits not be reduced to zero, because one dollar of Ssi benefits in these jurisdictions ensures 100 percent of Medicaid benefits. The other 11 states, known as 209(b) states, use more restrictive criteria to determine Medicaid eligibility. Those states are Connecticut, Hawaii, Illinois, Indiana, Minnesota, Missouri, New Hampshire, North Dakota, Ohio, Oklahoma and Virginia.

Special Needs Planning

Outright gifts or bequests to a disabled house member are practically inevitable to make him ineligible for Ssi and Medicaid. Disinheritance would protect the disabled individual's means-tested benefits, but would take off financial safety if he later became ineligible for government assistance, or if those benefits fall short of providing for his needs. Parents could leave assets intended for their disabled child to a sibling with the intent that those assets be used for their handicapped child's benefit. However, there is no warrant that the sibling would honor this request, and the assets would be exposed to possible claims from the sibling's creditors.

A third-party special needs trust is the most efficient vehicle for transferring wealth to a disabled child or grandchild without jeopardizing his eligibility for government assistance. The purpose of the special needs trust is to supplement, not replace, Ssi and Medicaid benefits. To ensure that the beneficiary's disability benefits are unaffected, the trust must possess these characteristics:
It should be created and funded by a third party, such as a parent or grandparent. The disabled beneficiary should not create the trust or fund it with his personal assets. An independent trustee should be chosen to administer the trust. The beneficiary cannot have any authority or control over the supervision of the trust's assets. The trustee should be given authority to make discretionary non-support distributions of trust wage and indispensable for the benefit of the disabled person. Trust payments should be made directly to the individuals and companies that furnish goods and services to the disabled individual. Distributions for basic food, protection and curative expenses, as well as direct payment of cash to the special needs child, will sacrifice or eliminate the child's Ssi benefits, which could also consequent in a loss of Medicaid benefits. The trust should also have spendthrift provisions, which protect trust wage and assets from the claims of the trust beneficiary's creditors.

The third-party special needs trust can be revocable or irrevocable. It can be established during the grantor's lifetime or through the grantor's will or other trust documents upon her death. The third-party special needs trust can be drafted to expressly prohibit the trustee from development any distributions that would disqualify the disabled beneficiary from receiving means-tested government benefits, or drafted without placing any restrictions on the trustee's authority to distribute trust wage and indispensable to or for the benefit of the special-needs individual. The latter structure provides more flexibility, giving the trustee discretion to make disqualifying distributions to the beneficiary if the trustee determines that such payments are in his or her best interests.

Parents should also show the way a acceptable recap of their assets and beneficiary designations. This will ensure that assets are not inadvertently inherited by, or gifted directly to, a special needs child. For example, the third-party special needs trust should be listed as beneficiary for Iras, 401(k) accounts, annuities and life guarnatee policies instead of the disabled child. Other assets and accounts to consider include, but are not miniature to, savings bonds, Uniform Gifts/Transfers to Minors Act accounts, joint bank or speculation accounts, jointly owned real estate, a final paycheck (including unused vacation and sick pay), collectibles, antiques and house heirlooms, as well as a vested remainder interest in a primary abode in case,granted to minor children by state homestead laws.

It is also leading to coordinate with grandparents, other relatives and friends to ensure that they do not give an outright gift or legacy to the special needs child. Instead, if structured properly, the third-party special needs trust established by the parents of the disabled child will be able to accept gifts and bequests from house and friends, so that these individuals do not have to create their own special needs trusts.

First-Party Self-Settled Trusts

What if the special needs child has assets in his name that would make him ineligible to receive means-tested government benefits? Transferring the disqualifying assets to a third party, such as a non-spousal house member, for the sole purpose of qualifying for Medicaid is not advised. To be effective, such transfers must occur 60 months before the disabled personel applies for Medicaid benefits. Otherwise, the transfers will trigger a look-back penalty, delaying the receipt of benefits for a period of time that could be lengthy, depending on the size of the transfers. This strategy is feasible only if the disabled personel will require care for many years and the house or legal guardians want to place a cap on the estimate of private-pay condition care costs they will incur.

A good choice is to change the disqualifying assets into a first-party self-settled special needs trust. Two types of these trusts have government approval: an irrevocable "(d)(4)(A) Snt" or "(d)(4)(A) Medicaid Payback Trust" and a "(d)(4)(C) Pooled account Trust." These trusts are collectively referred to as "Obra 1993 special Needs Trusts" in reference to the Omnibus budget Reconciliation Act of 1993 that allowed their use to retain Medicaid eligibility, and subsequently to retain Ssi eligibility. The government does not consider assets within a properly drafted and administered Obra 1993 special Needs Trust when determining a disabled individual's ability to qualify for means-tested benefits. Trust assets must be used solely to pay for permitted supplemental requirements of the special needs beneficiary.

Unlike a third-party special needs trust, an irrevocable (d)(4)(A) trust, upon the death of the disabled beneficiary, must first reimburse the government for curative benefits in case,granted through Medicaid before any assets are distributed to remainder beneficiaries, such as the disabled beneficiary's siblings. The trust is not required to reimburse the government for Ssi benefits. Other than this major difference, the first- and third-party special needs trusts control similarly.

The Pooled account Trust is often a good choice when the disqualifying assets are miniature in size, for which the cost of establishing and administering a (d)(4)(A) special needs trust is not feasible. With a (d)(4)(C) Pooled account Trust, a nonprofit charitable society establishes and administers a scholar trust. A sub-trust account is created within the scholar trust to hold the disabled person's disqualifying assets. The nonprofit society serves as trustee of the sub-trust account. However, house members can recommend the society as to the disabled individual's needs. Upon the death of the disabled individual, any remaining assets in the sub-trust account can be left to the nonprofit organization, in which case the trust is not required to reimburse the government for Medicaid-covered curative costs. Alternatively, if the remaining assets are to pass to surviving house members, the trust must first repay Medicaid benefits, similar to the (d)(4)(A) trust.

Other Planning Documents And Procedures

In addition to establishing trusts, all special needs planning should include some or all of the following documents:
A letter of intent - Parents of special needs children should create a letter of intent, or care plan, that provides the trustee, and any hereafter caregivers, with indispensable information about the disabled child's daily routines, unique likes and dislikes, food preferences and condition care, schooling and group needs. Legal guardianship documents -Once a disabled child turns 18, he is legally deemed an adult in many states. As a result, parents may no longer have entrance to their child's curative records, or make condition care or financial decisions for him. The decision to file for full or miniature guardianship will depend on whether the child is capable of living on his own and is able to make his own curative and financial decisions. Health care power of attorney - This document will furnish parents with legal authority to make condition care decisions on profit of their disabled adult child, if necessary. Durable power of attorney - With a durable power of attorney, parents will be able to make financial decisions for their disabled adult child, if necessary.

Above all, special needs planning provides the families of disabled children and adults with peace of mind. In addition to preserving eligibility for government assistance, it also ensures that their disabled loved ones will be properly cared for after parents and current guardians are no longer able to do so.

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