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medicaid planning

May 14 2026

Special Needs Trusts: Protecting a Loved One Without Losing Government Benefits

If you have a child or family member with special needs, leaving them an outright inheritance could actually disqualify them from essential government benefits like Medicaid and Supplemental Security Income. A special needs trust preserves their eligibility while providing supplemental support for a better quality of life.

How a Special Needs Trust Works

A special needs trust — also called a supplemental needs trust — holds assets for the benefit of someone with a disability without counting those assets toward benefit eligibility limits. The trustee can use trust funds for expenses not covered by government programs: recreation, education, personal care items, travel, and more. The key is that the trust supplements rather than replaces government benefits.

Types of Special Needs Trusts

A third-party trust is funded by someone other than the beneficiary — typically parents or grandparents — and has no payback requirement to Medicaid. A first-party trust is funded with the disabled person’s own assets and must include a Medicaid payback provision. Each has different rules and applications depending on the situation.

Planning for a loved one with special needs requires specialized knowledge. Contact SoMD Estate Planning to discuss your family’s options.

Written by somdestateplan · Categorized: Family Protection, Trusts · Tagged: medicaid planning, southern maryland, special needs trust

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