If you or a family member is receiving government benefits such as Medicaid or Supplemental Security Income (SSI), you may have come across the term Pooled Special Needs Trust (PSNT). A PSNT is a trust that is intended to help people with disabilities keep their government benefits while also being able to use funds for certain expenses.
PSNTs come in two main varieties: third-party pooled trusts and first-party PSNTs, which are also known as self-settled special needs trusts. Third-party pooled trusts are frequently established by relatives or advocates of the individual with a disability, and the funds are pooled with those of other beneficiaries to decrease administrative expenses and increase investment options. In contrast, first-party PSNTs are funded with the beneficiary’s own assets, usually through personal injury or workers’ compensation settlements, and are required to pay back Medicaid after the beneficiary’s death.
A key advantage of a PSNT is that it enables the person with a disability to access funds for specific expenditures without putting their Medicaid benefits at risk. PSNTs are often managed by an investment manager and trust administrator, who handle disbursement requests and ensure that all expenses are in line with Medicaid guidelines.
PSNTs can cover a variety of expenses that are not covered by Medicaid or other government benefits, including dental work, transportation, home modifications, and even recreational activities like vacations. It is important to keep in mind that PSNTs cannot be used for basic living expenses like food, shelter, or utilities, as these are typically covered by government benefits. In addition, PSNTs cannot be used to pay family members for caregiving services, as this could be seen as a transfer of assets and could result in a penalty from Medicaid.
Another advantage of a PSNT is that it can bring peace of mind to both the person with a disability and their family members. Having a trust in place to cover certain expenses can ease some of the financial pressure that comes with caring for someone with a disability. In addition, PSNTs can help ensure that the individual with a disability is able to maintain their quality of life and independence, even as their care needs change over time.
If you are thinking about creating a PSNT for yourself or a family member, it is critical to work with an experienced attorney who specializes in special needs planning. They can ensure that the trust is established correctly and that all expenses comply with Medicaid regulations. In addition, an attorney can help you understand the potential tax implications of setting up a PSNT and provide guidance on how to structure the trust to maximize its benefits.
Another important consideration when setting up a PSNT is choosing the right trustee. The trustee is tasked with managing the trust and ensuring that all disbursements adhere to the trust’s terms and Medicaid regulations. It is important to choose a trustee who has expertise in managing special needs trusts and who is familiar with the beneficiary’s specific requirements. A trustee can be an individual or a professional organization, such as a bank or a nonprofit organization that specializes in managing special needs trusts.