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Qualified Income Trust (QIT)
Miller Trusts work by holding the Medicaid recipients income. Every month, the applicant should deposit their income directly into the Miller Trust. These funds will then be distributed by the Trustee to pay for allowable deductions and Medicaid costs. Medicaid is the primary beneficiary of the trust.
Only the following expenses can be paid out of a QIT account: The Patient Responsibility due to the nursing home (as determined by the Department of Children and Families) Health insurance premiums. The Community Spouse Allowance (as determined by the Department of Children and Families)
Some other examples of common trust purchases are a new TV for the Beneficiarys room, a hotel room rental on vacation, a class at a local community college, or non-government funded medical expenses such as massage therapy. Things may get a little bit more confusing when it comes to paying for food and shelter.
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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A Qualified Income Trust based on Florida law, often times referred to as a Miller Trust, is a vital document a Medicaid applicant must have in order to qualify for Medicaid benefits, assuming their gross income is in excess of $2,022.
In Georgia a QIT does not hold any money or assets. The QIT simply owns a bank account through which income is passed each month for Medicaid applicants who are over the Medicaid income limit. The income limit for a Long Term Care Medicaid applicant in Georgia for 2021 is $2,382 per month.
A Qualified Income Trust, or QIT, is a trust established in order to qualify someone for long-term care Medicaid. A QIT is an irrevocable trust established for the benefit of a person or the persons spouse, or both. Texas Administative Code Title I, section 358.339(c).

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