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First, you must establish a valid QIT document or instrument that complies with the requirements. Second, you must set up a bank account which will be the trust account. Finally, each month you must transfer all or part of the income into the QIT account so Medicaid can exclude the income in determining eligibility.
A qualified income trust (QIT), also known as a Miller Trust, is an irrevocable trust specially designed to legally divert an individual or married couples income into a trust resulting in the income being excluded for purposes of determining eligibility for nursing home (institutional) Medicaid and 1915(c) home
Allowed Uses of QIT Funds Health expenses. Wellness expenses. Medical-related expenses. Costs for additional care.
A qualified Elder Law Attorney can help applicants qualify for Medicaid when their income or assets are above the limit. The Attorney can create a Qualified Income Trust (QIT) which lowers the applicants income, so they do qualify for Medicaid to cover the cost of the Nursing Home.
What is a Qualified Income Trust? If your income is over the limit to qualify for Medicaid long-term care services (including nursing home care), a Qualified Income Trust (QIT) allows you to become eligible by placing income into an account each month that you need Medicaid.
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Some Medicaid Professionals include the cost of establishing this type of trust as a package deal with other Medicaid planning services. However, on average, solely setting up a QIT runs approximately $400 to $500, but may run as high as $1,000 or $2,000.
QITs are solely for income received by the Medicaid beneficiary in the month it is received. Income is considered a resource in the month after it is received. Resources cannot be deposited into a QIT. Resources include things like cash, funds from the sale of real or personal property, savings, or investment account.

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