Home
Forms Library
ALTCS Miller Trust and POA Order From - Arizona Care Alliance

ALTCS Miller Trust and POA Order From - Arizona Care Alliance 2025

ALTCS Miller Trust and POA Order From - Arizona Care Alliance Preview on Page 1

See details

4.5 out of 5

25 votes

The document outlines the process for creating an Income Only Trust (also known as a Miller Trust) in Arizona, detailing necessary information for the trust setup, including personal details of the claimant, types of documents to be prepared, and instructions for trustees. It emphasizes that Ana Dabbs, a licensed legal document preparer, does not provide legal advice and includes disclaimers regarding the preparation of legal documents. Additionally, it provides steps for managing the trust and a credit card authorization form for payment.

Here's how it works

01. Edit your form online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out ALTCS Miller Trust and POA Order Form - Arizona Care Alliance

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by entering the name of the trust in the designated field, ensuring you include 'The _________ Income Only Trust'.
Fill in the ALTCS claimant's full legal name, marital status, citizenship status, state of residence, social security number, date of birth, and contact information.
Select the type of document you wish to prepare by checking the appropriate box for either Income Only Trust or Durable Power of Attorney.
Provide details on income sources and assets to be transferred into the trust. Include any relevant company names and account information.
Designate your initial trustee and successor trustee by filling in their names and addresses as required.
If applicable, indicate whether you need a Durable Power of Attorney and provide agent details if yes.
Review all entries for accuracy before signing at the bottom of the form. Ensure that all necessary initials are provided where indicated.

Start using our platform today to easily complete your ALTCS Miller Trust and POA Order Form for free!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a Miller trust in Arizona?

A Miller Trust uses a special bank account that keeps excess money over the ALTCS limit. Any money that is left in the account after the death of a person using a Miller Trust will be paid to the state of Arizona. This allows people who are a few dollars over the income limit to qualify for the benefits they need.

How much does ALTCS pay for assisted living in Arizona?

0:11 1:48 How much does ALTCS. Pay for assisted. Living altcs or Arizona Long-Term Care System pays forMoreHow much does ALTCS. Pay for assisted. Living altcs or Arizona Long-Term Care System pays for assisted living services for eligible individuals.

Who funds ALTCS in Arizona?

AHCCCS uses 4 funding sources to provide state matching dollars for ALTCS: the General Fund, County Funds, the Prescription Drug Rebate Fund (PDRF), and the Nursing Facility Provider Assessment Fund.

What are the benefits of a Miller trust?

The Miller trust can pay the Medicaid recipient a small personal needs allowance, and the trust can also be used to pay the recipients spouse a monthly allowance. Any additional money is used to pay the recipients share of his or her cost of care.

What is the ALTCS program in Arizona?

The Arizona Long Term Care System (ALTCS, pronounced ALL-Tecs) is health insurance for individuals who have an age related and/or physical disability and who require nursing facility level of care. Services may be provided in an institution or in a home or community-based setting.

What happens to a Miller trust after death?

Upon the Medicaid recipients death, the state is named as the beneficiary of the Miller Trust / Qualifying Income Trust. If there are any funds remaining in the trust account, the state will receive it as reimbursement for funds paid for the care of the Medicaid recipient.

How much does it cost to set up a Miller trust in Arizona?

We will prepare your Income Only Trust (Miller Trust), using current Arizona law, within one business day of your order. The patient must be applying for Medicaid (ALTCS) in Arizona. The fee is $476.

Why might you need a Miller?

A Miller Trust helps people qualify for Medicaid long-term care benefits in income-cap states. These states enforce strict monthly income limits for Medicaid eligibility, and applicants who exceed that limit by even a few dollars may be denied coverage.

ALTCS Miller Trust and POA Order From - Arizona Care Alliance 2025

Here's how it works