What is a Qualified Income Trust

A Qualified Income Trust (QIT), also known as a Miller Trust, is a special legal arrangement for holding a person’s income. A QIT is a written trust agreement for which the trustee establishes a dedicated bank account. Banks that can set up QIT accounts are Chase, Huntington and Key Bank if needed. The income deposited into this dedicated bank account is disregarded when determining financial eligibility for Long Term Services and Supports. QIT’s require that a trustee is appointed to manage the monthly deposits and expenses and account for the funds in the trust. A trustee must be someone other than the Medicaid applicant/recipient. QIT written agreements have special conditions that must be met and are subject to the approval of, and monitoring by, the appropriate Medicaid eligibility determining agency (EDA) and the Division of Medical Assistance and Health Services (DMAHS).

Who needs a QIT?

In order to receive Medicaid long-term care services, an individual’s gross income must be below the Medicaid limit set by the State of Ohio. In 2020, the monthly gross income limit is $2349. For 2021, the limit is $2382. Individuals can deposit their excess income into a QIT to stay or to become eligible for Medicaid long-term care services. To be deemed income eligible, the deposits must be made each month the applicant is over the income limit. Missed or incorrect deposits will affect your eligibility status.

Medicaid long-term care services are provided to eligible people who:

  • Live in a nursing facility; or
  • Live in intermediate care facilities for individuals with intellectual dis abilities (ICF-IDD); or
  • Receive home and community-based services, like PASSPORT, Assisited Living, Ohio Home Care, Individual Options, Mycare Ohio, etc.

What are the requirements of a QIT?

 To be Valid in the State of Ohio, a QIT must:

  • Include only an individual’s own income. It cannot contain a spouse’s income or income from other relatives. It cannot be used for other assets.
  • Be irrevocable. Once the trust is established, it cannot be changed or canceled.
  • Name the State of Ohio as beneficiary. The State of Ohio can recover up to the total amount of Medicaid payments made on an individual’s behalf.

What can the money in the Trust be used for?

 Money put in the QIT can be used to pay for the following expenses, but limited to this list:

  • Incurred medical expenses;
  • Monthly personal or maintenance needs allowance;
  • Bank fees associated with the maintenance of the Trust; and
  • Patient Liability, if applicable. 

Questions? Contact: Ohio Department of Medicaid by phone at (800) 324-8680

 For more information, go online: Medicaid.ohio.gov/DDR or https://benefits.ohio.gov/ddr.html